全髋关节置换术不同手术入路的研究进展
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摘要
人工全髋关节置换术(THA)已在缓解患者痛苦、恢复关节功能、改善关节畸形等方面取得了一定成效。Berger等将微创技术首次应用于人工THA,如今微创技术在髋关节置换术中得以广泛应用。其相对传统人工THA而言具有更小的手术切口,更低的脱位率和更快速的康复。THA是现代医学最为成功的手术之一,包括髋关节直接前入路、髋关节后入路和慕尼黑骨外科入路等。文章主要对上述手术入路进行简要的综述。
Total hip arthroplasty(THA) has achieved some results in relieving pain,restoring joint function and improving joint deformity. Berger et al. first applied the minimally invasive technique in THA. Now the minimally invasive technique has been widely used in hip replacement. Compared with traditional THA, it has smaller incision, lower dislocation rate and faster recovery. THA is one of the most successful operations in modern medicine, including direct anterior hip approach,posterior hip approach and Munich orthopaedic approach. This article reviews the surgical approaches mentioned above.
Total hip arthroplasty(THA) has achieved some results in relieving pain,restoring joint function and improving joint deformity. Berger et al. first applied the minimally invasive technique in THA. Now the minimally invasive technique has been widely used in hip replacement. Compared with traditional THA, it has smaller incision, lower dislocation rate and faster recovery. THA is one of the most successful operations in modern medicine, including direct anterior hip approach,posterior hip approach and Munich orthopaedic approach. This article reviews the surgical approaches mentioned above.
引文
[1] Rachbauer F,Kain MS,Leunig M. The History of the Anterior Approach to the Hip[J]. Orthop Clin North Am, 2009,40(3):311-320. DOI:10.1016/j. ocl. 2009.02,007.
[2] York PJ,Smarck CT,Judet T,et al.Total hip arthroplasty via the anterior Approach:tips and tricks for primary and revision surgery[J].Int Orthop,2016,40(10):2041-2048. DOI:10. 1007/s00264-016-3125-3.
[3] Merican AM, Abbas AA, Chan CK. Surgical Approaches for Total Hip Arthroplasty[J]. Indian Journal of Orthopaedics,2017,51(4):368-376. D01:10.4103/ortho. I JOrtho_317_16.
[4] Petis S, Howard JL,Lanting BL,et al. Surgical approach in primary total hip arthroplasty:anatomy, technique and clinical outcomes[J]. Canadian Journal of Surgery Journal Canadien De Chirurgie,2015,58(2):128-139.DOI:10.1503/cjs.007214.
[5] Shapey IM,Jabbar S,Khan Z,et al. Scan-directed mini-incision focused parathyroidectomy:how accurate is accurate enough[J]. Annals of the Royal College of Surgeons of England,2017,99(2):123-128. DOI:10. 1308/rcsann. 2016.0227.
[6]王俏杰,张先龙.人工髋关节置换术的现状与热点[J/OL].中华关节外科杂志,2015,9(6):718-724.DOI:10.3877/cma.j.issn. 1674-134X.2015.06.007.
[7] Reichert JC,Rottkay EV,Roth F,et al. A prospective randomized comparison of the minimally invasive direct anterior and the transgluteal approach for primary total hip arthroplasty[J]. Bmc Musculoskeletal Disorders,2018,19(1):241. DOI:10. 1186/s12891-018-2133-4.
[8] Khan OH,Malviya A,Subramanian P,et al. Minimally invasive periacetabular osteotomy using a modified Smith-Petersen approach[J].Bone&Joint Journal,2017,99-B(1):22-28. DOI:10. 1302/0301-620X.99B1. BJJ-2016-0439. R1.
[9]Meermans G, Konan S, Das R, et al. The direct anterior approach in total hip arthroplasty:a systematic review of the literature[J].Bone&Joint Journal, 2017,99-B(6):732-740. DOI:10. 1302/0301-620X. 99B6. 38053.
[10] Curtin BM, Armstrong LC, Bucker BT, et al. Patient Radiation Exposure During Fluoro-Assisted Direct Anterior Approach Total Hip Arthroplasty[J]. Journal of Arthroplasty, 2016, 31(6):1218-1221.DOI:10. 1016/j. arth. 2015. 12.012.
