不同入路全髋关节置换后髋关节功能的网状Meta分析
|
摘要
背景:临床上全髋关节置换术有7种常见的手术入路,分别为传统后侧入路、改良Hardinge入路、小切口后侧入路;直接前侧入路、慕尼黑骨科医院入路、SuperPATH入路及双切口入路。目前对于全髋关节置换最佳手术入路没有达成共识,暂未查阅到涵盖上述7种手术入路的系统评价。目的:对比不同手术入路全髋关节置换后的近期、远期髋关节功能差异。方法:计算机检索PubMed、Embase、TheCochraneLibrary、中国生物医学文献数据库、中国知网、万方和维普数据库,根据纳入与排除标准进行文献筛选、质量评价和数据提取后应用Stata软件、R软件对各项结局指标进行网状Meta分析。结果与结论:(1)共纳入25个随机对照试验,合计2253髋,涉及7种干预措施;(2)网状Meta分析结果显示,传统后侧入路的近期髋关节Harris评分低于改良Hardinge入路、直接前侧入路、慕尼黑骨科医院入路;慕尼黑骨科医院入路的近期髋关节Harris评分高于SuperPATH入路;小切口后侧入路的远期髋关节Harris评分高于其他6种手术入路;(3)结果提示全髋关节置换后近期髋关节Harris评分最高的手术入路可能是慕尼黑骨科医院入路,远期髋关节Harris评分最高的手术入路是小切口后侧入路,双切口入路在术后近期、远期髋关节Harris评分方面均可能作为第二优选;(4)上述结论仍需要大量设计合理、涵盖多种手术入路的随机对照试验予以证实。
BACKGROUND: There are seven kinds of common surgical approaches for total hip arthroplasty, including the traditional posterior approach, modified Hardinge approach, small-incision posterior approach, direct anterior approach, Orthopdische Chirurgie Munchen approach, SuperPATH approach and double incision approach. There is no consensus on the best surgical approach for total hip arthroplasty. There is a lack of systematic review of the above seven surgical approaches.OBJECTIVE: To compare the short-and long-term hip function after total hip arthroplasty by different surgical approaches. METHODS: PubMed, Embase, The Cochrane Library, CBM, CNKI, WanFang and VIP databases were searched. According to the inclusion and exclusion criteria, literature screening, quality evaluation and data extraction were performed. A network meta-analysis of each measurement outcome was conducted using Stata software and R software. RESULTS AND CONCLUSION:(1) A total of 25 randomized controlled trials including 2 253 hips involving the seven interventions were included.(2) Network meta-analysis showed that the postoperative short-term Harris hip scores of the traditional posterior approach were lower than those of the modified Hardinge approach, direct anterior approach, Orthopdische Chirurgie Munchen approach. The postoperative short-term Harris hip scores of the Orthopdische Chirurgie Munchen approach were higher than those of the SuperPATH approach. The postoperative long-term Harris hip scores of the small-incision posterior approach were higher than those of the other surgical approaches.(3) These results indicate that the surgical approach with the highest postoperative short-term Harris hip scores may be the Orthopdische Chirurgie Munchen approach. The surgical approach with the highest postoperative long-term Harris hip scores is the posterior approach of the small incision. The double-incision approach in short-term and long-term Harris hip scores may be the second preference.(4) The above conclusions need to be confirmed by a large number of randomized controlled trials that are well designed and cover a variety of surgical approaches.
