Sassoon Adam A, Trousdale Robert T
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Orthop Clin North Am. 2012 Jul;43(3):387-93. doi: 10.1016/j.ocl.2012.05.006. Epub 2012 Jun 13.
The purpose of this article is to outline key technical considerations in the performance of total hip arthroplasty after common osteotomies of both the proximal femur and acetabulum. Attention is called to anatomic variation, both innate and incurred. After a femoral osteotomy, specific focus should be placed on incision selection, residual hardware management, abductor handling, and proper version establishment. After a periacetabular osteotomy, similar concern should be granted to cup position and fixation. Results of total hip arthroplasty after common osteotomies are also reviewed and importance of these issues highlighted.
本文旨在概述股骨近端和髋臼常见截骨术后全髋关节置换术的关键技术要点。文中提请注意先天性和后天性的解剖变异。股骨截骨术后，应特别关注切口选择、残余内固定物处理、外展肌处理以及正确的前倾角确定。髋臼周围截骨术后，同样应关注髋臼杯的位置和固定。本文还回顾了常见截骨术后全髋关节置换术的结果，并强调了这些问题的重要性。