[11] Malek IA,Whittaker JP, Wilson I,et al. Difference Between Direct Anterior and Posterior Approach Total Hip Replacement:Role of Enhanced Recovery After Surgery Protocol[J]. Nihon Rinsho Japanese Journal of Clinical Medicine, 2015, 59(Suppl 5):639-641. DOI:10.1080/13651820701883130.
[12]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. D01:10. 3760/cma. j. issn. 0376-2491.2016. 35.009.
[13]杨天文,孙立,田晓滨.直接前入路初次全髋关节置换术研究进展[J].国际骨科学杂志,2017,38(4):242-246.DOI:10.3969/j. issn. 1673-7083.2017.04.009.
[14]张旭辉,黎丹东,李坛,等.直接前方入路全髋置换术近期疗效与学习曲线[J].中国矫形外科杂志,2018,26(8):707-711.DOI:10.3977/j. issn. 1005-8478.2018.08.08.
[15]张洪,马云青.直接前人路人工全髋关节置换术[J].北京大学学报:医学版,2017,49(2):185-187.DOI:10.3969/j.issn.1671-167X. 2017.02.001.
[16] Petis S,Howard JL,Lanting BL,et al. Surgical approach in primary total hip arthroplasty:anatomy, technique and clinical outcomes[J]. Canadian Journal of Surgery Journal Canadien De Chirurgie,2015, 58(2):128-139. DOI:10.1503/cjs.007214.
[17] Jahng KH,Rodriguez JA. The mini-anterior approach:Optimizes total hip arthroplasty outcome—Affirms[J]. Seminars in Arthroplasty,2015,26(3):136-139. DOI:10.1053/j. sart.2015.09.007.
[18] Eto S, Hwang K, Huddleston JI, et al. The Direct Anterior Approach is Associated With Early Revision Total Hip Arthroplasty[J].Journal of Arthroplasty,2017,32(3):1001-1005. DOI:10. 1016/j.arth. 2016.09.012.
[19]徐亦鹏,孙绍婷,王佳佳,等.不同手术入路行初次人工全髋关节置换术的近期疗效比较[J].中国修复重建外科杂志,2017,31(4):397-403. DOI:10.7507/1002-1892.201705078.
[20]郭书权,邓昶,罗刚,等.前后联合入路治疗陈旧性髋臼骨折的效果分析[J].中华外科杂志,2018, 56(3):196-200.DOI:10.3760/cma. j. issn. 0529-5815.2018.03.006.
[21]于华.后外侧人路小切口髋关节置换术的临床分析[J].中国伤残医学,2017, 25(24):2-4. DOI:10. 13214/j. cnki. cjotadm.2017.24.002.
[22] Meermans G,Konan S,Das R,et al. The direct anterior approach in total hip arthroplasty:a systematic review of the literature[J]. Bone&Joint Journal, 2017,99-B(6):732-740. DOI:10. 1302/0301-620X. 99B6. 38053.
[23]张永进,李甲,綦珂,等.全髋关节置换术中直接前方人路与后外侧人路的疗效及安全性分析[J].北京大学学报(医学版),2017,49(2):201-205. DOI:10. 3969/j. issn. 1671-167X. 2017.02.004.
[24]杨伟民,孟庆奇,王敏,等.三种手术人路全髋关节置换术的比较[J].中国矫形外科杂志,2018,26(15):1375-1379. DOI:10.3977/j. issn. 1005-8478.2018.15.07.
[25] Xie J, Zhang H, Wang L, et al. Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty:a prospective, randomized controlled trial[J]. Journal of Orthopaedic Surgery and Research,2017, 12(1):138. DOI:10.1186/s13018-017-0636-6.
[26] Shigeo F,Tomokazu F,Shoji N,et al. Combined anteversion of the total hip arthroplasty implanted with image-free cup navigation and without stem navigation[J]. Orthopedic Reviews,2012,4(4):e33.DOI:10.4081/or. 2012. e33.
[27]倪喆,尚希福,吴科荣,等.直接前入路与后外侧入路全髋关节置换术的近期临床效果对比[J].中华骨与关节外科杂志,2018(7):518-521. DOI:10.3969/j. issn.2095-9958.2018.07.008.
[28] Amman S, Cizik A,Leopold SS, et al. Two-incision minimally invasive vs standard total hip arthroplasty:comparison of component position and hospital costs[J]. Journal of Arthroplasty, 2012,27(8):1569-1574. DOI:10.1016/j. arth.2012.03.006.
