多方向粗隆间截骨术治疗原发性和继发性骨关节炎——15至29年的随访结果
Multi directional intertrochanteric osteotomy for primary and secondary osteoarthritis--results after 15 to 29 years.
作者信息
Haverkamp D, Eijer H, Patt T W, Marti R K
机构信息
Department of Orthopaedic Surgery, Academic Medical Centre, Meibergdreef 15, 1105 AZ, Amsterdam, The Netherlands.
出版信息
Int Orthop. 2006 Feb;30(1):15-20. doi: 10.1007/s00264-005-0024-4. Epub 2005 Dec 22.
Abstract
Between 1974 and 1987, 276 intertrochanteric osteotomies were performed in 217 patients. In 48 hips the osteotomy was done for idiopathic osteoarthritis. In 166 hips the osteoarthritis was secondary to acetabular dysplasia, in 23 to trauma, in 14 to slipped capital femoral epiphysis, in five to Legg-Calvé-Perthes' disease and in 20 to avascular necrosis of the femoral head. Good results were achieved in young females with mild osteoarthritis secondary to acetabular dysplasia, and in patients with posttraumatic osteoarthritis. All other indications showed a poorer long-term survival. Our study shows that acetabular dysplasia and posttraumatic arthritis remain valid indications for intertrochanteric osteotomy.
摘要
1974年至1987年间，对217例患者实施了276例转子间截骨术。其中48髋因特发性骨关节炎行截骨术。166髋的骨关节炎继发于髋臼发育不良，23髋继发于创伤，14髋继发于股骨头骨骺滑脱，5髋继发于Legg-Calvé-Perthes病，20髋继发于股骨头缺血性坏死。髋臼发育不良继发轻度骨关节炎的年轻女性患者以及创伤后骨关节炎患者取得了良好效果。所有其他适应证的长期生存率较低。我们的研究表明，髋臼发育不良和创伤后关节炎仍然是转子间截骨术的有效适应证。
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