Nishina T, Saito S, Ohzono K, Shimizu N, Hosoya T, Ono K
Department of Orthopaedic Surgery, Osaka University Medical School, Japan.
J Bone Joint Surg Br. 1990 Sep;72(5):765-9. doi: 10.1302/0301-620X.72B5.2211751.
We assessed the results of Chiari pelvic osteotomy in 64 hips with early osteoarthritis in terms of acetabular labral detachment detected pre-operatively by arthrography. At an average follow-up of four years, assessment by the Merle d'Aubigńe score showed 83% excellent or good results. These satisfactory results were achieved in only half the cases with a detached labrum, but in nearly all cases with normal or torn acetabular labra. Other factors such as the acetabular index, the level and angle of osteotomy, and the displacement following osteotomy did not affect the results. Chiari pelvic osteotomy is a worthwhile procedure for early osteoarthritis in selected cases, but a detached acetabular labrum increases the risk of clinical failure.
我们根据术前关节造影检测到的髋臼盂唇分离情况，评估了Chiari骨盆截骨术治疗64例早期骨关节炎髋关节的结果。平均随访四年时，根据Merle d'Aubigné评分进行评估，结果显示83%为优或良。仅半数盂唇分离的病例取得了这些满意的结果，但几乎所有髋臼盂唇正常或撕裂的病例都取得了满意的结果。髋臼指数、截骨水平和角度以及截骨后的移位等其他因素并未影响结果。对于某些特定病例的早期骨关节炎，Chiari骨盆截骨术是一种值得采用的手术方法，但髋臼盂唇分离会增加临床失败的风险。