[29]高炳俊,李云龙,夏炎,等.OCM入路与常规前外侧入路全髋关节置换术显性失血量的比较[J].实用手外科杂志,2018(1):115-116. DOI:10.3969/j. issn. 1671-2722.2018.01.043.
[30]蔡大卫,徐志宏,陈东阳,等.OCM入路微创小切口对后隐形失血的影响[J].中国卫生标准管理,2015,6(14):43-44. DOI:10.3969/j. issn. 1674-9316.2015.14.036.
[31]徐志宏,陈东阳,史冬泉,等.OCM入路微创小切口全髋关节置换术后的深静脉血栓发生率[J].中国骨与关节外科,2014,7(3):183-187. DOI:10.3969/j. issn. 1674-1439.2014.03-002.
[32]张铁华,李皓桓,张小龙,等.直接前侧入路与后外侧入路人工全髋关节置换术的临床效果比较研究[J].骨科,2018,9(2):127-131,140. DOI:10.3969/j. issn. 1674-8573.2018.02.009.
[33]陈涛.前外侧入路与后外侧常规入路全髋关节置换术对比研究[J].内蒙古医学杂志,2017,49(6):718-720.DOI:10.16096/J.cnki. nmgyxzz. 2017.49.06.033.
[34] K(o|¨)mer D,Gueorguiev B,Niemeyer P,et al. Parameters influencing complaints and joint function in patients with osteochondral lesions of the ankle-an investigation based on data from the German Cartilage Registry(knorpel Register DGOU)[J]. Arch Orthop Trauma Surg,2017,137(3):367-373. DOI 10.1007/s00402-017-2638-6.
[35]杨伟民,孟庆奇,王敏,等.三种手术人路全髋关节置换术的比较[J].中国矫形外科杂志,2018,26(15):1375-1379.DOI:10.3977/j. issn. 1005-8478.2018.15.07.
[36]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. DOI:10. 3969/j. issn. 1674-9308.2017.13.070.
[37]徐亦鹏,孙绍婷,王佳佳,等.不同手术入路行初次人工全髋关节置换术的近期疗效比较[J].中国修复重建外科杂志,2017,31(4):397-403. DOI:10.7507/1002-1892.201610104.
[38]纪秀波.小剂量不同浓度罗哌卡因蛛网膜下腔麻醉在老年膝髋关节置换术中的应用效果[J].中国医药,2018,13(7):1079-1082. DOI:10.3760/j. issn. 16734777.2018.07.030.
[39]卢钰,解京明,张颖,等.全髋关节置换术微创手术入路的应用现状[J].山东医药,2018,58(32):92-94. DOI:10. 3969/j. issn.1002-266X.2018.32.026.
[40]段冰川.改良Watson-Jones微创人路与改良Gibson后侧人路全髋关节置换术的临床疗效对比观察[J].医学理论与实践,2018,31(8):1174-1175. DOI:10. 19381/j. issn. 1001-7585.2018.08.039.
[2] York PJ,Smarck CT,Judet T,et al.Total hip arthroplasty via the anterior Approach:tips and tricks for primary and revision surgery[J].Int Orthop,2016,40(10):2041-2048. DOI:10. 1007/s00264-016-3125-3.
[3] Merican AM, Abbas AA, Chan CK. Surgical Approaches for Total Hip Arthroplasty[J]. Indian Journal of Orthopaedics,2017,51(4):368-376. D01:10.4103/ortho. I JOrtho_317_16.
[4] Petis S, Howard JL,Lanting BL,et al. Surgical approach in primary total hip arthroplasty:anatomy, technique and clinical outcomes[J]. Canadian Journal of Surgery Journal Canadien De Chirurgie,2015,58(2):128-139.DOI:10.1503/cjs.007214.
[5] Shapey IM,Jabbar S,Khan Z,et al. Scan-directed mini-incision focused parathyroidectomy:how accurate is accurate enough[J]. Annals of the Royal College of Surgeons of England,2017,99(2):123-128. DOI:10. 1308/rcsann. 2016.0227.
[6]王俏杰,张先龙.人工髋关节置换术的现状与热点[J/OL].中华关节外科杂志,2015,9(6):718-724.DOI:10.3877/cma.j.issn. 1674-134X.2015.06.007.
