Hip replacement surgery is one of the most successful and effective surgeries in orthopedics, and Minimally Invasive Surgery (MIS) is a minimally invasive surgery with less trauma and less damage to the muscles around the hip joint,
MIS is one of the most successful and effective orthopedic surgeries, and minimally invasive surgery (MIS) is one of the developmental directions in joint surgery in recent years because it is less invasive, less damage to the muscles around the hip joint, can achieve excellent early postoperative function, and can improve patient satisfaction and shorten recovery time, as well as save hospital days and medical costs. At present, the posterior lateral approach, double incision, anterolateral and anterolateral approaches are commonly used. The anterolateral OCM approach was first developed in 2006 by the Orthopädische Chirurgie (Munich, Germany).
Chirurgie,
It is introduced by Orthopädische Chirurgie, München, Germany. It is entered through the gluteus medius and broad fascial tensor muscle gap without cutting any muscle during the operation, which has the advantages of less trauma and faster recovery, and is routinely performed in femoral head necrosis, femoral neck fracture and even in complex hip replacement and hip revision surgery. Deep Venous Thrombosis (DVT) of the lower extremity is the most common form of hip replacement surgery.
DVT is a common complication after hip replacement surgery, and the incidence is still very high even with anticoagulant drugs, and the previous report in our department was about 22%. However, there is no definite report on the incidence of early imaging thrombosis after anterolateral small-incision total hip replacement. However, there is no definite report on the incidence of early imaging thrombosis after small-incision total hip replacement. The author has used the lateral OCM approach for routine total hip replacement since recent years, and reviewed the cases in this group and performed routine postoperative deep venography on all patients to clarify the incidence of thrombosis in small-incision total hip replacement surgery and to guide clinical thrombosis prevention, and the results showed that only 4% of patients developed deep vein thrombosis, and the recovery time and discharge time after surgery were greatly shortened, and they could be discharged to the ground to bear weight on the same day or the next day after surgery.