比基尼切口修改了直接前方的方法
Michael Leunig1, Hannes A Rüdiger2
1Hip Service, Department of Orthopedics, Schulthess Clinic, Zürich, Switzerland.
JBJS essential surgical techniques
|November 14, 2024
概括
比基尼切口提供了改善的伤口愈合和直接前部方法全关节整形术 (DAA THA) 的宇宙. 这种技术,当进行侧向前部上下脊柱 (ASIS) 时,可以最大限度地降低与侧部股骨皮神经 (LFCN) 相关的风险.
科学领域:
- 整形外科手术 整形外科手术
- 关节质整术是指关节质整术.
- 外科手术的方法
背景情况:
- 全关节整形手术的直接前侧方法 (DAA) 是最少的侵入性,但可能导致伤口愈合问题和传统纵向切口的痕不满.
- 比基尼类型的皮肤缩小切口是为了改善DAA THA中的cosmesis和伤口愈合而引入的.
- 发展比基尼切口,使其始终与前上下脊柱 (ASIS) 侧向,旨在最大限度地减少侧肌神经 (LFCN) 的损伤.
研究的目的:
- 评估DAA THA中比基尼型皮肤增大切口的疗效和结果.
- 为了比较比基尼切口与传统的纵向切口关于伤口愈合,痕宇宙和潜在的并发症,如LFCN损伤.
主要方法:
- 分析了2014年1月至2023年8月期间进行的10009次THA手术,其中DAA手术为8769次,比基尼切口为4969次.
- 外科医生的经验影响了切口选择,高体积的外科医生更喜欢比基尼技术用于简单的病例.
- 比基尼切口特别是在ASIS的侧面进行,以减轻LFCN损伤.
主要成果:
- 比较比基尼和纵向切口的研究表明,有利的痕外观和患者对比基尼方法的满意度.
- 在大多数研究中,两种切口类型之间的术后关节功能是可比的.
- 虽然LFCN损伤是一种潜在的并发症,但其发病率很低,特别是当比基尼切口与ASIS侧面进行时.
结论:
- 比基尼切口在技术上简单的情况下是DAA THA的有价值的替代方案,提供卓越的伤口愈合和痕美容.
- 仔细放置比基尼切口与ASIS侧面的位置至关重要,以最大限度地减少LFCN损伤.
- 建议比基尼切口用于容易出现过度缩性痕的患者,而经典的纵切口仍然是复杂病例的首选.
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