摘要
目的观察不同入路全髋关节置换术(total hip arthroplasty,THA)术后患者早期平衡及本体感觉情况。方法选取我院90例行THA治疗患者,按照人路差异分为前入路组(n=42)与后外侧入路组(n=48),比较两组手术指标、术后髋关节位置觉及手术前后髋关节功能(Harris)评分及平衡。结果两组手术时间差异无统计学意义(P>0.05),前入路组术中出血量明显少于后外侧入路组(P<0.05),住院时间以及术后卧床时间明显短于后外侧入路组(P<0.05);两组旋转角重新定位、ARAE内旋主动与被动角、ARAE外旋被动角、RRAE外旋主动角比较无显著差异(P>0.05);前入路组ARAE外旋主动角、RRAE内旋主动与被动角、RRAE外旋被动角显著小于后外侧入路组(P<0.05);术后1个月,前入路组Harris评分、动态平衡评分显著高于后外侧入路组(P<0.05),跌倒风险评分显著低于后外侧入路组(P<0.05)。结论相较于后外侧入路方式,前入路THA更为安全,患者术后平衡能力、髋关节功能恢复更快,并且位置觉更好。
Objective To observe the early balance and proprioception of patients after total hip arthroplasty(THA)through different approaches.Methods Ninety patients who underwent THA in our hospital were enrolled.According to different approaches,they were divided into anterior approach group(n=42)and posterolateral approach group(n=48).The surgical indexes,postoperative hip topesthesia scores of hip function(Harris)and balance before and after surgery were compared between the two groups.Results There was no significant difference in operation time between the two groups(P>0.05).The intraoperative blood loss was less and hospitalization time and postoperative bed rest time were significantly shorter in the anterior approach group than those in the posterolateral approach group(P<0.05).There was no significant difference in rotation angle reorientation,active and passive angle of ARAE internal rotation,passive angle of ARAE external rotation or active angle of RRAE external rotation between the two groups(P>0.05).The active angle of ARAE external rotation,active and passive angle of RRAE internal rotation and passive angle of RRAE external rotation in anterior approach group were significantly less than those in the posterolateral approach group(P<0.05).After 1 month of surgery,Harris score and dynamic balance score in the anterior approach group were significantly higher than those in the posterolateral approach group(P<0.05)while fall risk score was significantly lower than that in the posterolateral approach group(P<0.05).Conclusion Compared with posterolateral approach,anterior approach THA is safer,postoperative balance and hip function recovery is faster,and topesthesia is better.
作者
蒋艳琼
吴威甫
张晓
银毅
银华
JIANG Yan-qiong;WU Wei-fu;ZHANG Xiao;YIN Yi;YIN Hua(Department of Joint Surgery,Suining Central Hospital,Suining 629000,China;Department of Spine and Joint Surgery,Suining Hospital of Traditional Chinese Medicine,Suining 629000,China)
出处
《实用医院临床杂志》
2020年第2期168-171,共4页
Practical Journal of Clinical Medicine
关键词
入路
全髋关节置换术
平衡
本体感觉
Approach
Total hip arthroplasty
Balance
Proprioception
