摘要
Abstract
Objective:To investigate the clinical efficacy of the supine direct anterior approach(DAA)and the posterolateral approach(PLA)of the hip joint in total hip arthroplasty in femoral neck fracture and femoral head necrosis.Method:A total of 64 patients with total hip arthroplasty admitted to Taixing Third People's Hospital of Jiangsu Province from January 2020 to December 2023 were selected as the study objects,and were divided into DAA group(32 cases,DAA treatment)and PLA group(32 cases,PLA treatment)according to different surgical protocols.Both groups were followed up until 12 months after surgery.Perioperative indexes,pain degree,hip function,walking function and complications were compared between the two groups at different times(preoperative,1 month,3 months,6 months,12 months).Result:The operation time of PLA group was shorter than DAA group,and the intraoperative blood loss and postoperative drainage volume were higher than DAA group(P<0.05).Visual analogue scale(VAS),hip Harris score and 10 m walking time of DAA group were similar to those of PLA before surgery,1 month and 12 months after surgery(P>0.05).3 months and 6 months after operation,VAS score and 10 m walking time in DAA group were lower than those in PLA group,and hip joint Harris score was higher than those in PLA group(P<0.05).The complication rate of DAA group was lower than that of PLA group(P<0.05).Conclusion:In total hip replacement,PLA can shorten the operation time,but DAA can reduce the surgical trauma of patients,and 3 months and 6 months after surgery,DAA can reduce the pain degree of patients,improve their hip function and walking ability,and reduce the incidence of complications.关键词
全髋关节置换术/平卧位直接前方入路/后外侧入路Key words
Total hip arthroplasty/Direct anterior approach in the supine position/Posterolateral approach
