SuperPATH入路与MDAA入路在老年患者髋关节置换术中的应用价值<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2024.10.001

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Abstract 【Objective】To evaluate the value of modified direct anterior approach (MDAA) and SuperPATH approach in elderly patients undergoing hip replacement. 【Methods】A total of 104 elderly patients undergoing hip arthroplasty in Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital) from July 2020 to July 2023 were selected and divided into the observation group (SuperPATH hip arthroplasty, n=54) and the control group (MDAA hip arthroplasty, n=50) according to different treatment methods. The postoperative indexes, Harris hip function score, anterior inclination and abduction Angle of the affected acetabular cup, pain degree score, complication rate and the levels of interleukin-6(IL-6), norepinephrine (NE) and aldosterone (ALD) were compared between the two groups. 【Results】The operation time and the first time of getting out of bed in the observation group were shorter than those in the control group (P<0.05), and the length of incision in the observation group was shorter than that in the control group (P<0.05). One week and one month after surgery, the hip function scores of the observation group were higher than those of the control group (P<0.05). One month after operation, the abduction Angle of the affected acetabular cup in the observation group was lower than that in the control group (P<0.05). One week after surgery, the pain degree score of the observation group was lower than that of the control group (P<0.05). 24 h after operation, IL-6, NE and ALD were increased in both groups, but the observation group was lower than the control group (P<0.05). There was no significant difference in the incidence of lateral femoral cutaneous nerve injury between the two groups (P>0.05). 【Conclusion】 MDAA and SuperPATH can promote the recovery of hip function in elderly patients with good safety, but SuperPATH can shorten the length of the intraoperative incision, reduce the postoperative acetabular epitaxy Angle, improve the postoperative hip function and reduce postoperative pain.

Key words： Arthroplasty, Replacement, Hip Hip Joint/SU

Received: 11 May 2024

PACS:

R684.75

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.10.001 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I10/1457

[1] RAMADANOV N. Superpath-current status of evidence and further investigations: a scoping review and quality assessment[J].J Clin Med,2023,12(16):5395.
[2] 可雨奇,陈长健,吴浩,等. 改良直接前方入路与直接前方入路初次全髋关节置换者12个月随访结果比较[J].中国组织工程研究,2023,27(9):1377-1382.
[3] 周宏博,罗正亮,陈敏,等. 全髋关节置换术直接前入路改良切口与股外侧皮神经损伤的解剖学研究[J].中华解剖与临床杂志,2021,26(4):387-390.
[4] RAMADANOV N, OSTOJIC M, LAZARU P, et al. Risk factors and predictors for functional outcome and complication rate in total hip arthroplasty through minimally invasive and conventional approaches: a systematic review and meta-regression analysis of 41 randomized controlled trials[J].J Clin Med,2023,12(18):5895.
[5] KAY A, KLAVAS D, HAGHSHENAS V, et al. Two year follow up of supercapsular percutaneously assisted total hip arthroplasty[J].BMC Musculoskelet Disord,2021,22(1):478.
[6] 周宏博. 直接前路全髋关节置换术切口改良与股外侧皮神经损伤的相关研究[D]. 安徽:安徽医科大学,2021.
[7] HAGIO K, AIKAWA K. Minimally invasive surgery supercapsular percutaneously-assisted total hip (SuperPath) arthroplasty[J].Acta Biomed,2023,94(3):e2023069.
[8] L.RODRIGUE.GRACE GLELE AHO,汪雷,章洪喜,等. 微创全髋关节置换术SuperPATH与直接前方入路的疗效比较[J].江苏大学学报(医学版),2021,31(6):532-535.
[9] 王嘉玮,真启云,陈元英,等. 两种入路髋关节置换术后髋臼假体角度对比分析[J].江苏大学学报(医学版),2023,33(4):343-347.
[10] 刘宇,顾三军,徐耀增,等. SuperPATH入路微创髋关节置换治疗老年性股骨颈骨折术中并发症的原因分析及策略[J].中国临床解剖学杂志,2023,41(4):465-469.
[11] 甘锋平,杨克勤,张其标,等. SuperPATH入路松解梨状肌全髋关节置换术的早期疗效[J].中华骨与关节外科杂志,2023,16(10):907-913.
[12] 姜付宁,夏洪超,孙磊. SuperPath入路和Watson-Jones入路全髋关节置换术治疗创伤性股骨颈骨折的临床对比分析[J].临床外科杂志,2022,30(1):71-73.
[13] 朱乐银,顾英骏,朱成栋,等. 经皮辅助关节囊微创入路全髋关节置换术的学习曲线[J].江苏大学学报(医学版),2022,32(2):152-155.
[14] HU Y, WANG M C, WANG T, et al. Less blood loss in supercapsular percutaneously assisted versus posterolateral total hip arthroplasty[J].J Orthop Surg Res,2021,16(1):217.