Millis M B, Poss R, Murphy S B
Instr Course Lect. 1992;41:145-54.
Osteoarthritis of the hip is common in our society, even in the relatively young patient. Most of this osteoarthritis is mechanical in etiology and is secondary to residual deformity from developmental hip disease. This type of osteoarthritis can often be predicted and prevented if the causative excessive joint pressures are reduced in a timely fashion by corrective osteotomy. Realigning pelvic or intertrochanteric osteotomy of this preventive type is termed reconstructive; those osteotomies performed after osteoarthritis is established are termed salvage. Corrective osteotomy will be clinically successful only if the mechanical etiology for the potential or established osteoarthritis is clear and if the osteotomy succeeds in reducing the pathologically excessive joint loads. The clinical success of osteotomy also requires precise technical planning preoperatively and careful operative technique.
髋关节骨关节炎在我们的社会中很常见，即使在相对年轻的患者中也是如此。这种骨关节炎大多病因是机械性的，继发于发育性髋关节疾病残留的畸形。如果通过矫正截骨术及时降低导致关节压力过大的因素，这种类型的骨关节炎通常是可以预测和预防的。这种预防性的骨盆或转子间截骨术被称为重建性截骨术；在骨关节炎形成后进行的截骨术被称为挽救性截骨术。只有当潜在或已确诊的骨关节炎的机械性病因明确，且截骨术成功减轻了病理性过度的关节负荷时，矫正截骨术才会在临床上取得成功。截骨术的临床成功还需要术前精确的技术规划和仔细的手术操作。