[7] Reichert JC,Rottkay EV,Roth F,et al. A prospective randomized comparison of the minimally invasive direct anterior and the transgluteal approach for primary total hip arthroplasty[J]. Bmc Musculoskeletal Disorders,2018,19(1):241. DOI:10. 1186/s12891-018-2133-4.
[8] Khan OH,Malviya A,Subramanian P,et al. Minimally invasive periacetabular osteotomy using a modified Smith-Petersen approach[J].Bone&Joint Journal,2017,99-B(1):22-28. DOI:10. 1302/0301-620X.99B1. BJJ-2016-0439. R1.
[9]Meermans G, Konan S, Das R, et al. The direct anterior approach in total hip arthroplasty:a systematic review of the literature[J].Bone&Joint Journal, 2017,99-B(6):732-740. DOI:10. 1302/0301-620X. 99B6. 38053.
[10] Curtin BM, Armstrong LC, Bucker BT, et al. Patient Radiation Exposure During Fluoro-Assisted Direct Anterior Approach Total Hip Arthroplasty[J]. Journal of Arthroplasty, 2016, 31(6):1218-1221.DOI:10. 1016/j. arth. 2015. 12.012.
[11] Malek IA,Whittaker JP, Wilson I,et al. Difference Between Direct Anterior and Posterior Approach Total Hip Replacement:Role of Enhanced Recovery After Surgery Protocol[J]. Nihon Rinsho Japanese Journal of Clinical Medicine, 2015, 59(Suppl 5):639-641. DOI:10.1080/13651820701883130.
[12]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. D01:10. 3760/cma. j. issn. 0376-2491.2016. 35.009.
[13]杨天文,孙立,田晓滨.直接前入路初次全髋关节置换术研究进展[J].国际骨科学杂志,2017,38(4):242-246.DOI:10.3969/j. issn. 1673-7083.2017.04.009.
[14]张旭辉,黎丹东,李坛,等.直接前方入路全髋置换术近期疗效与学习曲线[J].中国矫形外科杂志,2018,26(8):707-711.DOI:10.3977/j. issn. 1005-8478.2018.08.08.
[15]张洪,马云青.直接前人路人工全髋关节置换术[J].北京大学学报:医学版,2017,49(2):185-187.DOI:10.3969/j.issn.1671-167X. 2017.02.001.
[16] Petis S,Howard JL,Lanting BL,et al. Surgical approach in primary total hip arthroplasty:anatomy, technique and clinical outcomes[J]. Canadian Journal of Surgery Journal Canadien De Chirurgie,2015, 58(2):128-139. DOI:10.1503/cjs.007214.
[17] Jahng KH,Rodriguez JA. The mini-anterior approach:Optimizes total hip arthroplasty outcome—Affirms[J]. Seminars in Arthroplasty,2015,26(3):136-139. DOI:10.1053/j. sart.2015.09.007.
[18] Eto S, Hwang K, Huddleston JI, et al. The Direct Anterior Approach is Associated With Early Revision Total Hip Arthroplasty[J].Journal of Arthroplasty,2017,32(3):1001-1005. DOI:10. 1016/j.arth. 2016.09.012.
[19]徐亦鹏,孙绍婷,王佳佳,等.不同手术入路行初次人工全髋关节置换术的近期疗效比较[J].中国修复重建外科杂志,2017,31(4):397-403. DOI:10.7507/1002-1892.201705078.
[20]郭书权,邓昶,罗刚,等.前后联合入路治疗陈旧性髋臼骨折的效果分析[J].中华外科杂志,2018, 56(3):196-200.DOI:10.3760/cma. j. issn. 0529-5815.2018.03.006.
[21]于华.后外侧人路小切口髋关节置换术的临床分析[J].中国伤残医学,2017, 25(24):2-4. DOI:10. 13214/j. cnki. cjotadm.2017.24.002.
[22] Meermans G,Konan S,Das R,et al. The direct anterior approach in total hip arthroplasty:a systematic review of the literature[J]. Bone&Joint Journal, 2017,99-B(6):732-740. DOI:10. 1302/0301-620X. 99B6. 38053.
[23]张永进,李甲,綦珂,等.全髋关节置换术中直接前方人路与后外侧人路的疗效及安全性分析[J].北京大学学报(医学版),2017,49(2):201-205. DOI:10. 3969/j. issn. 1671-167X. 2017.02.004.
