Objective To explore the effect of Direct Anterior Approach (DAA) and SuperPATH approach on elderly patients with hip arthroplasty and the recovery of joint function. Methods A total of 87 elderly patients with hip arthroplasty in our hospital were collected in the research. They were randomly divided into 43 cases in a control group (DAA scheme) and 44 cases in an observation group (SuperPATH approach scheme). The selected period was from July 2023 to August 2024. The surgical indicators, inflammatory factors, postoperative complications, hip indicators, muscle injury markers, bone metabolism, imaging, postoperative efficacy, VAS, BBS, JPS and pain media levels were compared between the two groups. Results Compared with the control group, the observation group had lower postoperative hospital stay, postoperative ambulation time, incision length, anesthesia time, intraoperative blood loss and total incidence, and higher postoperative drainage volume, external expansion Angle of acetabular prosthesis and excellent and good rate (P<0.05). One week after the operation, compared with the control group, the levels of TRACP-5b, CK, PGE2, interleukin-6, 5-HT, ALD, NO, erythrocyte sedimentation rate, LDH, C-reactive protein, CKMB, tumor necrosis factor -α, and β-CTx in observation group were lower, while the levels of ALP and PINP were higher (P<0.05). Six months after the operation, compared with the control group, the VAS score, the actual length of the lower extremities, the JPS score and the BBS score of observation group were worse (P<0.05). Conclusions SuperPATH approach in elderly patients with hip replacement can promote the recovery of hip function, with significant effect and fewer complications.
Key words
Direct anterior approach /
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SuperPATH /
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Hip replacement /
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Hip joint scale /
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Joint function recovery
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