BACKGROUND: There are seven kinds of common surgical approaches for total hip arthroplasty, including the traditional posterior approach, modified Hardinge approach, small-incision posterior approach, direct anterior approach, Orthopdische Chirurgie Munchen approach, SuperPATH approach and double incision approach. There is no consensus on the best surgical approach for total hip arthroplasty. There is a lack of systematic review of the above seven surgical approaches.OBJECTIVE: To compare the short-and long-term hip function after total hip arthroplasty by different surgical approaches. METHODS: PubMed, Embase, The Cochrane Library, CBM, CNKI, WanFang and VIP databases were searched. According to the inclusion and exclusion criteria, literature screening, quality evaluation and data extraction were performed. A network meta-analysis of each measurement outcome was conducted using Stata software and R software. RESULTS AND CONCLUSION:(1) A total of 25 randomized controlled trials including 2 253 hips involving the seven interventions were included.(2) Network meta-analysis showed that the postoperative short-term Harris hip scores of the traditional posterior approach were lower than those of the modified Hardinge approach, direct anterior approach, Orthopdische Chirurgie Munchen approach. The postoperative short-term Harris hip scores of the Orthopdische Chirurgie Munchen approach were higher than those of the SuperPATH approach. The postoperative long-term Harris hip scores of the small-incision posterior approach were higher than those of the other surgical approaches.(3) These results indicate that the surgical approach with the highest postoperative short-term Harris hip scores may be the Orthopdische Chirurgie Munchen approach. The surgical approach with the highest postoperative long-term Harris hip scores is the posterior approach of the small incision. The double-incision approach in short-term and long-term Harris hip scores may be the second preference.(4) The above conclusions need to be confirmed by a large number of randomized controlled trials that are well designed and cover a variety of surgical approaches.
引文
[1]彭伟秋,张祥洪,李富明,等.侧卧位直接前方入路与直接外侧入路初次全髋关节置换术的比较[J].中国矫形外科杂志, 2018,26(11):999-1004.
[2]Hoppenfeld S, Boer PD, Buckley R. Surgical exposures in orthopaedics:the anatomic approach. Lippincott Williams&Wilkins, 1984:363.
[3]徐杰,庄伟达,李新炜,等.直接前入路和后外侧保留梨状肌入路全髋关节置换术的疗效对比[J].北京大学学报(医学版), 2017,49(2):214-220.
[4]Hardinge K. The direct lateral approach to the hip. J Bone Joint Surg Br. 1982;64-B(1):17-19.
[5]Post ZD, Orozco F, Diaz-Ledezma C, et al. Direct anterior approach for total hip arthroplasty:indications, technique, and results. J Am Acad Orthop Surg.2014;22(9):595-603.
[6]王春生,蒋武强,马瑞,等.经皮穿刺辅助全髋入路在全髋关节置换的早期应用[J].中华关节外科杂志(电子版), 2017,11(6):565-568.
[7]Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty. an end-result study using a new method of result evaluation. J Bone Joint Surg. 1969;51(4):737-755.
[8]Barrett WP, Turner SE, Leopold JP. Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty. J Arthroplasty. 2013;28(9):1634-1638.
[9]Muller M, Tohtz S, Springer I, et al. Randomized controlled trial of abductor muscle damage in relation to the surgical approach for primary total hip replacement:minimally invasive anterolateral versus modified direct lateral approach. Arch Orthop Trauma Surg. 2011;131(2):179-189.
[10]冯尔宥,林飞太,林丽琼,等.改良后侧入路小切口人工全髋关节置换的初步临床应用[J].中国骨与关节损伤杂志, 2016,31(6):627-628.
[11]Della VC, Dittle E, Moric M, et al. A prospective randomized trial of mini-incision posterior and two-incision total hip arthroplasty. Clin Orthop Relat Res. 2010;468(12):3348-3354.
[12]吴婷婷,刘丹璐,黄娇,等.偏倚风险评估工具在针刺Cochrane系统评价中的应用[J].中国循证医学杂志, 2014,14(3):361-364.
[13]张天嵩,钟文昭,李博.实用循证医学方法学.2版[M].长沙:中南大学出版社, 2014.
[14]赵坤,陈凌霄,田金徽,等.使用R、GeMTC和STATA软件实现连续变量的网状Meta分析[J].中国循证医学杂志, 2015,15(7):861-868.
[15]汪徐林,秦正积,陆益花,等. Stata软件在网状Meta分析中的应用[J].现代预防医学, 2016,43(19):3461-3464.
[16]田金徽,李伦.网状Mate分析方法与实践[M].北京:中国医药科技出版社, 2017.
[17]石修权,王增珍. Egger’s Test与Begg’s Test的功效差异比较与原因分析[J].华中科技大学学报(医学版), 2009,38(1):91-93.
