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題 名 | Two-incision versus Modified Watson-Jones Total Hip Arthroplasty in the Same Patients--A Prospective Study of Clinical Outcomes and Patient Preferences=探討同一位病人一側接受雙刀口另一側接受改良式華生瓊斯人工髖關節置換手術對臨床成效以及病人喜好的影響 |
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作 者 | 胡志堅; 陳貞夙; 謝邦鑫; 施俊雄; 翁文能; 李炫昇; | 書刊名 | 長庚醫誌 |
卷 期 | 35:1 2012.01-02[民101.01-02] |
頁 次 | 頁54-61 |
分類號 | 416.61 |
關鍵詞 | 微創人工髖關節手術; 雙刀口手術; 改良式華生瓊斯手術法; Minimally invasive total hip arthroplasty; Two-incision approach; modified Watson-Jones approach; |
語 文 | 英文(English) |
英文摘要 | Background: The two-incision technique and the modified Watson-Jones technique use muscular intervals and avoid muscle cutting in total hip arthroplasty (THA). However these two techniques have not been compared. Methods: A prospective randomized study of clinical outcomes and patient preferences was performed in 20 patients who had a two-incision THA in one hip and a modified Watson-Jones THA in the other between January 2004 and August 2007. The 20 patients were randomized equally to the two-incision first or the modified Watson-Jones first group. After the second surgery, patients were asked about their preferences for one of the two techniques and clinical results were analyzed. Results: After a minimal follow-up of 2 years, there were no differences in the hospital course, clinical results, functional outcomes, and radiographic results between techniques. However more patients (70%) preferred the two-incision side to the modified Watson-Jones side in the first 6 months regardless which procedure was performed first. Conclusion: Given the similarity of these two techniques in cup implantation and with only a difference in femoral stem implantation, we think that the difference in patient preferences in the early postoperative period might be related to the surgical dissection and manipulation of the hip with the modified Watson-Jones technique. |
本系統中英文摘要資訊取自各篇刊載內容。