查詢結果分析
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頁籤選單縮合
題名 | Minimally Invasive Total Hip Arthroplasty Using a Posterolateral Approach: Technique and Preliminary Results=微創全人工髖關節置換手術:使用後外側置入方式的技巧和早期成果 |
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作者 | 林育全; 陳崇桓; 黃炫迪; 蘇景源; 傅尹志; 張瑞根; 王國照; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 23:12 2007.12[民96.12] |
頁次 | 頁611-617 |
分類號 | 416.61 |
關鍵詞 | 迷你傷口; 微創; 後外側置入方式; 全人工髖關節置換; Mini-incision; Minimally invasive; Posterolateral approach; Total hip arthroplasty; |
語文 | 英文(English) |
中文摘要 | 近幾年來,隨著微創手術的發展,微創全人工髖關節置換手術也漸漸成為一種趨勢。贊成者認為,這種微創技術可以減少軟組織的傷害,而這儼然是一種優勢。相反地,反對者則顧慮到因為手術視野的減少所產生的危險性。所以目前來說,微創全人工髖關節置換手術是否適用仍存在著許多爭議。本文目的在於報告我們使用後外側置入方式施行微創全人工髖關節置換手術的經驗和早期成果。從 2005 年 8 月至 2006 年 7 月期間,連續 79 位患者接受了此項手術 (共 85 例髖關節置換)。我們依據臨床及 X 光的各項結果來做評估。平均手術時間是 55 分,平均住院日是 5.3 日。術後三個月的髖關節功能量表平均是 92.0 分。唯一一例 (1.18%) 的併發症是術中非移位性骨折,其他則沒有脫臼、神經血管損傷及術後感染等問題發生。短期追蹤的結果顯示,我們的手術併發症機率低且術後恢復良好,我們認為此種手術方法是安全而有效的。 |
英文摘要 | Minimally invasive total hip arthroplasty (THA) has become popular over the past few years. The advantages of this technique include reduced soft tissue damage. On the other hand, there are new risks related to reduced visualization. The widespread introduction of minimally invasive THA is still controversial. Here, we present our experiences and early results with a posterolateral approach to minimally invasive THA. Between August 2005 and July 2006, 85 hips from 79 consecutive patients were operated on using posterolateral minimally invasive THA. The outcomes were assessed on the basis of clinical and radiographic parameters. The mean operative time was 55 minutes. The mean length of hospital stay was 5.3 days. Average postoperative Harris hip score was 92.0 at 3 months postoperatively. Complications included only one (1.18%) intraoperative nondisplaced calcar split. There were no cases of dislocation, neurovascular injury or postoperative infection. Our study indicates an early result of low complication rate and good functional recovery following minimally invasive THA using a posterolateral approach. This minimally invasive THA technique provides short-term safety and efficacy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。