16 ( ) Chin J Joint Surg( Electronic Version), June 2008, Vol. 2, No ,,, ( ) cm; ( ) m in ( 32 m in),( ) m l, (15

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3 16 ( ) Chin J Joint Surg( Electronic Version), June 2008, Vol. 2, No ,,, ( ) cm; ( ) m in ( 32 m in),( ) m l, (151 65) m l6 26 ( 1118 ), X Harris : ( ), ( ),,,, ;, Techn iques of m in i2inc ision tota l h ip arthropla sty using im proved posterola tera l approach CHEN Guang2xing, GU L ing2chuan, YANG L iu, DA I Gang, DUAN X iao2jun, GUO L in, WANG Feng2ling. Surgery Center, Southw est hospital, Third M ilitary M edical U niversity, Chongqing , China Corresponding author: YANG L iu, Em ail: jointsurgery@m ail. tmm u. com. cn Abstract O bjective To introduce the techniques of m ini2incision total hip arthrop lasty ( THA ) with the imp roved posterolateral app roach. M ethods Standardize the techniques and surgery attentions of different hip diseases were summed up 207 cases of m ini2incision total hip arthrop lasty ( THA ) with the posterolateral app roach. tion was adequate and accurate. Joint Results Each operation step s was regular and reasonable. Exposure in the opera2 The average length of surgical incisionswas ( ) cm. These cases were performed with mean surgery time of ( ) m in (m inimum 32 m inutes). B lood loss during operation was ( ) m l. D rainage after the operation was ( ) m l. A ll patients were followed2up for 6 26 months(mean 1118 months). The postoperation radiography all showed good position of the p rosthetic components. Harris score after operation markedly imp roved: p reoperative ( ) points and postoperation ( ) points. Conclusion Posterolateral m ini2incision total hip arthro2 p lasty was p roved to be successful in reducing surgical trauma and perioperative bleeding, accelerating rehabilitation and decreasing comp lications. W e could achieve much better recent curative effect than tradi2 tional methods through standardized technical step s and the p roper handling to attention of different hip dis2 eases. Key words A rthrop lasty, rep lacement, hip; Surgical p rocedures, m inimally invasive ( total hip arthrop lasty, THA), THA, [ 4 ],,,, : , : E2mail: jointsurgery@mail. tmmu. com. cn

4 ( ) Chin J Joint Surg( Electronic Version), June 2008, Vol. 2, No THA [ 1 ], , , 82 86, , ( 5916 ) ; ( 1), 3 ( 2),46 46 ( 31 31,15 15 ), (Crowe ) ( 3), 7, 5 ; 37 Trilogy Versys 11 : ( 4),( ) ( develop2 mental dysp lasia of the hip, DDH ) CT, 21 ( 5) ( 6) 31 :,,, d, :, 400 mg,, 12 h, 1 ; 2 d, 2 / d 11:,, U, 21 :,, 1 /3,, 2 /3, 6 8 cm 1 2 cm;,, ( 01) 31 :,, ( ) ( ),,,,, U, ( 02 05) 41,,,, ( 06) 51:, 90, 45, 90,, X cm,,( 07 08) 61: (m ini2 mally invasive surgery, M IS),,,,,, ( ),,,,,,M IS,,,;,, ( 09 12) 71 :,, ( ), ( 13) 81: 90, Jaws,

5 18 ( ) Chin J Joint Surg( Electronic Version), June 2008, Vol. 2, No. 3 ( ), 15 20,,( 45, 90,90, ),,, ( > 100, > 10, > 60 ), ( X ) ( 14 20) 91 :,,, 12 h, PDS,,,,( 21 25) 101,, 70 g/ L 1 d 2 d 6, 12,, Harris SPSS 1110,gx s, Harris t,, ( ) cm, ( 10 cm) ( 25) ; ( ) m in ( 32 m in) ;( ) m l, ( ) m l 12 15, ml ( ml) ( ) d6 26 ( 1118 ), X 3 3 ( 70, 1, 1 4 d, ; 2 ), 4 4, 1 Harris (39 812), ( ), ( ),( P < 0101) 60 Charn2 ley 40,, THA, ( cm),,, 1970 M IS,,,, 90 THA Sculco Chimento [ 1 ], Berry [ 2 ], C,,,,, [ 3-7, 9 ], ( ), [ 8, 9 ], ( 3, 4), Crown,, ( 5), [ 5, 6, 8-10 ] : ( 1) ; (2), ; (3)

