CAJ | 학술논문

目的：探讨改良Hardinge入路在人工全髋关节置换术中的应用价值。方法：采用改良Hardinge入路对126例患者（146髋）不同髋关节疾病行人工全髋关节置换术。结果：本组126例患者（146髋）随访1.5-6年，平均3.2年。未出现关节脱位，神经、血管损伤。感染1例，经过局部扩创、换药治疗三个月痊愈。所有患者可无痛行走，关节活动度基本正常。Harris评分由术前10-69分(平均52.1分)，提高至术后75-95分（平均85.5分）。结论：改良Hardinge入路较传统Hardinge创伤小、显露好、手术时间短、出血量少，髋关节后方稳定性好、可早期功能锻炼。
목적：탐토개량Hardinge입로재인공전관관절치환술중적응용개치。방법：채용개량Hardinge입로대126례환자（146관）불동관관절질병행인공전관관절치환술。결과：본조126례환자（146관）수방1.5-6년，평균3.2년。미출현관절탈위，신경、혈관손상。감염1례，경과국부확창、환약치료삼개월전유。소유환자가무통행주，관절활동도기본정상。Harris평분유술전10-69분(평균52.1분)，제고지술후75-95분（평균85.5분）。결론：개량Hardinge입로교전통Hardinge창상소、현로호、수술시간단、출혈량소，관관절후방은정성호、가조기공능단련。
Objective:To investigate the value of modified Hardinge approach in total hip arthroplasty in.Methods:modified Hardinge approach on 126 cases (146 hips)of hip disease in different rows total hip arthroplasty. The results of this group of 126 cases (146 hips)followed up for 1.5-6 years, an average of 3.2 years. Dislocation, nerve, vascular injury does not appear. Infection in one case, after local debridement, dressing treatment for three months to heal. All patients can be pain-free walking, range of motion was normal. Preoperative Harris hip score 10-69 points (an average of 52.1 points), improved to 75-95 after surgery (average 85.5 points).Conclusion:The modiifed Hardinge approach trauma, revealing good, shorter operative time, less blood loss, good rear hip stability, the advantages of early postoperative functional exercise can.