全髋关节置换前方直接入路与后外侧入路术后早期疗效比较

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Abstract Objective To compare the early clinical effect of direct anterior approach and post lateral approach in total hip arthroplasty.Methods From November 2015 to January 2016，there were 32 patients (40 hips) late osteonecrosis of femoral head and osteoarthritis patients.Those patients were assigned to DAA and PLA group.We compared the BMI in preoperation、intraoperatve blood soss、operation time、postoperation first walk time and postoperation first month、second month、third month Harris hip score.Results The BMI：group DAA is (23.34±5.63)，group PLA is (27.34±5.30)，group DAA were lower than group PLA，The difference was significant(t＝－4.81，P＜0.05).Group DAA were all higher than that in group PLA in intraoperatve blood soss、postoperation first walk time and postoperation first month、second month、third month Harris hip score，but in the operation time group DAA is(124±29.21)min，group PLA is(53±10.56)min(t＝ 26.82，P＜0.05).Conclusion The direct anterior approach is better than posterolateral approach for faster postoperative recovery in total hip arthroplasty and better early clinical curative effect.

Key words： total hip arthroplasty direct anterior approach posterolateral approach early clinical effect

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	Articles by authors
	Wu Guofeng
	Sun Xiaoliang
	Zhou Jian
	et al

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Wu Guofeng,Sun Xiaoliang,Zhou Jian, et al. Early Clinical Effect of Direct Anterior Approach and Posterolateral Approach in total Hip Arthroplasty[J]. sygkzz, 2016, 22(12): 1062-1068.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2016/V22/I12/1062

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