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Which approach for total hip arthroplasty: anterolateral or posterior?

机译:哪种方法进行全髋关节置换:前外侧还是后侧?

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摘要

The best approach to use when performing THA is controversial. We did a prospective, nonrandomized multicenter study of 1089 THAs to evaluate patient-centered hip scores and dislocation and revision rates when comparing anterolateral and posterior hip approaches at 5 years' followup. Patients were divided into two groups depending on which surgical approach was used: anterolateral or posterior. The primary outcome measure was change in Oxford hip score. At 5 years, there were no differences in change in Oxford hip score and in dislocation or revision rates between the groups. Level of Evidence: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
机译:执行THA时使用的最佳方法是有争议的。我们对1089位THA进行了一项前瞻性,非随机的多中心研究,以评估以患者为中心的髋关节评分以及在5年随访中比较髋臼前外侧和后侧入路时的脱位和翻修率。根据所采用的手术方法将患者分为两组:前外侧或后侧。主要结果指标是牛津臀部评分的变化。在5年时,两组之间的牛津髋关节评分变化,脱位或翻修率无差异。证据级别:II级,治疗研究。有关证据水平的完整说明,请参见《作者指南》。

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