superpath®, supercap®, path®手术入路

superpath®是一个经皮通道辅助的全髋关节置换手术入路,通过臀中肌和梨状肌的肌间隙经上方关节囊进入,不需要切断任何肌肉和肌腱。在股骨头和股骨颈保留完整的情况下,原位处理股骨,减少骨折的风险。

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方案简介

一、superpath®微创伤后外侧入路髋关节置换手术技术

superpath®是一个经皮通道辅助的全髋关节置换手术入路,通过臀中肌和梨状肌的肌间隙经上方关节囊进入,不需要切断任何肌肉和肌腱。在股骨头和股骨颈保留完整的情况下,原位处理股骨,减少骨折的风险。髋臼的准备是在直视下进行的,通道设计可无需偏心工具。必要的情况下,术中可以随时转变为传统的后外侧入路,并且不需要重新摆放患者的体位。
相关文献:
•chow, j; penenberg, b; murphy, s. modified micro-superior percutaneously-assisted total hip: early experiences and case reports. curr rev muskoskeletal med (2011) 4:146-150.
•rashly kj; gofton w. percutaneously assisted total hip (path) and supercapsular percutaneously assisted total hip (superpath) arthroplasty: learning curves and early outcomes. ann transl med. 2015 aug. 3(13): 179.
•cronin, md; gofton, w; erwin, l; fitch, da; chow, j. early surgical and functional outcomes comparison of the super capsular percutaneously-assisted total hip and traditional posterior surgical techniques for total hip arthroplasty: protocol for a randomized, controlled study. ann transl med 2015; 3(21):335.
•chow, james, brad penenberg, and stephen murphy. "modified micro-superior percutaneously-assisted total hip: early experiences & case reports." current reviews in musculoskeletal medicine 4.3 (2011): 146-150.
相关视频:


•https://www.allinmd.cn/html/theme/1479721530749/theme_index.html
专家推荐:
•“superpath®髋关节置换手术可以帮助患者实现快速康复”
——贾德·卡明斯博士,斯科茨代尔,亚利桑那州
•“我认为superpath®技术最大的优势是可以减少住院时间,增强患者恢复健康的信心。实际上,他们只是一部分关节损坏了,而我们可以利用superpath®技术帮助他们恢复健康,像正常人一样生活。”
——迪恩·奥尔森博士,明尼苏达州,明尼阿波利斯市
其他技术:
•supercap®
•path®

二、supercap®髋关节手术入路

supercap®全髋关节置换术是2003年发明的,它是经上方关节囊进入,并且完全保留软组织的手术入路。这项手术技术允许术者在直视下通过一个切口植入全髋关节假体。supercap®技术不需要脱位,也不需要预先切除部分股骨,从而减少了股骨骨折的风险,保留了前方关节囊,保留了外旋肌,使患者能够快速康复。
相关文献:
•rasuli kj; gofton w. percutaneously assisted total hip (path) and supercapsular percutaneously assisted total hip (superpath) arthroplasty: learning curves and early outcomes.  ann transl med. 2015 aug. 3(13): 179.
•daluga, daniel j. "accuracy of the acetabular index using the percutaneous assisted total hip technique." american journal of orthopedics (belle mead, nj)41.2 (2012): 74-78tcomes. ann transl med. 2015 aug. 3(13): 179.
•chow, j; penenberg, b; murphy, s. modified micro-superior percutaneously-assisted total hip: early experiences and case reports. curr rev muskoskeletal med (2011) 4:146-150.
•penenberg, brad l., w. seth bolling, and michelle riley. "percutaneously assisted total hip arthroplasty (path): a preliminary report." the journal of bone & joint surgery 90.supplement_4 (2008): 209-220.
其他技术:
•superpath®
•path®

三、path®髋关节手术入路

path®入路(经皮辅助全髋关节手术技术)被称为“直接后方入路”,2004年首次使用。因为其保留了主要的肌肉、肌腱和软组织,所以相比普通入路,术后结果更优异,患者能够获得更快的术后康复。熟悉的患者体位和解剖标志、相比其他微创入路,有更少的潜在并发症。
相关文献:
•murphy, william, et al. "the impact of pre-emptive autologous blood transfusion on length of stay following primary total hip arthoplasty." bone & joint journal orthopaedic proceedings supplement 95.supp 15 (2013): 275-275.
•steppacher, simon, moritz tannast, and stephen murphy. "prospective comparison of total hip arthoplasty performed using conventional and tissue-preserving techniques: a minimum 2-year outcome study." journal of bone & joint surgery, british volume 94.supp xxv (2012): 164-164.
•wellman, samuel s., et al. "implementation of an accelerated mobilization protocol following primary total hip arthroplasty: impact on length of stay and disposition." current reviews in musculoskeletal medicine 4.3 (2011): 84-90.
•murphy, stephen b., timo m. ecker, and moritz tannast. "two-to 9-year clinical results of alumina ceramic-on-ceramic tha." clinical orthopaedics and related research 453 (2006): 97-102.
其他技术:
•superpath®
•supercap®

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