Mau H
Orthopädische Universitätsklinik, Tübingen.
Z Orthop Ihre Grenzgeb. 1991 Mar-Apr;129(2):141-5. doi: 10.1055/s-2008-1040173.
With sound operative procedures we try to approach the operative goal as closely as possible not only technically by control of the primary operation. We have also to consider the less regulable reactions of the postoperative functional adaptation of the locomotor system when planning an operation. With this in mind we ought to reevaluate our indications and operative methods not the least from a forensic point of view. Some sound and unsound procedures are discussed with the sole intertrochanteric osteotomy for treatment of acetabular dysplasia in childhood as a negative example, because of it's-physiological-tendency towards revalgisation.
通过合理的手术操作程序，我们不仅试图在技术上通过控制初次手术尽可能接近手术目标。在规划手术时，我们还必须考虑运动系统术后功能适应中较难调控的反应。考虑到这一点，我们至少应该从法医的角度重新评估我们的适应症和手术方法。本文以儿童髋臼发育不良的单纯转子间截骨术为例进行了正反两方面的讨论，因为它具有生理上的再外翻倾向。
