Watillon M, Maquet P
Acta Orthop Belg. 1990;56(1 Pt B):371-7.
Pauwel's osteotomies unquestionably have a place in the treatment of the osteoarthritic consequences of subluxated dysplastic hips. They provide excellent and lasting results when the indication is correct and the surgical procedure is carried out properly. We recommend a varus osteotomy for coxa valga with subluxation presenting with a dense triangle at the edge of the socket and congruent joint surfaces in abduction; a valgus osteotomy when the femoral head and the acetabulum are considerably deformed, with a dense triangle at the edge of the socket and with the joint surfaces congruent in adduction only. When the outcome is questionable owing to the joint configuration, above all in the elderly, we suggest a total hip replacement.
Pauwel截骨术在治疗发育不良性髋关节半脱位所致骨关节炎后果方面无疑占有一席之地。当适应证选择正确且手术操作得当，它们能带来极佳且持久的效果。对于伴有半脱位的髋外翻，若髋臼边缘有致密三角形且外展时关节面匹配，我们推荐内翻截骨术；当股骨头和髋臼明显变形，髋臼边缘有致密三角形且仅在内收时关节面匹配，则行外翻截骨术。当由于关节结构导致预后存疑时，尤其是对于老年人，我们建议行全髋关节置换术。