[18]易跃雄,张蔚,刘小媛,等.网状Meta分析图形结果解读[J].中国循证医学杂志, 2015,15(1):103-109.
[19]Chimento GF, Pavone V, Sharrock N, et al. Minimally invasive total hip arthroplasty:a prospective randomized study. J Arthroplasty. 2005;20(2):139-144.
[20]Ogonda L, Wilson R, Archbold P, et al. A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes. a prospective, randomized,controlled trial. J Bone Joint Surg. 2005,87(4):701-710.
[21]Shitama T, Kiyama T, Naito M, et al. Which is More Invasive-Mini Versus Standard Incisions in Total Hip Arthroplasty? Int Orthop. 2009;33(6):1543.
[22]Parvizi J, Restrepo C, Maltenfort MG. Total hip arthroplasty performed through direct anterior approach provides superior early outcome:results of a randomized, prospective study.Orthop Clin North Am. 2016;47(3):497-504.
[23]Meneghini RM, Smits SA. Early discharge and recovery with three minimally invasive total hip arthroplasty approaches:a preliminary study. Clin Orthop Relat Res. 2009;467(6):1431-1437.
[24]Restrepo C, Parvizi J, Pour AE, et al. Prospective randomized study of two surgical approaches for total hip arthroplasty. J Arthroplasty. 2010;25(5):671-679.
[25]Kim YH. Comparison of primary total hip arthroplasties performed with a minimally invasive technique or a standard technique:a prospective and randomized study. J Arthroplasty. 2006;21(8):1092-1098.
[26][Christensen CP, Jacobs CA. Comparison of patient function during the first six weeks after direct anterior or posterior total hip arthroplasty(tha):a randomized study. J Arthroplasty,2015;30(9 Suppl):94-97.
[27]Sculco TP, Jordan LC, Walter WL. Minimally invasive total hip arthroplasty:the hospital for special surgery experience. J Arthroplasty. 2004;35(2):137-42.
[28]Taunton MJ, Mason JB, Odum SM, et al. Direct anterior total hip arthroplasty yields more rapid voluntary cessation of all walking aids:a prospective, randomized clinical trial. J Arthroplasty. 2014;29(9 Suppl):169-172.
[29]Goosen JH, Kollen BJ, Castelein RM, et al. Minimally invasive versus classic procedures in total hip arthroplasty:a double-blind randomized controlled trial. Clin Orthop Relat Res. 2011;469(1):200-208.
[30]Ji HM, Kim KC, Lee YK, et al. Dislocation after total hip arthroplasty:a randomized clinical trial of a posterior approach and a modified lateral approach. J Arthroplasty.2012;27(3):378-385.
[31]Martin R, Clayson PE, Troussel S, et al. Anterolateral minimally invasive total hip arthroplasty:a prospective randomized controlled study with a follow-up of 1 year. J Arthroplasty. 2011;26(8):1362-1372.
[32]Rykov K, Reininga I, Sietsma M, et al. Posterolateral versus direct anterior approach in total hip arthroplasty(polada trial).a randomised controlled trial to assess differences in serum markers. J Arthroplasty. 2017;32(12):3652-3658.
[33]Yang C, Zhu Q, Han Y, et al. Minimally-invasive total hip arthroplasty will improve early postoperative outcomes:a prospective, randomized, controlled trial. Ir J Med Sci.2010;179(2):285-290.
[34]Zhao HY, Kang PD, Xia YY, et al. Comparison of early functional recovery after total hip arthroplasty using a direct anterior or posterolateral approach:a randomized controlled trial. J Arthroplasty. 2017;32(11):3421-3428.
[35]蔡震海,潘界恩,黄成龙,等. SuperPath微创与常规全髋关节置换术治疗股骨颈骨折的临床疗效比较研究[J].浙江创伤外科,2017,22(2):343-345.
[36]曾昭池,郭中凯,朱志勇,等.微创与常规全髋关节置换术的临床疗效比较[J].中国矫形外科杂志, 2013,21(12):1173-1176.
