关键词: anterior approach anterolateral approach lateral approach posterior approach posterolateral approach surgical approach total hip arthroplasty total hip replacement

来  源:   DOI:10.7759/cureus.34829   PDF(Pubmed)

Abstract:
These surgical procedures have their own challenges, limitations, and success rate. The choice of surgical approach will depend on many factors including the surgeon\'s choice, type of pathology, bone stock, age of the patient, and experience of the surgeon. Whichever approach is used for total hip arthroplasty (THA), the primary goals of the surgery would be pain relief and enhancement in the quality of the patient\'s life suffering from hip pathologies. To further understand the advantages and potential pitfalls associated with different surgical approaches, we conducted a review study comparing different surgical approaches for THA in terms of their clinical and functional outcomes. All the studies done on surgical approaches used in THA published articles in the English language and from 2015 onward were included in the review. The databases searched were COCHRANE, MEDLINE, PEDRO, CINHAL, etc. Search engines that were searched were Google Scholar, Pub Med, and Science Direct. As per the inclusion criteria, out of 50 studies, 26 studies were included in the study which underwent critical analysis. Considering all the factors reviewed from the literature, the posterior approach or posterolateral approach is optimally beneficial.
摘要:
这些外科手术都有自己的挑战,局限性,和成功率。手术方式的选择将取决于许多因素,包括外科医生的选择,病理类型,骨原料,病人的年龄,和外科医生的经验。无论采用哪种方法进行全髋关节置换术(THA),手术的主要目标是缓解疼痛和提高髋部病变患者的生活质量。为了进一步了解不同手术入路的优势和潜在陷阱,我们进行了一项回顾性研究,比较了不同手术方式治疗THA的临床和功能结局.从2015年起,对THA中使用的手术方法进行的所有研究都以英语发表了文章。搜索的数据库是COCHRANE,MEDLINE,佩德罗,CINHAL,等。被搜索的搜索引擎是谷歌学者,PubMed,科学直接。根据纳入标准,在50项研究中,该研究包括26项研究,并进行了批判性分析。考虑到从文献中回顾的所有因素,后入路或后外侧入路是最有益的。
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