Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (6): 440-444 DOI: 10.16260/j.cnki.1009-2188.2017.06.011 |
| Clinical Research |
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| Effect Comparison on Total Hip Arthroplasty by Direct Anterior Approach and Posterolateral Approach in Short Term |
| MI Bo-wen,ZHANG Li-xin,LIU Yi-hui
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| Department of Orthopedics&Grammatology,Shunyi Branch,Beijing Hospital of Traditional Chinese Medicine,Beijing101300,China |
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Abstract ObjectiveTo compare the effects of total hip arthroplasty (THA) through direct anterior approach and posterlateral approach in short term.MethodsFrom February 2014 to December 2016, a total of 80 femoral neck fracture patients in our department were randomly divided into observation group and control group according to random digits table, with 40 patients of each group. The observation group was performed THA by direct anterior approach, and the control group was carried out THA by posterlateral approach. The effects of short term were compared between two groups.ResultsThere were no statistical difference in the operation time between the two groups (P>0.05), but the length of incision, the amount of blood loss and the amount of blood transfusion in the observation group were significantly less than those in the control group, and the difference was statistically (P<0.05). According to Harris score, the postoperative outcome was revealed 30 cases of excellence, 8 cases of good and 2 cases of fair in the observation group, and 20 cases of excellence, 10 cases of good, 6 cases of fair and 4 cases of false in the control group, and there was statistical difference in the fineness rate between two groups 3 months after the surgery (95% vs. 75%,P<0.05). The postoperative complication was found in 3 cases of the observation group, including one of calcar femorale fracture, dislocation and greater trochanter bursitis for each, and was in 10 cases of the control group, including 4 of calcar femorale fracture, 3 of lateral femoral cutaneous nerve injury, 2 of dislocation and 1 of trochanteric bursitis. The complication rate of the observation group was 7.5%, and was lower than 25% of the control group, and the difference was statistically between two groups (P<0.05).ConclusionCompares with the posterolateral approach, the THA via direct anterior approach can reduce the surgical trauma, promote the recovery of hip function, decrease the complications and improve the efficacy of short term.
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Published: 28 May 2018
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Corresponding Authors:
ZHANG Li-xin
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| About author:: 张立新，男，50岁，北京中医医院顺义医院骨伤科副主任医师。 |
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