Study on the rehabilitation effects after total hip replacement through different surgical approaches
不同手术入路全髋关节置换术后的康复效果研究

摘要

目的 研究不同手术入路全髋关节置换术（THA）术的康复效果，为临床治疗提供参考。方法 选取2023年09月至2024年06月收治的需行全髋关节置换术患者的临床资料，根据手术入路方式将其分为后侧入路（SuperPATH）组30例和直接前入路（DAA）组30例。比较两组围手术期一般指标及术后恢复情况。结果 SuperPATH组在手术时间，切口长度、下地时间、住院天数及下地时间优于DAA组（P>0.05）。两组患者VAS 评分和Harris 评分显著改善（P<0.05）。SuperPATH组的VAS 评分和Harris评分均优于DAA组，（P>0.05），术后两组并发症无显著差异（P>0.05）。结论 两组均可改善患者髋关节功能及生活质量，但SuperPATH入路具有切口小、术后下床早、术后康复快的优势。

Abstract

Objective To study the rehabilitation effects of total hip arthroplasty (THA) through different surgical approaches to provide reference for clinical treatment.
Methods The clinical data of patients requiring total hip replacement who were admitted from September 2023 to June 2024 were selected and divided into 30 cases in the posterior approach (SuperPATH) group and the direct anterior approach ( DAA) group, 30 cases. General perioperative indicators and postoperative recovery conditions were compared between the two groups.
Results The SuperPATH group was superior to the DAA group in terms of operation time, incision length, ambulation time, hospitalization days and ambulation time (P>0.05). The VAS scores and Harris scores of the two groups of patients were significantly improved (P<0.05). The VAS score and Harris score of the SuperPATH group were better than those of the DAA group (P>0.05), and there was no significant difference in postoperative complications between the two groups (P>0.05).
Conclusion   Both groups can improve patients' hip joint function and quality of life, but the SuperPATH approach has the advantages of small incision, early postoperative ambulation, and rapid postoperative recovery.