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SuperPATH入路与后外侧入路行全髋关节置换术后假体位置及临床疗效对比.docx

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SuperPATH入路与后外侧入路行全髋关节置换术后假体位置及临床疗效对比 Title:ComparisonofSuperPATHandPosteriorLateralApproachesinTotalHipArthroplasty-ImplantPositioningandClinicalOutcomes Abstract: Totalhiparthroplasty(THA)isasuccessfulsurgicalprocedurethataimstorelievepainandregainfunctioninpatientswithhipjointdisorders.Overtheyears,varioussurgicalapproacheshavebeendevelopedforTHA,includingtheSuperPATHandposteriorlateralapproaches.Thispaperaimstocomparetheimplantpositioningandclinicaloutcomesofthesetwoapproachespost-surgery.TheSuperPATHapproachisaminimallyinvasivetechniquethatallowsforpreservationofmuscleandtendons,whiletheposteriorlateralapproachprovidesgoodexposurebutmayresultinhighermuscledamage.TheanalysisofimplantpositionandclinicaloutcomeswillprovideinsightsintowhichapproachismorebeneficialforpatientsundergoingTHA. 1.Introduction Totalhiparthroplasty(THA)hassignificantlyimprovedthequalityoflifeforpatientssufferingfromhipjointdiseases.ProperimplantpositioningiscriticalforthesuccessofTHA,asitinfluencesstability,rangeofmotion,andlong-termoutcomes.TheSuperPATHapproachandposteriorlateralapproacharewidelyusedtechniquesforTHA.ThispaperaimstocomparetheimplantpositioningandclinicaloutcomesoftheseapproachestodeterminetheireffectivenessinTHA. 2.SuperPATHApproach TheSuperPATHapproachisaminimallyinvasivetechniquethatallowsforpreservationofmuscleandtendonsduringsurgery.Itinvolvesasmallincision,typicallylessthan10cm,andutilizesamodifiedposteriorapproach.Theuseoffluoroscopyduringsurgeryensuresaccurateimplantpositioning.TheSuperPATHapproachhasbeenreportedtoresultinlesspostoperativepain,lowerbloodloss,andfasterrecoverycomparedtotraditionalapproaches,suchastheposteriorlateralapproach. 3.PosteriorLateralApproach Theposteriorlateralapproachisawell-establishedtechniqueforTHAthatprovidesexcellentexposureofthehipjoint.However,itrequiresdetachmentofthegluteusmaximusmuscle,whichmayleadtomuscleweaknessandlongerrecoverytime.Theposteriorlateralapproachhasbeenassociatedwithahigherriskofdislocationduetoimpairedposteriorso