直接前侧入路微创全髋关节置换术研究进展

Research Progress of Direct Anterior Approach Minimally Invasive Total Hip Arthroplasty

全髋关节置换术(THA)常应用在髋关节疾病终末期的治疗中,其是采用人工材料制成仿真部件换取全髋组织的手术方式。尽管该术式手术创伤较大,存在一定风险,但其远期效果较好。THA有多种手术入路方式可供选取,直接前侧入路(DAA)自肌肉解剖间隙进入,可使髋关节充分显露,对肌肉组织损伤较小。现今医学界更加重视新型微创技术,相比于传统手术方式,DAA微创THA(MIS-THA)具有创伤小、疼痛轻、利于恢复的优点,但存在操作相对复杂、股外侧皮神经受损等不足。本文对DAA MIS-THA应用研究进展进行综述,以期指导临床实践。

Total hip arthroplasty(THA)is often used in the treatment of end-stage hip joint diseases,it is a surgical method in which artificial materials made of artificial parts are exchanged for total hip tissue.Although the surgery trauma is larger of this surgery,there is a certain risk,but its long-term effect is better.A variety of surgical approach method can be selected in THA,direct anterior approach(DAA)entering from the muscle anatomical gap can fully expose the hip joint with less damage to the muscle tissue.Nowadays,the medical community more attaches the new minimally invasive techniques,compared with traditional surgical methods,DAA minimally invasive THA(MIS-THA)has the advantages of less trauma,less pain,and beneficial to recovery,but it has some shortcomings such as relatively complex and damage of femoral lateral cutaneous nerve etc.This paper reviews the application research progress of DAA MIS-THA in order to guide clinical practice.