6 ( ) Chin J Joint Surg( Electronic Version), June 2008, Vol. 2, No. 3 19,, ; (4), ; (5), THA, THA, [ 11 ],, THA,,,, [ 4, 7 ],, M IS [ 6 ],,,, : 11 :,,,, 2,,,,, 21 : THA,, ;,,, ; 1, ( ),,, 1 /3,, 6 8 cm,,,,, 31 :,,,,,, ;,,,,, 41 :,,,, ;,,,,,,,, 51,,,,,,, 61,,, 71, (, ) 81 : ( ),,,,,,,,,,, 91 ( ),,,, 101 :,,, (,)

20 ( ) 2008 6 2 3 Chin J Joint Surg( Electronic Version), June 2008, Vol. 2, No.

7 20 ( ) Chin J Joint Surg( Electronic Version), June 2008, Vol. 2, No : 90, Jaws,,,, 15 20,, 121 :,,,, 131,,,,,,,, ( > 70 ),,,,,,,,,, M IS,, :, ( 1 6, ) [ 1 ] Sculco TP, Jordan LC, W alter WL. M inimally invasive total hip arthroplasty: the hospital for special surgery experience. O rthop Clin North Am, 2004, 35 (2) : [ 2 ] Berry DJ, Berger RA, Callaghan JJ, et al. M inimally invasive total hip arthroplasty. analysis. Development, early results, and a critical Presented at the AnnualMeeting of the American O rtho2 paedic A ssociation, Charleston, South Carolina, USA, June 14, J Bone Joint Surg Am, 2003, 85 (11) : [ 3 ] Swanson TV. Early results of 1000 consecutive, posterior, single2 incision minimally invasive surgery total hip arthrop lasties. J A rthrop lasty, 2005, 20 (1) : [ 4 ] Woolson ST, Mow CS, Syquia JF, et al. Comparison of p rimary total hip replacements performed with a standard incision or a mini2 incision. J Bone Joint Surg Am, 2004, 86 (7) : [ 5 ] Dorr LD. Single2incision m inimally invasive total hip arthrop lasty. J Bone Joint Surg Am, 2003 (85) : [ 6 ] Howell JR, Garbuz DS, Duncan CP. M inimally invasive hip rep lacement: rationale, app lied anatomy, and instrumentation. O rthop Clin North Am, 2004, 35 (2) : [ 7 ] Wenz JF, Gurkan I, Jibodh SR. Mini2incision total hip arthroplasty: a comparative assessment of perioperative outcomes. O rthopedics, 2002, 25: [ 8 ],,,.., 2005, 21 (8) : [ 9 ] Hartzband MA. Posterolateral m inimal incision for total hip rep lacement: technique and early results. O rthop Clin North Am, 2004, 35 (2) : [ 10 ],,,.., 2005, 25 (5) : [ 11 ] Mardones R, Pagnano MW, Nemanich JP, et al. muscle damage after total hip arthroplasty done with the two2incision and mini2 posterior techniques. Clin O rthop Relat Res, 2005 (441) : ( : ),,,. [ J /CD ]. :, 2008, 2 (3) : , ( ) ( )

. 500. 中国骨与关节杂志 2015 年 6 月第 4 卷第 6 期 Chinese Journal of Bone and Joint, June 2015, Vol 4, No.6 and difficulties of the surgery and raise the

. 500. 中国骨与关节杂志 2015 年 6 月第 4 卷第 6 期 Chinese Journal of Bone and Joint, June 2015, Vol 4, No.6 and difficulties of the surgery and raise the 中国骨与关节杂志 2015 年 6 月第 4 卷第 6 期 Chinese Journal of Bone and Joint, June 2015, Vol 4, No.6. 499.. 论著 Original article. 极重度脊柱侧后凸患者的后路一期小切口撑开联合二期全脊柱截骨术治疗谭荣马华松吴