The 54-year-old Mr. Tang suffered from left limb dysfunction after a stroke a year ago. His muscle strength and decreased, and his activities were limited. It was also because of this reason that he fell unsteadily and accidentally fell, causing pain and discomfort in his left hip. Unable to walk on the ground, the left lower limb felt unbearable pain when the weight was placed on the ground, so he could only rest at home and live in a wheelchair for a long time.
In the past one month, Mr. Tang's left hip pain has worsened, he is unable to sit or lie down, and his quality of life has seriously deteriorated. For further diagnosis and treatment, I came to the Department of Orthopedics and Joints of the Second People's Hospital of Hunan Province for treatment. Deputy Chief Physician Wu Ke received Mr. Tang. After preliminary physical examination and necessary imaging examination, Mr. Tang was quickly diagnosed with "old left femoral neck fracture".
Deputy Chief Physician Wu Ke introduced that the old femoral neck fracture refers to the femoral neck fracture for more than three weeks. Because Mr. Tang did not pay attention to the early fall, the pain in the left hip has not been clearly diagnosed. When the hospital made a diagnosis, it was found that the fracture end had been obviously displaced, the lower limbs had shortened deformities, and the hip joint was when walking and weight-bearing. There will be persistent pain, femoral head due to ischemia avascular necrosis of the femoral head.
Considering that Mr. Tang is only 54 years old, there is an urgent hope for restoring the function of the hip joint and resolving pain and lameness in the shortest possible time. After in-depth discussion and argumentation, the team decided to implement SuperPATH minimally invasive total hip replacement for him.
Dr. Li Baojun, Director of the Department of Orthopedics and Joints, introduced that SuperPATH refers to percutaneous puncture-assisted minimally invasive total hip replacement surgery. Hospitals can be opened.
SuperPATH Minimally Invasive Total Hip Replacement Technology Compared with traditional hip joint surgery, its biggest advantages are smaller wounds ( incision length is half of traditional surgery, only 6-8 cm), less bleeding ( bleeding The amount is less than a single blood donation, about 300ml), more difficult to dislocate ( can squat and lift legs, etc.), faster recovery ( can walk on the same day after surgery).
The wound is smaller.
Different from the traditional posterior and lateral hip surgery approach, the key to SuperPATH minimally invasive total hip replacement surgery is not to cut any muscles and ligaments, including the external rotator muscles that maintain the stability of the hip joint, but to The natural intermuscular space of the gluteus minimus and piriformis enters the hip joint; the femur is treated without dislocation of the hip joint to minimize soft tissue damage around the joint; when the wound is closed, the entire joint capsule is intact, It can be reconstructed almost as easily as closing the incision. At the same time, compared with the conventional surgical approach, patients do not have to worry about the dislocation of the artificial hip joint caused by extreme flexion, adduction and internal rotation of the hip joint such as squatting and tilting the legs after surgery.
Due to the dysfunction of the left limb after the stroke, and the lack of exercise in the wheelchair for a long time, the muscle strength of the left limb of Mr. Tang decreased significantly. In order to enable the patient to stand up and walk again as soon as possible after the operation, the medical staff in the department strengthened the patient in a targeted manner. Perioperative management of , instructing patients to enhance muscle strength through ankle pump exercises, muscle isotonic contractions, etc. After hard work, the patient was able to stand and walk on the second day after the operation, gradually bid farewell to the wheelchair and was discharged from the hospital. Mr. Tang was very satisfied with the entire treatment and recovery.
Dr. Li Baojun introduced that patient satisfaction is the greatest encouragement for doctors to move forward. Minimally invasiveness has always been the goal of the joint medical and nursing team, and SuperPATH total hip replacement surgery has achieved minimally invasive surgery in the true sense, not only A new technology for total hip replacement and a new concept of "rapid recovery". Since the department introduced this technology early in the province in 2016, through years of clinical practice, hundreds of cases have been carried out, and all patients have received Very satisfied with the treatment effect . However, this operation has high requirements for the surgeon, and it needs to be mastered by in-depth study on the basis of skilled traditional surgical methods, and it is also necessary to continuously summarize experience in practice.
Not forgetting the original intention and forging ahead, the medical staff of the Orthopedic and Joint Surgery Department of the Second People's Hospital of Hunan Province will continue to make persistent efforts, continue to learn and develop new technologies, and escort the joint and bone health of the general public.
Contributed by: Department of Osteoarthritis, Dai Jinjun, Tang Ying
Edited by: Shi Rong
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