Comparison of Clinical Efficacy of SuperPATH and Anterolatera Small Incision Approach in Primary THA forthe Treatment of Ischemic Necrosis of Femoral Heads
Abstract: ObjectiveTo compare the short-term clinical efficacy between the SuperPATH minimally invasive approach and the anterolatera small incision approach in primary total hip arthroplasty (THA) for the treatment of ischemic necrosis of femoral heads.Methods80 cases diagnosed as ischemic necrosis of the femoral head were planned to be treated with THA. All the cases were randomly divided into the observation group and the control group (both n=40). The observation group was treated with the SuperPATH approach, while the control group was treated with the anterolatera small incision approach. Between the two groups , the differences of the incision length, operative time, intra-operative bleeding volume, postoperative drainage, hospitalization time, erythrocyte sedimentation rate(ESR),C-reactive protein (CRP), visual analogue scale(VAS)， and the thigh circumference difference before operation and one day after operation were compared. The Harris score of hip and Barthel index were also compared before operation and 3 months after operation. The 3-month postoperative complications were observed as well.ResultsOperative time of the observation group was longer but the intra-operative bleeding volume, postoperative drainage and hospitalization time were all less than that of the control group(P<0.05). The ESR, CRP, thigh circumference difference and VAS of the observation group were lower than the control group, while the Harris score and Barthel index were higher than the control group(P<0.05).ConclusionEarly results demonstrate that the SuperPATH approaches can be adopted with minimal complications and better outcomes comparing with the anterolatera small incision approach.
韩杰，陈经勇，斯焱，朱江伟. SuperPATH切口微创人工全髋关节置换术临床应用价值分析[J]. 中国现代手术学杂志, 2017, 21(4): 283-287.
HAN Jie，CHEN Jing-yong，SI Yan，ZHU Jiang-wei. Comparison of Clinical Efficacy of SuperPATH and Anterolatera Small Incision Approach in Primary THA forthe Treatment of Ischemic Necrosis of Femoral Heads. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 283-287.
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