特制牵引床在直接前侧入路半髋关节置换术中的应用

doi:10.13418/j.issn.1001-165x.2023.3.17

Abstract

Abstract: Objective To explore the clinical value of customized traction table in hemiarthroplasty through the direct anterior approach (DAA) for the treatment of femur neck fractures in elderly patients. Methods A retrospective analysis of 75 elderly patients with femur neck fractures treated with hemiarthroplasty through DAA were involved in our hospital from September 2018 to December 2019. According to with or without using the traction table, the patients were divided into two groups: Group A (39 cases, DAA hemiarthroplasty with assistance of traction table) and Group B (36 cases, DAA hemiarthroplasty without traction table). There was no significant difference in gender, age, Garden classification, fracture side and other general date between the two groups (P>0.05). The operation indexes, efficacy, postoperative Harris hip score and complications were compared between the two groups. Results Group A had longer preoperative preparation time and less operation time than Group B (P<0.05). There was no significant difference in anesthesia time, intraoperative blood loss and incision length between groups A and B (P>0.05). The central fixation ratio of femoral prosthesis in Group A was higher than that of Group B (P<0.05). The ratio of limb length discrepancy shortened than 10mm, time of first postoperative standing, time of first postoperative walking with crutch, time of first postoperative walking independently, and the Harris score in 1 month and 1 year after the operation were not significantly different (P>0.05). The complication rate was 12.8% (5/39) in Group A and 19.4% (7/36) in Group B (P>0.05). In Group A, lateral femoral cutaneous nerve injury was found in 2 patients, greater trochanteric fracture in 2, and incisional drainage in 1. In Group B, there were 3 patients with lateral femoral cutaneous nerve injury, 2 with greater trochanteric fracture, and 2 with incisional drainages. Conclusions For the treatment of femur neck fractures in elderly, hemiarthroplasty via DAA with assistance of customized traction table has remarkable effectiveness. It can significantly shorten the operation time and improve the central fixation ratio of femoral prosthesis, but it also can prolong the preoperative preparation time.

Key words: Traction table, , , Elderly, , , Femoral neck fracture, , , Direct anterior approach, Hemiarthroplasty

CLC Number:

R683.42

Li Junran, Liang Junsheng, Li Dongmei, Zhai Jingxiu, Xu Ying, Wang Hongrun, Deng Fukuan, Li Ligeng. Application of customized traction table in hemiarthroplasty through the direct anterior approach [J]. Chinese Journal of Clinical Anatomy, 2023, 41(3): 349-353.

References 15

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Application of customized traction table in hemiarthroplasty through the direct anterior approach

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