[37]陈剑楼. SuperPATH技术行全髋关节置换的早期效果分析[J].中国卫生标准管理, 2017,8(17):36-37.
[38]侯靖钊,包洪卫,程彦晓.应用SuperPATH技术行全髋关节置换的早期疗效观察[J].临床骨科杂志, 2017,20(1):50-53.
[39]黄晓文,程力,何天达,等.前外侧小切口与常规后外侧切口全髋关节置换的疗效对比[J].中国组织工程研究, 2012,16(9):1538-1542.
[40]李文龙,范亚楠,张蕾蕾,等.微创全髋关节置换术直接前侧入路与外侧小切口入路的对比研究[J].中医正骨, 2016,28(3):24-29.
[41]罗正亮,陈敏,尚希福,等.侧卧位直接前方入路与后外侧入路全髋关节置换临床疗效比较[J].中华医学杂志, 2016,96(35):2807-2812.
[42]唐健民,陆晟,李祥,等.不同手术入路全髋关节置换术对患者的疗效及对Harris评分的影响分析[J].中国继续医学教育, 2017,9(13):129-130.
[43]谢忠志,梁斌,尹东,等.外侧小切口髋关节前入路初次人工全髋关节置换术疗效分析[J].实用医学杂志, 2012,28(4):603-605.
[44]杨重飞,朱庆生,韩一生,等.前外侧微创全髋关节置换的临床研究[J].中华医学杂志, 2009,89(1):2-6.
[45]袁宏谋,朱佳俊,孙振国,等. SuperPATH入路与后外侧入路行人工全髋关节置换术的疗效比较[J].中国修复重建外科杂志,2018,32(1):14-19.
[46]张传昕,王波,周义钦,等.直接前方入路和后外侧入路在初次全髋关节置换术中的应用效果比较[J].山东医药, 2018,58(16):76-78.
[47]Hu CC, Chern JS, Hsieh PH, et al. Two-incision versus modified watson-jones total hip arthroplasty in the same patients--a prospective study of clinical outcomes and patient preferences. Chang Gung Med J. 2012;35(1):54-61.
[48]翟利锋,马苟平.前外侧微创入路对全髋置换手术效果及预后的影响分析[J].浙江创伤外科, 2018,23(2):293-295.
[49]Inaba Y, Kobayashi N, Yukizawa Y, et al. Little clinical advantage of modified watson-jones approach over modified mini-incision direct lateral approach in primary total hip arthroplasty. J Arthroplasty. 2011;26(7):1117-1122.
[50]Kemp JL, MacDonald D, Collins NJ, et al. Hip arthroscopy in the setting of hip osteoarthritis:systematic review of outcomes and progression to hip arthroplasty. Clin Orthop Relat Res. 2015;473(3):1055-1073.
[51]Mardones R, Pagnano MW, Nemanich JP, et al. The frank stinchfield award:muscle damage after total hip arthroplasty done with the two-incision and mini-posterior techniques. Clin Orthop Relat Res. 2005;441:63-67.
[52]Meneghini RM, Pagnano MW, Trousdale RT, et al. Muscle damage during mis total hip arthroplasty:smith-petersen versus posterior approach. Clin Orthop Relat Res. 2006;453:293-298.
[53]Putananon C, Tuchinda H, Arirachakaran A, et al.Comparison of direct anterior, lateral, posterior and posterior-2 approaches in total hip arthroplasty:network meta-analysis. Eur J Orthop Surg Traumatol. 2018;28(2):255-267.
[54]谢小波,杨智坚,林荔军,等.微创与传统手术入路在人工全髋关节置换术后临床疗效的Meta分析[J].中华关节外科杂志(电子版), 2017,11(6):629-640.
[55]夏韶襁,刘世清,周炎,等.微创前外侧与常规后外侧入路对全髋置换术的系统评价[J].实用骨科杂志, 2016,22(5):393-398.
[56]李建,邱冰,甄东. SuperPATH入路与传统入路髋关节置换临床疗效的Meta分析[J].中国组织工程研究, 2018,22(15):2453-2460.
