摘要
自１９９０年２月～１９９２年３月采用改良Ｈａｒｄｉｎｇｅ入路行ＴＨＲ（全髋置换术）５４例。对术后４个月以上的４６例随访结果：优良４２例（９１％），很好４例（９％），其中轻度跛行１１例（２３％），下肢不等长＞２ｃｍ４例（８．６％）．改良Ｔｒｅｎｄｅｌｅｎｂｕｒｇ试验阳性５例（１１％），对其中１０例思考的阔筋膜张肌行肌电图检查，结果均无失神经支配的纤颤电位。作者认为此入路有操作简便、安全、创伤小、暴露好、有利于假体定位、固定和矫正肢体长度以及术后外展肌功能恢复快等优点。并提出了Ｈａｒｄｉｎｇｅ入路存在的不足之处与改良方法，以及根据国人解剖资料确定的臀上神经安全区。
Abstract Fifty four cases of total hip replacement(THR ) through the modified Hardinge approachwere reported.Of them,46 cases were assessed in4 months postoperatively. The result was slightlimping in 11 cases(23%),discrepancy for morethan 2cm in 4 cases(8.6%),positive Trendelen-burg sign in 5 cases (11%).This approach allowsgood exposure of the hip with minimal dissectionof the soft tissue and offers distinct advantage fororientation of the implant,insertion of cement andcorrection of the discrepancy in leg length.Clinicaland EMG studies confirmed postoperative recoveryof the normal power and function of the glutei andtensor fascia lata.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1994年第9期553-556,共4页
Chinese Journal of Orthopaedics
