clary B B
South Med J. 1975 Jul;68(7):812-6. doi: 10.1097/00007611-197507000-00005.
An early evaluation of the Chiari pelvic osteotomy done on 19 hips in 16 patients is presented. Indications were: (1) congenital hip dysplasia, where conservative or other surgical treatment had failed or where the patient's age contraindicted conservative treatment, and (2) hypoplastic hip joints associated with neuromuscular disorders. Results were classified according to pain, limp, Trendelenburg sign, range of motion, and radiographic appearance. Follow-up, averaging 16 months, revealed the relief of pain and an increase of hip motion in many cases. However, the limp and positive Trendelenburg sign frequently persisted. The overall success rate was 69%.
本文对16例患者的19髋行Chiari骨盆截骨术进行了早期评估。适应证为：（1）先天性髋关节发育不良，保守治疗或其他手术治疗失败，或患者年龄不适合保守治疗；（2）与神经肌肉疾病相关的髋关节发育不良。根据疼痛、跛行、Trendelenburg征、活动范围和影像学表现对结果进行分类。平均随访16个月发现，许多病例疼痛缓解，髋关节活动增加。然而，跛行和Trendelenburg征阳性常常持续存在。总体成功率为69%。