[57]李子荣,史振才,郭万首,等.后外侧入路小切口人工全髋关节置换术[J].中华骨科杂志, 2005,25(5):263-267.
[58]张先龙,何耀华,王琦,等.后路小切口人工全髋关节置换术[J].中华创伤杂志, 2005,21(8):591-594.
[59]Berger RA. Total hip arthroplasty using the minimally invasive two-incision approach. Clin Orthop Relat Res. 2003;(417):232-241.
[60]廖立祥,刘芳,章喆,等.微创双切口与常规入路全髋置换的比较研究[J].实用医学杂志, 2009,25(16):2694-2695.
[2]Hoppenfeld S, Boer PD, Buckley R. Surgical exposures in orthopaedics:the anatomic approach. Lippincott Williams&Wilkins, 1984:363.
[3]徐杰,庄伟达,李新炜,等.直接前入路和后外侧保留梨状肌入路全髋关节置换术的疗效对比[J].北京大学学报(医学版), 2017,49(2):214-220.
[4]Hardinge K. The direct lateral approach to the hip. J Bone Joint Surg Br. 1982;64-B(1):17-19.
[5]Post ZD, Orozco F, Diaz-Ledezma C, et al. Direct anterior approach for total hip arthroplasty:indications, technique, and results. J Am Acad Orthop Surg.2014;22(9):595-603.
[6]王春生,蒋武强,马瑞,等.经皮穿刺辅助全髋入路在全髋关节置换的早期应用[J].中华关节外科杂志(电子版), 2017,11(6):565-568.
[7]Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty. an end-result study using a new method of result evaluation. J Bone Joint Surg. 1969;51(4):737-755.
[8]Barrett WP, Turner SE, Leopold JP. Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty. J Arthroplasty. 2013;28(9):1634-1638.
[9]Muller M, Tohtz S, Springer I, et al. Randomized controlled trial of abductor muscle damage in relation to the surgical approach for primary total hip replacement:minimally invasive anterolateral versus modified direct lateral approach. Arch Orthop Trauma Surg. 2011;131(2):179-189.
[10]冯尔宥,林飞太,林丽琼,等.改良后侧入路小切口人工全髋关节置换的初步临床应用[J].中国骨与关节损伤杂志, 2016,31(6):627-628.
[11]Della VC, Dittle E, Moric M, et al. A prospective randomized trial of mini-incision posterior and two-incision total hip arthroplasty. Clin Orthop Relat Res. 2010;468(12):3348-3354.
[12]吴婷婷,刘丹璐,黄娇,等.偏倚风险评估工具在针刺Cochrane系统评价中的应用[J].中国循证医学杂志, 2014,14(3):361-364.
[13]张天嵩,钟文昭,李博.实用循证医学方法学.2版[M].长沙:中南大学出版社, 2014.
[14]赵坤,陈凌霄,田金徽,等.使用R、GeMTC和STATA软件实现连续变量的网状Meta分析[J].中国循证医学杂志, 2015,15(7):861-868.
[15]汪徐林,秦正积,陆益花,等. Stata软件在网状Meta分析中的应用[J].现代预防医学, 2016,43(19):3461-3464.
[16]田金徽,李伦.网状Mate分析方法与实践[M].北京:中国医药科技出版社, 2017.
[17]石修权,王增珍. Egger’s Test与Begg’s Test的功效差异比较与原因分析[J].华中科技大学学报(医学版), 2009,38(1):91-93.
[18]易跃雄,张蔚,刘小媛,等.网状Meta分析图形结果解读[J].中国循证医学杂志, 2015,15(1):103-109.
[19]Chimento GF, Pavone V, Sharrock N, et al. Minimally invasive total hip arthroplasty:a prospective randomized study. J Arthroplasty. 2005;20(2):139-144.
[20]Ogonda L, Wilson R, Archbold P, et al. A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes. a prospective, randomized,controlled trial. J Bone Joint Surg. 2005,87(4):701-710.
