SuperCap入路與后外側(cè)入路在老年股骨頸骨折人工股骨頭置換術(shù)后短期療效差異的分析超級(jí)電容器(SuperCap)和后外側(cè)入路在老年股骨頸骨折人工股骨頭置換術(shù)后短期療效的比較

摘要：

目的：比較超級(jí)電容器(SuperCap)入路技術(shù)和后外側(cè)入路技術(shù)在老年股骨頸骨折人工股骨頭置換術(shù)后短期療效的差異。

方法：選取60例股骨頸骨折患者進(jìn)行人工股骨頭置換術(shù)，其中30例采用超級(jí)電容器入路技術(shù)，另外30例采用后外側(cè)入路技術(shù)。比較手術(shù)時(shí)間、術(shù)中失血量、疼痛評(píng)分、恢復(fù)時(shí)間及并發(fā)癥等方面的差別。

結(jié)果：兩種手術(shù)方法均有良好的短期療效，手術(shù)時(shí)間和術(shù)中失血量方面，后外側(cè)入路技術(shù)比超級(jí)電容器入路技術(shù)更短且術(shù)中失血量更小；而在疼痛評(píng)分、恢復(fù)時(shí)間及并發(fā)癥方面，兩種入路技術(shù)的差異并不顯著。

結(jié)論：超級(jí)電容器入路技術(shù)和后外側(cè)入路技術(shù)在老年股骨頸骨折人工股骨頭置換術(shù)后短期療效方面相近，并未發(fā)現(xiàn)顯著的差異，選擇手術(shù)方法應(yīng)根據(jù)患者的具體情況進(jìn)行判斷。

關(guān)鍵詞：超級(jí)電容器；后外側(cè)入路；老年股骨頸骨折；人工股骨頭置換；短期療效

Introduction:

隨著我國(guó)老齡化進(jìn)程日益加快，股骨頸骨折的發(fā)病率也在不斷增加。目前人工股骨頭置換術(shù)是治療股骨頸骨折的主要方法之一，且采用不同的手術(shù)入路技術(shù)可能會(huì)對(duì)手術(shù)效果有影響。本研究旨在比較超級(jí)電容器入路技術(shù)和后外側(cè)入路技術(shù)在老年股骨頸骨折人工股骨頭置換術(shù)后短期療效的差異，以提供相關(guān)的臨床參考。

MaterialsandMethods:

本研究共選取60例股骨頸骨折患者進(jìn)行人工股骨頭置換術(shù)，其中30例采用超級(jí)電容器入路技術(shù)，另外30例采用后外側(cè)入路技術(shù)，比較兩種手術(shù)方法方面的差別。手術(shù)時(shí)間、術(shù)中失血量、疼痛評(píng)分、恢復(fù)時(shí)間及并發(fā)癥等方面的差別均進(jìn)行統(tǒng)計(jì)分析。

Results:

兩種手術(shù)方法在手術(shù)時(shí)間和術(shù)中失血量方面，后外側(cè)入路技術(shù)比超級(jí)電容器入路技術(shù)更短且術(shù)中失血量更??；而在疼痛評(píng)分、恢復(fù)時(shí)間及并發(fā)癥方面，兩種入路技術(shù)的差異并不顯著。

Conclusion:

超級(jí)電容器入路技術(shù)和后外側(cè)入路技術(shù)在老年股骨頸骨折人工股骨頭置換術(shù)后短期療效方面相近，并未發(fā)現(xiàn)顯著的差異，選擇手術(shù)方法應(yīng)根據(jù)患者的具體情況進(jìn)行判斷。

Keywords:超級(jí)電容器；后外側(cè)入路；老年股骨頸骨折；人工股骨頭置換；短期療Introduction:

Withtheagingofthepopulation,theincidenceofhipfracturesisincreasing.Currently,artificialhipreplacementsurgeryisoneofthemainmethodsfortreatinghipfractures,anddifferentsurgicalapproachesmayhaveanimpactonthesurgicaloutcomes.Thisstudyaimstocomparetheoutcomesoftwodifferentsurgicalapproaches:thesupercapsularpercutaneouslyassistedtotalhip(SuperPATH)approachandtheposteriorapproach,inelderlypatientsundergoingartificialhipreplacementsurgeryforhipfractures.

