人工髋关节置换术(THA)自问世来，因其较好的临床效果，已被证明是一项成熟的外科技术。然而
常规术式切口长、创伤大、关节功能恢复时间久以及术后遗留瘢痕影响美观，易延缓康复、增加病人心理负担。
如何进一步减小创伤、减少并发症、促进病人早日康复是许多骨科学者面临的问题。近年来逐步发展的微创髋
关节置换术(mini － THA)通过改进手术入路、运用特殊的手术器具，在一个(或两个) 较小的切口内精细完成全
髋关节假体置换，已受到越来越多骨科医师及病人的关注。本文就不同手术入路做综合概述。

Total hip arthroplasty(THA)has been proved mature for its curative effect since coming
out． Meanwhile，the large cut of former routine approaches has always caused a huge damage of related
tissues intraoperatively as well as a ugly scar postoperatively which not only lead to a long time for recovery
but also a heavy mental burden because of the cosmetic defect． Therefore how to reduce damage
of the cut，decrease complications perioperatively and promote a faster recovery has remained a problem
for orthopedic field． Currently，mini － THA has arisen public attention from both operators and the operated
which combines ameliorated surgical approaches，special instruments and one or two modified
smaller cuts through which joint gets replaced and prosthesis implanted accurately． The purpose of this
review is to describe the different approaches and effects of mini － THA that have been gradually developed
at present．

R274． 22

 收稿日期:2013 － 12 － 07;修回日期:2014 － 04 － 02
基金项目:南京市医学科技发展项目(YKK12060)
作者简介:闵令田(1989 － )，男，南京中医药大学2007 级中西医结合本硕连读。
通讯作者:翁文杰，主任医师，博士，E － mail:wengwenjie@ medmail． com． cn 南京市鼓楼医院，210000