[21]Shitama T, Kiyama T, Naito M, et al. Which is More Invasive-Mini Versus Standard Incisions in Total Hip Arthroplasty? Int Orthop. 2009;33(6):1543.
[22]Parvizi J, Restrepo C, Maltenfort MG. Total hip arthroplasty performed through direct anterior approach provides superior early outcome:results of a randomized, prospective study.Orthop Clin North Am. 2016;47(3):497-504.
[23]Meneghini RM, Smits SA. Early discharge and recovery with three minimally invasive total hip arthroplasty approaches:a preliminary study. Clin Orthop Relat Res. 2009;467(6):1431-1437.
[24]Restrepo C, Parvizi J, Pour AE, et al. Prospective randomized study of two surgical approaches for total hip arthroplasty. J Arthroplasty. 2010;25(5):671-679.
[25]Kim YH. Comparison of primary total hip arthroplasties performed with a minimally invasive technique or a standard technique:a prospective and randomized study. J Arthroplasty. 2006;21(8):1092-1098.
[26][Christensen CP, Jacobs CA. Comparison of patient function during the first six weeks after direct anterior or posterior total hip arthroplasty(tha):a randomized study. J Arthroplasty,2015;30(9 Suppl):94-97.
[27]Sculco TP, Jordan LC, Walter WL. Minimally invasive total hip arthroplasty:the hospital for special surgery experience. J Arthroplasty. 2004;35(2):137-42.
[28]Taunton MJ, Mason JB, Odum SM, et al. Direct anterior total hip arthroplasty yields more rapid voluntary cessation of all walking aids:a prospective, randomized clinical trial. J Arthroplasty. 2014;29(9 Suppl):169-172.
[29]Goosen JH, Kollen BJ, Castelein RM, et al. Minimally invasive versus classic procedures in total hip arthroplasty:a double-blind randomized controlled trial. Clin Orthop Relat Res. 2011;469(1):200-208.
[30]Ji HM, Kim KC, Lee YK, et al. Dislocation after total hip arthroplasty:a randomized clinical trial of a posterior approach and a modified lateral approach. J Arthroplasty.2012;27(3):378-385.
[31]Martin R, Clayson PE, Troussel S, et al. Anterolateral minimally invasive total hip arthroplasty:a prospective randomized controlled study with a follow-up of 1 year. J Arthroplasty. 2011;26(8):1362-1372.
[32]Rykov K, Reininga I, Sietsma M, et al. Posterolateral versus direct anterior approach in total hip arthroplasty(polada trial).a randomised controlled trial to assess differences in serum markers. J Arthroplasty. 2017;32(12):3652-3658.
[33]Yang C, Zhu Q, Han Y, et al. Minimally-invasive total hip arthroplasty will improve early postoperative outcomes:a prospective, randomized, controlled trial. Ir J Med Sci.2010;179(2):285-290.
[34]Zhao HY, Kang PD, Xia YY, et al. Comparison of early functional recovery after total hip arthroplasty using a direct anterior or posterolateral approach:a randomized controlled trial. J Arthroplasty. 2017;32(11):3421-3428.
[35]蔡震海,潘界恩,黄成龙,等. SuperPath微创与常规全髋关节置换术治疗股骨颈骨折的临床疗效比较研究[J].浙江创伤外科,2017,22(2):343-345.
[36]曾昭池,郭中凯,朱志勇,等.微创与常规全髋关节置换术的临床疗效比较[J].中国矫形外科杂志, 2013,21(12):1173-1176.
[37]陈剑楼. SuperPATH技术行全髋关节置换的早期效果分析[J].中国卫生标准管理, 2017,8(17):36-37.
[38]侯靖钊,包洪卫,程彦晓.应用SuperPATH技术行全髋关节置换的早期疗效观察[J].临床骨科杂志, 2017,20(1):50-53.
[39]黄晓文,程力,何天达,等.前外侧小切口与常规后外侧切口全髋关节置换的疗效对比[J].中国组织工程研究, 2012,16(9):1538-1542.
[40]李文龙,范亚楠,张蕾蕾,等.微创全髋关节置换术直接前侧入路与外侧小切口入路的对比研究[J].中医正骨, 2016,28(3):24-29.
