The effect of posterolateral reconstruction on range of motion and muscle strength in total hip arthroplasty

被引：27

作者：

Yamaguchi, T ^{[1
]}

Naito, M ^{[1
]}

Asayama, I ^{[1
]}

Kambe, T ^{[1
]}

Fujisawa, M ^{[1
]}

Ishiko, T ^{[1
]}

机构：

[1] Fukuoka Univ, Sch Med, Dept Orthopaed Surg, Johnan Ku, Fukuoka 8140180, Japan

来源：

JOURNAL OF ARTHROPLASTY | 2003年 / 18卷 / 03期

关键词：

total hip arthroplasty; posterolateral reconstruction; range of motion; circumferential muscle strength;

D O I：

10.1054/arth.2003.50060

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：

Posterolateral reconstruction of the posterior capsule, piriformis tendon, and external rotators in total hip arthroplasty improves the stability of the hip joint. This study was performed to evaluate the effect of this reconstruction on range of motion (ROM) and circumferential muscle strength. We selected 58 limbs of 29 patients. Posterolateral reconstruction was performed in 13 patients (reconstruction group). Posterolateral reconstruction was not performed in 16 patients (nonreconstruction group). No significant differences were seen in preoperative and postoperative ROM between the 2 groups. The reconstruction group had significantly higher abduction muscle strength (P<.0001) and external rotation muscle strength (P<.01) than the nonreconstruction group. Posterolateral reconstruction may be effective in promoting the recovery of abduction and external rotator muscle strength, and it can improve joint stability without limiting ROM.

引用

页码：347 / 351

页数：5

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