摘要
[目的]探讨股骨颈骨折牵引下直接前侧入路(direct anterior approach,DAA)全髋关节置换术(total hip arthroplasty,THA)的并发症发生原因及防治方法。[方法]回顾性分析2018年1月—2021年6月358例牵引下DAA-THA治疗老年股骨颈骨折患者临床资料。总结并记录发生原因。[结果]358例患者中63例发生并发症,总发生率为17.6%。并发症发生率由高至低依次为:股外侧皮神经损伤(8.1%)>双下肢不等长(3.4%)>切口渗液(2.8%)>踝关节疼痛(1.7%)以及假体周围骨折(1.7%)。[结论]股骨颈骨折牵引下DAA-THA存在双下肢不等长、切口渗液、踝关节疼痛、假体周围骨折、股外侧皮神经损伤等并发症。充分掌握患者病情,提高手术技术和重视术后康复可减少并发症的发生。
[Objective]To explore the cause and prevention of complications of total hip arthroplasty(THA)through the direct anterior approach(DAA)under traction for femoral neck fracture in elderly.[Methods]A retrospective study was conducted on 358 elderly patients who received DAA-THA under traction from January 2018 to June 2021.The complications were summarized and their causes were ana-lyzed.[Results]Complications occurred in 63 cases of the 358 patients,with a total incidence of 17.6%.The incidence of complications in descending order was:lateral femoral cutaneous nerve injury(8.1%)>leg length discrepancy(LLD)(3.4%)>incision effusion(2.8%)>an-kle pain(1.7%)and periprosthetic fracture(1.7%).[Conclusion]DAA-THA under traction for femoral neck fracture does has some compli-cations,such as LLD,incision effusion,ankle pain,periprosthetic fracture and femoral lateral cutaneous nerve injury.Fully grasping the pa-tient's condition,improving the surgical technique and paying attention to postoperative rehabilitation might reduce the occurrence of com-plications.
作者
李骏然
罗程
翟婧秀
龚健
张洪斌
梁俊生
李力更
LI Jun-ran;LUO Cheng;ZHAI Jing-xiu;GONG Jian;ZHANG Hong-bin;LIANG Jun-sheng;LI Li-geng(Department of Orthopedics,The Second Hospital of Tangshan City,Tangshan 063000,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第20期1902-1905,共4页
Orthopedic Journal of China
基金
河北省医学科学研究课题计划项目(编号:20221741)。
关键词
股骨颈骨折
直接前入路
全髋关节置换术
牵引床
并发症
femoral neck fracture
direct anterior approach
total hip arthroplasty
traction table
complications
