标题：改良DAA全髋关节置换的临床应用

      作者：谢卫宁，李华，庞家省，甘六央，周烈超，唐家鹏，庞科，马鹏    玉林市中西医结合骨科医院骨病科，广西 玉林 537000

      卷次： 2019年30卷10期

      【摘要】 目的 评价改良直接前方入路(DAA)全髋关节置换的临床疗效。方法 对 2017年 1月至 2018年 9月玉林市中西医结合骨科医院骨病科由同一术者完成的应用改良DAA进行初次全髋关节置换术的52例(73髋)患者资料进行随访研究，随访3个月以上，使用Harris髋关节评分量表以及双下肢全长正位片进行临床和影像学方面评价临床效果。结果 本组52例(73髋)获得随访，随访率为100%，随访时间3~20个月，中位随访6个月；术后X线片测量下肢等长；术前Harris评分为(49±7.1)，术后末次随访髋关节功能Harris评分为(94±3.9)，同术前相比，Harris评分显著改善，差异有统计学意义(P<0.05)；末次随访时均无感染、脱位、松动等失败病例。结论 改良DAA全髋关节置换对治疗终末期髋关节疾病具有较好的临床疗效，并发症少，是实现快速康复的一种微创入路，值得临床推广应用。
      【关键词】 改良；直接前方入路；全髋关节置换；松解；疗效
      【中图分类号】 R687.4 【文献标识码】 A 【文章编号】 1003—6350（2019）10—1292—05

Clinical application of modified direct anterior approach for total hip arthroplasty.
XIE Wei-ning, LI Hua, PANGJia-sheng, GAN Liu-yang, ZHOU Lie-chao, TANG Jia-peng, PANG Ke, MA Peng. Department of Osteopathy, YulinOrthopaedic Hospital of Integrated TCM & Western Medicine, Yulin 537000, Guangxi, CHINA
【Abstract】 Objective To evaluate the clinical efficacy of modified direct anterior approach (DAA) for totalhip arthroplasty (THA). Methods A follow-up study was conducted on 52 patients (73 hips) who underwent primaryTHA with modified DAA completed by the same surgeon from January 2017 to September 2018 in the Department ofOsteopathy at Yulin Orthopaedic Hospital of Integrated TCM & Western Medicine. Patients were followed up for morethan 3 months. Clinical and radiographic outcomes were evaluated using the Harris Hip Score and full-length positive ra-diographs of both lower extremities. Results All the 52 patients (73 hips) were followed up, the follow-up rate was100%. The median follow-up duration was 6 months (range, 3 to 20 months). After operation, lengths of the lower limbs