[41]罗正亮,陈敏,尚希福,等.侧卧位直接前方入路与后外侧入路全髋关节置换临床疗效比较[J].中华医学杂志, 2016,96(35):2807-2812.
[42]唐健民,陆晟,李祥,等.不同手术入路全髋关节置换术对患者的疗效及对Harris评分的影响分析[J].中国继续医学教育, 2017,9(13):129-130.
[43]谢忠志,梁斌,尹东,等.外侧小切口髋关节前入路初次人工全髋关节置换术疗效分析[J].实用医学杂志, 2012,28(4):603-605.
[44]杨重飞,朱庆生,韩一生,等.前外侧微创全髋关节置换的临床研究[J].中华医学杂志, 2009,89(1):2-6.
[45]袁宏谋,朱佳俊,孙振国,等. SuperPATH入路与后外侧入路行人工全髋关节置换术的疗效比较[J].中国修复重建外科杂志,2018,32(1):14-19.
[46]张传昕,王波,周义钦,等.直接前方入路和后外侧入路在初次全髋关节置换术中的应用效果比较[J].山东医药, 2018,58(16):76-78.
[47]Hu CC, Chern JS, Hsieh PH, et al. Two-incision versus modified watson-jones total hip arthroplasty in the same patients--a prospective study of clinical outcomes and patient preferences. Chang Gung Med J. 2012;35(1):54-61.
[48]翟利锋,马苟平.前外侧微创入路对全髋置换手术效果及预后的影响分析[J].浙江创伤外科, 2018,23(2):293-295.
[49]Inaba Y, Kobayashi N, Yukizawa Y, et al. Little clinical advantage of modified watson-jones approach over modified mini-incision direct lateral approach in primary total hip arthroplasty. J Arthroplasty. 2011;26(7):1117-1122.
[50]Kemp JL, MacDonald D, Collins NJ, et al. Hip arthroscopy in the setting of hip osteoarthritis:systematic review of outcomes and progression to hip arthroplasty. Clin Orthop Relat Res. 2015;473(3):1055-1073.
[51]Mardones R, Pagnano MW, Nemanich JP, et al. The frank stinchfield award:muscle damage after total hip arthroplasty done with the two-incision and mini-posterior techniques. Clin Orthop Relat Res. 2005;441:63-67.
[52]Meneghini RM, Pagnano MW, Trousdale RT, et al. Muscle damage during mis total hip arthroplasty:smith-petersen versus posterior approach. Clin Orthop Relat Res. 2006;453:293-298.
[53]Putananon C, Tuchinda H, Arirachakaran A, et al.Comparison of direct anterior, lateral, posterior and posterior-2 approaches in total hip arthroplasty:network meta-analysis. Eur J Orthop Surg Traumatol. 2018;28(2):255-267.
[54]谢小波,杨智坚,林荔军,等.微创与传统手术入路在人工全髋关节置换术后临床疗效的Meta分析[J].中华关节外科杂志(电子版), 2017,11(6):629-640.
[55]夏韶襁,刘世清,周炎,等.微创前外侧与常规后外侧入路对全髋置换术的系统评价[J].实用骨科杂志, 2016,22(5):393-398.
[56]李建,邱冰,甄东. SuperPATH入路与传统入路髋关节置换临床疗效的Meta分析[J].中国组织工程研究, 2018,22(15):2453-2460.
[57]李子荣,史振才,郭万首,等.后外侧入路小切口人工全髋关节置换术[J].中华骨科杂志, 2005,25(5):263-267.
[58]张先龙,何耀华,王琦,等.后路小切口人工全髋关节置换术[J].中华创伤杂志, 2005,21(8):591-594.
[59]Berger RA. Total hip arthroplasty using the minimally invasive two-incision approach. Clin Orthop Relat Res. 2003;(417):232-241.
[60]廖立祥,刘芳,章喆,等.微创双切口与常规入路全髋置换的比较研究[J].实用医学杂志, 2009,25(16):2694-2695.