Abstract：Objective To compare the effect comparison in initial total hip arthroplasty by direct anterior approach and posterolateral approach.Methods The clinical data of 80 cases with initial total hip arthroplasty treated in our hospital from February 2016 to February 2018 were analyzed,which was to be divided into two groups by different treatment methods,direct anterior approach group 40 cases and posterolateral approach group 40 cases.The average femoral head prosthesis diameter,acetabulum abducent angles,hip joint function,complication of two groups initial total hip arthroplasty patients were detected.Results The average femoral head prosthesis diameter,acetabulum,acetabulum abducent angles between two groups were campared,the difference were no statistical significance (P＞0.05),the comparison of hip joint function total effective rate,the difference were no statistical significance(P＞0.05),the total incidence rate of complication in posterolateral approach group was higher than direct anterior approach group,the difference were statistical significance (P＜0.05）.Conclusion The curative effect comparison in initial total hip arthroplasty by direct anterior approach and posterolateral approach is good,but dearticulation rate after operation by direct anterior approach is low,it is worth to be used.
陈俊彦 吴志斌 陈国坚. 微创直接前入路与后外侧入路在初次全髋关节置换术中的疗效对比[J]. 中国当代医药, 2018, 25(23): 95-97.
CHEN Jun-yan;WU Zhi-bin;CHEN Guo-jian. The curative effect comparison in initial total hip arthroplasty by direct anterior approach and posterolateral approach. 中国当代医药, 2018, 25(23): 95-97.
Lindgren JV，Wretenberg P，KrrholmJ，et al.Patient-reportedoutcome is influenced by surgical approach in total hip replacement：a study of the Swedish hip arthroplasty register including 42 233 patients[J].Bone Joint J，2014，96-B（5）：590-596.
[4]
Tumin M，Park KS，Abbas AA，et al.Comparison of the outcome in bilateral staged total hip arthroplasty：modified two-incision minimally invasive technique versus the conventional posterol-ateral approach[J].Chonnam Med J，2014，50（1）：15-20.
[6]
Prietzel T，Hammer N，Schleifenbaum S.The impact of capsular repair on the dislocation rate after primary total hip arthroplasty：a retrospective analysis of 1972 cases[J].Z Orthop Unfall，2014，152（2）：130-143.
Chiron P，Murgier J，Reina N.Reduced blood loss with ligation of medial circumflex pedicle during total hip arthroplasty with minimally invasive posterior approach[J].Orthop Traumatol Surg Res，2014，100（2）：237-238.
Mohamed AM，Makki D，Gibbs J，et al.Effect of surgical approach on the early outcome of total hip replacement for femoral neck fractures[J].Acta Orthop Belg，2013，79（6）：667-671.
Solomon LB，Naal FD，Howie DW.Piriformis muscle rupture during total hip arthroplasty using a muscle-preserving posterior approach[J].Acta Orthop Belg，2013，79（6）：616-619.
Rogmark C，Fenstad AM，Leonardsson O，et al.Posterior approach and uncemented stems increases the risk of reoperation after hemiarthroplasties in elderly hip fracture patients[J].Acta Orthop，2014，85（1）：18-25.
Edwards DS，Barbur SA，Bull AM，et al.Posterior mini-incision total hip arthroplasty controls the extent of postoperative formation of heterotopic ossification[J].Eur J Orthop Surg Traumatol，2015，25（6）：1051-1055.
Zawadsky MW，Paulus MC，Murray PJ，et al.Early outcome comparison between the direct anterior approach and the mini-incisionposteriorapproachforprimarytotalhip arthroplasty：150 consecutive cases[J].J Arthroplasty，2014，29（6）：1256-1260.
京公网安备 11010502046607号