Effect of anesthesia type on limb length discrepancy after total hip arthroplasty
Effect of anesthesia type on limb length discrepancy after total hip arthroplasty
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DOI：
10.1016/j.arth.2007.01.022
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发表时间：
2008-02-01
影响因子：
3.5
通讯作者：
Di Cesare, Paul E.
中科院分区：
文献类型：
--
作者：
Sathappan, Sathappan S.;Ginat, Daniel;Di Cesare, Paul E.
对132例全髋关节置换术患者（63例脊髓麻醉和69例全身麻醉）进行了回顾性研究，由4名经过培训的成人重建外科医生进行，以确定麻醉类型对术后肢体长度和内侧偏移的影响。肢体不等长的发生率在区域麻醉组为87.0%，而在全身麻醉组为47.6%（P <0.001）。两组之间的术后内侧偏移测量值差异无统计学意义。结论是，外科医生对接受区域麻醉的患者进行手术时，应补充术中测试，通过细致的术前模板评估髋关节稳定性，以避免手术肢体过度延长。
A retrospective study of 132 patients (63 spinal anesthesia and 69 general anesthesia) undergoing total hip arthroplasty was performed by 4 fellowship-trained adult reconstructive surgeons to determine the influence of anesthesia type on postoperative limb length and medial offset. Limb length discrepancy occurred in 87.0% of patients who received regional anesthesia as opposed to 47.6% patients who had general anesthesia (P < .001). Differences in postoperative medial offset measurements between the 2 groups were not statistically significant. It was concluded that surgeons operating on patients who receive regional anesthesia should supplement intraoperative tests for assessing hip stability with meticulous preoperative templating to avoid overlengthening the operative limb.