What Are the Pros and Cons of an Anterior Approach Hip Replacement?

With hip joint replacement becoming more mature and popular, hip joint fusion can obtain good gait and satisfactory function. At present, there are few applications of bone graft fusion, bone graft and various metal internal fixations, such as steel plate screws, bone bolts, and Knowles nails.

Basic Information

Chinese name: Anterior approach hip fusion

Visiting department: orthopedics

Anesthesia method of anterior approach hip fusion

Spinal or epidural anesthesia.

Anterior approach hip joint preparation

Comes with a tourniquet and prepares blood.

Indications for anterior approach hip fusion

Hip tuberculosis causes severe damage or deformity of the joint; pyogenic arthritis is cured, and the malformation of the sequelae; old hip dislocation, comminuted fracture, and young people or manual workers who cannot reconstruct the joint; High femoral osteotomy failure; paralytic hip dislocation and congenital hip dislocation, joint instability, not suitable for arthroplasty; joint replacement or other surgical failure.

Contraindications for anterior approach hip fusion

Lumbar spinal rigidity and lumbar spine with obvious degeneration, pain, stiffness; active hip joint purulent infection, ipsilateral knee rigidity; contralateral hip and knee lesions; heart and lung dysfunction, metabolic diseases and severe bone in the elderly Looser.

Anterior Hip Fusion Procedure

The general procedure is as follows: The incision starts from the middle of the diaphragm, turns forward through the anterior superior iliac spine, and stops at the anterior and lateral side of the thigh. exposed hip joint capsule. T-cut the sac along the hip joint to expose the femoral head, neck, and upper edge of the acetabulum, and peel off around. The round ligament was severed, the hip was flexed and adducted, and the external rotation dislocated the femoral head. The femoral head and acetabular joint cartilage surface were removed, the bone ends were trimmed, the femoral head was reset, and the bone graft was fixed. Fill the crushed cancellous bone in the femoral neck and the surrounding space. Maintain the hip joint position, first suture the rectus femoris tendon, and then suture in layers. Hip herringbone plaster.

Nursing after anterior approach hip fusion

Regular postoperative nursing turns over to prevent the occurrence of pressure ulcers and actively does muscle contraction exercises. Observe toe blood flow, local swelling after surgery, and tight plaster should be released immediately. After 3 to 4 days after the operation, the plaster is dry. X-ray films should be taken with the plaster to understand the location and bone grafting. The plaster should be opened and removed in 10 to 14 days.

Diet after anterior approach hip fusion

Drink plenty of water, fresh fruits and vegetables, high protein, high vitamin, and high calcium foods. Attention should be paid to light foods such as vegetable porridge and noodle soup. Give liquid or semi-liquid foods, such as a variety of porridge, rice soup and so on.