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您请求的操作仅限于组中的用户:==手术入路==[[文件:髋关节后入路。jpg|拇指|髋关节后入路]]THA手术可采用多种入路。三种最常见的入路是:#后路(PA): THR最常见的手术入路。该入路的主要优点是避免了[[髋关节外展肌|髋关节外展肌]]。患者侧躺，手术切口沿髋关节外侧切开。Varacallo M, Luo TD, Johanson NA。全髋关节置换术。InStatPearls [Internet] 2022年9月4日StatPearls publication . available:https://www.ncbi.nlm.nih.gov/books/NBK507864/(访问日期:8.12.2022) #直接前路手术(DA):这种外科手术在过去十年中一直在增加。该入路是在患者仰卧时进行的，从大腿前方向下切开(在浅端[[阔筋膜张肌]]和[缝匠肌]之间，在深侧[[臀中肌]]和[[股直肌]]之间)。直接前路入路有几个潜在的优点。两个最突出的是低脱位风险和术后早期恢复。 # Direct lateral (Hardinge)or anterolateral: Often considered to be a balance between the AP and PA. Person positioned on their side, and the surgical incision is placed directly down the outside of the hip. The advantage: balance of having a versatile incision that can be used to correct deformities and insert specialised implants with lower dislocation rates following surgery than what is observed with posterior approaches. Disadvantage: superior gluteal nerve dissection may result in nerve injury, leading to postoperative [[Trendelenburg Gait|Trendelenburg gait]], characterized by compensatory movements to address [[Hip Abductors|hip abductor]] weakness. [[File:THR with MAKOplasty procedure.jpeg|thumb|475x475px|MAKOplasty® THR is powered by Interactive Robotic Arm]]Additionally # Robotic Arm Assisted THR: Assists with THR surgery, helping in the accurate positioning of the implants which correlates with improved function and lifespan of the THR. Can be used in all current surgical approaches to the hip (AP, PA and lateral). # Minimally invasive surgery is becoming popular all around the world, due to the quicker recovery rates and reduced postoperative pain. Long term follow-up and comparison studies are still needed in this field.Alecci V, Valente M, Crucil M, Minerva M, Pellegrino C, Sabbadini DD. [https://link.springer.com/article/10.1007/s10195-011-0144-0 Comparison of primary total hip replacements performed with a direct anterior approach versus the standard lateral approach: perioperative findings.] J Orthopaed Traumatol 2011;12:123-129. View this 3 minute video and learn about the different approaches to hip replacement surgery and the advantages of each method. {{#ev:youtube|v=1cUu-vMcSkM|300}}John Hopkins Medical. Approaches to Hip Replacement Surgery | Dr. Savya Thakkar. Available from: https://www.youtube.com/watch?v=1cUu-vMcSkM [last accessed 8.12.2022] 回到 检索自"http:///Total_Hip_Replacement”
回到 检索自"http:///Total_Hip_Replacement”
