The effect of posterior capsulorrhaphy in primary total hip arthroplasty - A prospective randomized study

The effect of posterior capsulorrhaphy in primary total hip arthroplasty - A prospective randomized study
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DOI:
10.1016/s0883-5403(00)90220-1
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发表时间:
2000-02-01
影响因子:
3.5
通讯作者:
Tain-Hsiung-Chen
Tain-Hsiung-Chen
中科院分区:
医学2区
文献类型:
--
作者:
Chiu, FY;Chen, CM;Tain-Hsiung-Chen

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在1994年至1997年期间,采用后路(摩尔)入路进行了180例初次全髋关节置换术(THA),用于各种适应症和前瞻性研究。将病例随机分为两组,评价后囊缝合术预防术后脱位的效果。在第1组(96例)中,采用后囊缝合术进行关节成形术闭合;在第2组(84例)中,未进行关节囊缝合术闭合。随访期为38个月(范围,12-60个月)。第1组未发生脱位,而第2组发生2例脱位(2.3%)。虽然影响初次THA脱位的因素很多,但后囊缝合术可能有助于预防后路THA术后发生后脱位。
Between 1994 and 1997, 180 cases of primary total hip arthroplasty (THA) were performed with the posterior (Moore) approach for a variety of indications and studies prospectively. The cases were separated randomly into 2 groups to evaluate the effect of posterior capsulorrhaphy in the prevention of postoperative dislocation. In group 1 (96 cases), closure of the arthroplasty was performed with a posterior capsulorrhaphy; in group 2 (84 cases), closure was performed without capsulorrhaphy. The follow-up period was 38 months (range, 12-60 months). No dislocations occurred in group 1, whereas 2 dislocations (2.3%) occurred in group 2. Although the factors affecting dislocation in primary THA are many, a posterior capsulorrhaphy may be helpful in the prevention uf posterior dislocation of primary THA performed with a posterior approach.