CAJ | 학술논문

目的评价外侧小切口全髋关节置换术（THA）的早期疗效。方法选择2005年1月—2010年1月行外侧小切口全髋关节置换术120例（132髋）患者作为试验组，选择同期接受常规外侧切口手术76例（82髋）作为对照组，比较2组患者术后3个月、术后6个月、术后1年假体位置及 Harris 评分等。结果术后2组患者假体位置比较无显著性差异，试验组在术后3，6个月 Harris 评分较对照组高；术后1年，2组 Harris 评分比较差异无统计学意义。结论外侧小切口全髋置换术术后早期在功能及软组织损伤上比常规切口全髋置换有明显优势，随着时间的推移，差异减小。外侧小切口全髋关节置换的中远期疗效需要进一步评估。
목적평개외측소절구전관관절치환술（THA）적조기료효。방법선택2005년1월—2010년1월행외측소절구전관관절치환술120례（132관）환자작위시험조，선택동기접수상규외측절구수술76례（82관）작위대조조，비교2조환자술후3개월、술후6개월、술후1년가체위치급 Harris 평분등。결과술후2조환자가체위치비교무현저성차이，시험조재술후3，6개월 Harris 평분교대조조고；술후1년，2조 Harris 평분비교차이무통계학의의。결론외측소절구전관치환술술후조기재공능급연조직손상상비상규절구전관치환유명현우세，수착시간적추이，차이감소。외측소절구전관관절치환적중원기료효수요진일보평고。
Objective To report the early follow-up results of lateral opproach minimal incision and conventional incision for total hip arthroplasty (THA). Methods From February 2002 to June 2007, 132 cases (126 patients) of THA were performed through lateral mini-incision ,for comparison,another 82 cases (76 patients) of THA were performed through conventional lateral approach incision. All the patients were followed up for more than one year.The items compared included prosthesis position,Harris Hip Score (HHS)and Short Musculoskeletal Function Assessment (SMFA).Results The prosthesis positions were similar in both two groups. HHS was significantly higher in MI-THA group after patients were followed up for 3 and 6 months, but there was no statistical difference in one year. Conclusion Compared with conventional total hip arthroplasty, total hip arthroplasty with a lateral minimal incision was advanced in both early functional outcome and soft tissue injury . The difference of two groups was decreased with the lapse of time . Further evaluation of the long-term outcome was still needed for lateral approach MI-THA.