[24]杨伟民,孟庆奇,王敏,等.三种手术人路全髋关节置换术的比较[J].中国矫形外科杂志,2018,26(15):1375-1379. DOI:10.3977/j. issn. 1005-8478.2018.15.07.
[25] Xie J, Zhang H, Wang L, et al. Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty:a prospective, randomized controlled trial[J]. Journal of Orthopaedic Surgery and Research,2017, 12(1):138. DOI:10.1186/s13018-017-0636-6.
[26] Shigeo F,Tomokazu F,Shoji N,et al. Combined anteversion of the total hip arthroplasty implanted with image-free cup navigation and without stem navigation[J]. Orthopedic Reviews,2012,4(4):e33.DOI:10.4081/or. 2012. e33.
[27]倪喆,尚希福,吴科荣,等.直接前入路与后外侧入路全髋关节置换术的近期临床效果对比[J].中华骨与关节外科杂志,2018(7):518-521. DOI:10.3969/j. issn.2095-9958.2018.07.008.
[28] Amman S, Cizik A,Leopold SS, et al. Two-incision minimally invasive vs standard total hip arthroplasty:comparison of component position and hospital costs[J]. Journal of Arthroplasty, 2012,27(8):1569-1574. DOI:10.1016/j. arth.2012.03.006.
[29]高炳俊,李云龙,夏炎,等.OCM入路与常规前外侧入路全髋关节置换术显性失血量的比较[J].实用手外科杂志,2018(1):115-116. DOI:10.3969/j. issn. 1671-2722.2018.01.043.
[30]蔡大卫,徐志宏,陈东阳,等.OCM入路微创小切口对后隐形失血的影响[J].中国卫生标准管理,2015,6(14):43-44. DOI:10.3969/j. issn. 1674-9316.2015.14.036.
[31]徐志宏,陈东阳,史冬泉,等.OCM入路微创小切口全髋关节置换术后的深静脉血栓发生率[J].中国骨与关节外科,2014,7(3):183-187. DOI:10.3969/j. issn. 1674-1439.2014.03-002.
[32]张铁华,李皓桓,张小龙,等.直接前侧入路与后外侧入路人工全髋关节置换术的临床效果比较研究[J].骨科,2018,9(2):127-131,140. DOI:10.3969/j. issn. 1674-8573.2018.02.009.
[33]陈涛.前外侧入路与后外侧常规入路全髋关节置换术对比研究[J].内蒙古医学杂志,2017,49(6):718-720.DOI:10.16096/J.cnki. nmgyxzz. 2017.49.06.033.
[34] K(o|¨)mer D,Gueorguiev B,Niemeyer P,et al. Parameters influencing complaints and joint function in patients with osteochondral lesions of the ankle-an investigation based on data from the German Cartilage Registry(knorpel Register DGOU)[J]. Arch Orthop Trauma Surg,2017,137(3):367-373. DOI 10.1007/s00402-017-2638-6.
[35]杨伟民,孟庆奇,王敏,等.三种手术人路全髋关节置换术的比较[J].中国矫形外科杂志,2018,26(15):1375-1379.DOI:10.3977/j. issn. 1005-8478.2018.15.07.
[36]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. DOI:10. 3969/j. issn. 1674-9308.2017.13.070.
[37]徐亦鹏,孙绍婷,王佳佳,等.不同手术入路行初次人工全髋关节置换术的近期疗效比较[J].中国修复重建外科杂志,2017,31(4):397-403. DOI:10.7507/1002-1892.201610104.
[38]纪秀波.小剂量不同浓度罗哌卡因蛛网膜下腔麻醉在老年膝髋关节置换术中的应用效果[J].中国医药,2018,13(7):1079-1082. DOI:10.3760/j. issn. 16734777.2018.07.030.
[39]卢钰,解京明,张颖,等.全髋关节置换术微创手术入路的应用现状[J].山东医药,2018,58(32):92-94. DOI:10. 3969/j. issn.1002-266X.2018.32.026.
[40]段冰川.改良Watson-Jones微创人路与改良Gibson后侧人路全髋关节置换术的临床疗效对比观察[J].医学理论与实践,2018,31(8):1174-1175. DOI:10. 19381/j. issn. 1001-7585.2018.08.039.