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首页> 外文期刊>The Internet Journal of Academic Physician Assistants >Safety and Efficacy of Minimally Invasive Total Hip Arthroplasty
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Safety and Efficacy of Minimally Invasive Total Hip Arthroplasty

机译：微创全髋关节置换术的安全性和有效性

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For many years, total hip arthroplasty (THA) has been a consistently effective surgical treatment for patients suffering degenerative hip diseases. The advent of minimally invasive THA has raised questions about the effectiveness, risks, and benefits of these approaches compared to the conventional techniques. This article evaluates the most recent (2004-2008) published literature on minimally invasive THA. A number of studies revealed moderate short-term postoperative benefits with minimally invasive THA, including decreased pain and earlier ambulation. There were no long-term benefits for minimally invasive procedures other than a shorter incision scar. When compared to the standard technique, both demonstrate high long-term success rates. Complications from minimally invasive THA were seen in several studies and were most often attributed to limited operative field visibility and/or surgeon inexperience with the technique. In conclusion, minimally invasive THA, while providing some postoperative benefit to patients, is not more effective than standard THA and is a more complicated and challenging surgery to perform. Minimally invasive THA should only be performed by surgeons who have had extensive training in the technique and should be reserved for patients who meet selection criteria with regards to body habitus, to minimize complications.
机译：多年来，全髋关节置换术（THA）对于患有退行性髋部疾病的患者一直是有效的手术治疗方法。与传统技术相比，微创THA的出现提出了有关这些方法的有效性，风险和益处的问题。本文评估了有关微创THA的最新文献（2004-2008年）。大量研究表明，采用微创THA具有中等程度的短期术后益处，包括减轻疼痛和早期活动。除了较短的切口疤痕外，微创手术没有长期益处。与标准技术相比，两者均显示出较高的长期成功率。在几项研究中发现了微创THA的并发症，最常见的原因是手术视野有限和/或外科医生对该技术缺乏经验。总而言之，微创THA在给患者带来一些术后益处的同时，并不比标准THA更有效，并且是执行起来更复杂，更具挑战性的手术。微创THA只能由接受过该技术培训的外科医生执行，并且应保留给符合机体习惯选择标准的患者，以最大程度地减少并发症。

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