A comparative study on the clinical effects of hip arthroplasty through direct anterior approach in lateral decubitus in the treatment of hip osteoarthritis caused by Kaschin-Beck disease and congenital acetabular dysplasia
10.3760/cma.j.cn231583-20211023-00353
- VernacularTitle:侧卧位直接前方入路行髋关节置换术治疗大骨节病性与先天性髋臼发育不良性髋关节骨性关节炎疗效比较
- Author:
Shi CHENG
1
;
Chao HUANG
;
Xinnan MA
;
Yong QIN
;
Zecheng LI
;
Ren WANG
;
Jinping YU
;
Xiangning XU
;
Yingkai MA
;
Chen LIANG
;
Baozhu WEN
;
Zhongxiang ZUO
;
Songcen LYU
Author Information
1. 哈尔滨医科大学附属第二医院骨四科，哈尔滨 150086
- Keywords:
Osteoarthritis, hip;
Kaschin-Beck disease;
Congenital acetabular dysplasia;
Hip arthroplasty;
Direct anterior approach;
Lateral decubitus
- From:
Chinese Journal of Endemiology
2022;41(6):500-506
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effects of hip arthroplasty through direct anterior approach (DAA) in lateral decubitus in the treatment of hip osteoarthritis caused by Kaschin-Beck disease and congenital acetabular dysplasia.Methods:The prospective study method was used to select the patients who needed hip arthroplasty in the Fourth Department of Orthopedics, the Second Affiliated Hospital of Harbin Medical University from January 2015 to December 2019. All of them were operated with lateral decubitus DAA. According to the inclusion criteria, they were divided into Kacshin-Beck disease hip osteoarthritis group (group A) and congenital acetabular dysplasia hip osteoarthritis group (group B). Hip Harris score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, visual analogue scale (VAS) score were conducted, and hip abduction angle and flexion angle were measured before surgery, 3, 14 days and 1, 3, and 12 months after surgery.Results:Nineteen and twenty-two patients were included in group A and group B, respectively. All patients successfully completed the surgery. There was no significant difference in Harris score between the two groups before surgery, 3, 14 days, and 1, 12 months after surgery ( P > 0.05). There were no significant differences in WOMAC score, VAS score, hip abduction angle and hip flexion angle between the two groups before surgery and each time point after surgery ( P > 0.05). In the same group, there were significant differences in Harris score, WOMAC score, VAS score, hip abduction angle and hip flexion angle at different time points ( P < 0.001). All postoperative indicators were significantly improved compared with those before surgery. Conclusions:There is no significant difference in the clinical effects of hip arthroplasty through lateral decubitus DAA in the treatment of hip osteoarthritis caused by Kaschin-Beck disease and congenital acetabular dysplasia. This surgical method has good therapeutic effect on both types of hip osteoarthritis.
