| Objective: Comparison of effect of the Lateral approach(Watson-Jones)and Posterior approach(Moore)on Total Hip Arthroplsty. Discussion on each of advantages and disad- vantages, each of indication. And make theoretical analysis, provide evidence for appro- priate surgical approach on clinical disease. Methods: Using retrospective analysis on 50 cases of hospitalised patientËŠs clinical data and radiation result of the Lateral approach (Watson-Jones)and Posterior approach(Moore)on Total Hip Arthroplsty, during the period from June 2006 to March 2008,25 cases of the Lateral approach (Watson-Jones)and 25 cases of Posterior approach(Moore). Through out-patients return- visit and communication way follow-up from 2 months to 1.5 years, the average is 3 months. By comparing and statistical analysis to two different surgical approaches in the average hospitalisation period operative process,incidence of complication and information of the total hip functional recovery. Results: The two groups have no obvious difference in incidence of the age and sex. They have obvious difference in the length of incision, the time of surgery, the blood loss, the blood transfusion, the postoperative drainages, the time of ground activity (P<0.01). They have statistical difference in incidence of the nerve injury, the incision infection after operation, the dislocation after operation (P<0.05). Excellent or good rate of the function of the hip joint was 88% in the Lateral approach,was 84% in the Posterior approach.Conclusion: The Lateral approach (Watson- Jones)is the first selection, the Posterior approach(Moore)is the second selection on the Total Hip Arthroplsty. |
