后外侧入路行全髋关节置换术中后方软组织修复技术的研究进展
Research Progress of Posterior Soft Tissue Repair Techniques in Total Hip Arthroplasty with Posterolateral Approach
DOI: 10.12677/acm.2025.151227, PDF,   
作者: 陈 铭：暨南大学第二临床医学院，广东 深圳；王 华*：深圳市人民医院(暨南大学第二临床医学院，南方科技大学第一附属医院)，龙华分院骨科，广东 深圳
关键词: 全髋关节置换术；后方软组织修复；脱位；后外侧入路；经骨修复技术；经肌腱修复技术；经锚钉修复技术；Total Hip Arthroplasty； Posterior Soft Tissue Repair； Dislocation； Posterolateral Approach； Through-Bone Repair； Through-Tendon Repair； Through-Anchor Repair Technique
摘要: 背景：在全髋关节置换术中，后外侧入路被认为在全髋关节置换术后脱位率高于其他手术入路，但后路软组织修复技术弥补了这一局限性。目前临床上应用的修复技术主要为经骨修复技术(TBRT)、经肌腱修复技术(TTRT)以及经锚钉修复技术(TART)，尽管目前的研究提供了充分的TBRT和TTRT修复后方软组织的结果报道，但对于最佳的后方软组织修复技术骨科医生尚无法达成共识。本综述论述各种后方软组织修复技术的修复结果，并且比较了TBRT与TTRT两种修复技术的修复结果。结果：在行后入路THA中对后方软组织行TBRT与TTRT修复后方软组织对降低术后脱位率是有效的。行TBRT的有效性优于行TTRT修复。此外，对后关节囊进行修复也能有效降低术后脱位率。
Abstract: Background: In total hip arthroplasty, the posterolateral approach is thought to have a higher rate of dislocation after total hip arthroplasty than other surgical approaches, but posterior soft tissue repair techniques compensate for this limitation. Currently, the clinically used repair techniques are mainly through-bone repair technique (TBRT), through-tendon repair technique (TTRT), and through-anchor repair technique (TART). Although current studies have provided sufficient reports on the results of TBRT and TTRT repair of the posterior soft tissue, there is no consensus among orthopedic surgeons on the optimal technique of soft tissue repair. This review discusses the repair results of various posterior soft tissue repair techniques and compares the repair results of TBRT and TTRT repair techniques. Results: TBRT and TTRT in posterior soft tissue repair in posterior approach THA were effective in reducing postoperative dislocation rate. The effectiveness of TBRT is better than that of TTRT repair. In addition, the repair of the posterior joint capsule can also effectively reduce the postoperative dislocation rate.
文章引用：陈铭, 王华. 后外侧入路行全髋关节置换术中后方软组织修复技术的研究进展[J]. 临床医学进展, 2025, 15(1): 1695-1702. https://doi.org/10.12677/acm.2025.151227

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