[青少年及成人中根据托尼尼斯法进行三联骨盆截骨术的临床及影像学短期和中期结果]

[Clinical and radiological short- and mid-term results of triple pelvic osteotomy according to Tönnis in adolescents and adults].

作者信息

Kirschner S, Raab P, Wild A, Krauspe R

机构信息

Orthopädische Klinik der Julius-Maximilians-Universität Würzburg, Würzburg, Germany.

出版信息

Z Orthop Ihre Grenzgeb. 2002 Sep-Oct;140(5):523-6. doi: 10.1055/s-2002-34012.

DOI:10.1055/s-2002-34012

PMID:12226777

Abstract

AIM

We report our clinical and radiological results after triple pelvic osteotomy according to Tönnis and accompanying femoral osteotomies in selected cases.

METHOD

48 patients were evaluated in a retrospective study with an average follow-up to 2 years and 9 months.

RESULTS

In 68 % of our patients excellent to good results in the Harris Hip Score were achieved. We could significantly decrease pain awareness. The CE angle improved significantly from 10.6 degrees to 32.2 degrees and the acetabular angle of the weight-bearing zone according to Bombelli from 20.8 degrees to 3.8 degrees at the last follow-up. The VCA angle according to Lequesne and de Seze improved from 18.6 degrees to 33.5 degrees. Non-union of the ischial or the pubic bone developed in 7 cases as a relevant complication.

CONCLUSION

On the basis of our results and the literature, the triple pelvic osteotomy according to Tönnis can be recommended for the treatment of acetabular dysplasia in adolescents and adults.

摘要

目的

我们报告在选定病例中根据托尼斯（Tönnis）方法进行三联骨盆截骨术及相应股骨截骨术后的临床和放射学结果。

方法

在一项回顾性研究中对48例患者进行了评估，平均随访时间为2年9个月。

结果

68%的患者在Harris髋关节评分中获得了优良结果。我们能够显著降低疼痛感知。末次随访时，CE角从10.6度显著改善至32.2度，根据邦贝利（Bombelli）方法测量的负重区髋臼角从20.8度改善至3.8度。根据勒凯斯内（Lequesne）和德塞兹（de Seze）方法测量的VCA角从18.6度改善至33.5度。7例出现坐骨或耻骨骨不连，这是一种相关并发症。