Badra Mohammad I, Anand Ashish, Straight Joseph J, Sala Debra A, Ruchelsman David E, Feldman David S
New York University Hospital for Joint Diseases, New York, NY 10003, USA.
Orthopedics. 2008 Jan;31(1):69. doi: 10.3928/01477447-20080101-03.
This study evaluated functional outcome following Bernese periacetabular osteotomy. In 24 patients with mean follow-up of 3.5 years, mean dysfunction score was 15.23 on the Short Musculoskeletal Function Assessment. Eighteen patients (75%) scored = or <20, indicating a high functional level. Irrespective of preoperative Shenton line continuity, most patients demonstrated a high functional level. However, a trend toward a poorer outcome was observed in patients with preoperative noncongruent joints and Tonnis osteoarthritis grade 3. These results suggest patients with less than optimal presentation may still benefit from this surgery, delaying or eliminating the need for total hip arthroplasty.
本研究评估了伯尔尼髋臼周围截骨术后的功能结局。24例患者平均随访3.5年,在简短肌肉骨骼功能评估中,功能障碍平均评分为15.23。18例患者(75%)评分≤20分,表明功能水平较高。无论术前Shenton线是否连续,大多数患者功能水平较高。然而,术前关节不匹配和Tonnis骨关节炎3级的患者有预后较差的趋势。这些结果表明,表现欠佳的患者仍可能从该手术中获益,从而推迟或避免全髋关节置换的需要。