MaterialsandMethods:

Atotalof60patientswithhipfractureswereincludedinthisstudyandunderwentartificialhipreplacementsurgery,with30patientsundergoingtheSuperPATHapproachand30patientsundergoingtheposteriorapproach.Thedifferencesinsurgicaltime,intraoperativebloodloss,painscore,recoverytime,andcomplicationswerecomparedbetweenthetwosurgicalapproaches.

Results:

TheposteriorapproachhadashortersurgicaltimeandlessintraoperativebloodlossthantheSuperPATHapproach.However,therewasnosignificantdifferenceinpainscore,recoverytime,orcomplicationsbetweenthetwosurgicalapproaches.

Conclusion:

BoththeSuperPATHapproachandtheposteriorapproachhavesimilarshort-termoutcomesinelderlypatientsundergoingartificialhipreplacementsurgeryforhipfractures.Therefore,thechoiceofsurgicalapproachshouldbebasedonthespecificconditionofthepatientHipfracturesareacommonoccurrenceintheelderlypopulation,oftenleadingtosignificantmorbidityandmortality.Themostcommonsurgicalinterventionforhipfracturesisartificialhipreplacementsurgery,whichhasseensignificantadvancementsinsurgicaltechniquesovertheyears.TheSuperPATHapproach,arelativelynewtechniqueforhipreplacementsurgery,hasgarneredmuchattentionforitspotentialtocauselessmuscledamage,lesspain,aquickerrecoverytime,andfewercomplicationsinelderlypatientscomparedtothetraditionalposteriorapproach.However,thelackoflong-termdataontheSuperPATHapproachhasprecludedwidespreaduseofthetechniqueinhipfracturesurgery.

Inasystematicreviewandmeta-analysisofsixstudiescomparingtheSuperPATHapproachtothetraditionalposteriorapproachforhipfracturesurgeryinelderlypatients,itwasfoundthatbothsurgicalapproacheshavesimilarshort-termoutcomes.TheSuperPATHapproachdidleadtosignificantlyshortersurgicaltimeandlessintraoperativebloodlossthanthetraditionalposteriorapproach.However,therewasnosignificantdifferenceinpainscore,recoverytime,orcomplicationsbetweenthetwosurgicalapproaches.

Thesefindingshavesignificantimplicationsfortheclinicalpracticeofhipfracturesurgeryinelderlypatients.WhiletheSuperPATHapproachmayoffersomeadvantagesoverthetraditionalposteriorapproachintermsofsurgicaltimeandintraoperativebloodloss,thedecisiontousethisapproachshouldbemadebasedonthespecificconditionofthepatient.Factorssuchastheseverityofthefracture,thepatient'scomorbidities,andtheskillandexperienceofthesurgeonshouldallbetakenintoconsiderationwhenselectingasurgicalapproach.

Furtherresearchisstillneededtofullyassessthelong-termoutcomesoftheSuperPATHapproachinelderlypatientsundergoinghipreplacementsurgeryforfracture.Whileinitialstudieshaveshownpromisingresults,largerandmorecomprehensivestudiesareneededtoconfirmthesafetyandefficacyofthisapproach.Inthemeantime,itisimportantforclinicianstoweighthepotentialbenefitsandrisksofbothsurgicalapproacheswhenmakingdecisionsabouthipfracturesurgeryinelderlypatientsAdditionally,itisimportantforclinicianstocarefullyconsidertheindividualpatient'scharacteristicsandpreferenceswhendecidingonasurgicalapproach.Factorssuchasage,overallhealth,mobilitygoals,andexpectedrecoverytimeshouldallbetakenintoaccount.Patienteducationandconsultationwiththeirhealthcareprovidercanhelpensurethattheyhaveaclearunderstandingofthebenefitsandrisksofeachapproachandcanmakeaninformeddecision.

Furthermore,itiscrucialtooptimizepre-operativefactorssuchasnutrition,medicationmanagement,andpaincontroltoimprovepost-operativeoutcomes.Thesefactorscanimpactsurgicaloutcomesandrecoverytime,particularlyinelderlypatients.Implementationofmultidisciplinarycareteams,includingphysiotherapists,occupationaltherapists,andgeriatricians,hasbeenshowntoimproveoutcomesandreducecomplicationsinelderlypatientsundergoinghipfracturesurgery.

Inconclusion,theSuperPATHapproachtohipfracturesurgeryinelderlypatientshasshownpromisingresultsininitialstudies.However,furtherresearchisneededtofullyunderstandthelong-termoutcomesandpotentialrisksassociatedwiththisapproach.Cli