Femoral Oxygenation During Hip Resurfacing Through the Trochanteric Flip Approach

被引：26

作者：

Steffen, Robert T. ^{[1
]}

Fern, Darren ^{[2
]}

Norton, Mark ^{[2
]}

Murray, David W. ^{[1
]}

Gill, Harinderjit S. ^{[1
]}

机构：

[1] Univ Oxford, OOEC Nuffield Dept Orthopaed Surg, Nuffield Orthopaed Ctr, Oxford OX3 7LD, England

[2] Royal Cornwall Hosp, Truro, England

来源：

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH | 2009年 / 467卷 / 04期

关键词：

ANTEROLATERAL APPROACH; SURGICAL APPROACH; BLOOD-FLOW; ARTHROPLASTY; METAL; HEAD; NECK; OSTEOARTHRITIS; 5-YEAR;

D O I：

10.1007/s11999-008-0390-5

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Femoral neck fracture is one of the most common complications of hip resurfacing and considered by some to be related to reduced blood flow as a consequence of the surgical approach. We measured oxygen concentration during hip resurfacing through the trochanteric flip approach (n = 15 patients) and compared this approach with previous data for the posterior and anterolateral approaches. With the trochanteric flip the average femoral oxygenation decreased during the procedure to approximately 50% of that at the start, however it recovered to starting level by the end of the procedure. Preservation of oxygenation with the trochanteric flip was similar to that observed with the anterolateral approach, but with less variation during the procedure. Both of these approaches were superior in terms of oxygenation preservation to the posterior approach which resulted in a dramatic reduction in oxygenation.

引用

页码：934 / 939

页数：6