Lemaire R, Gillet P
Service de Chirurgie de l'Appareil Locomoteur, Centre Hospitalier Universitaire de Liège, Belgique.
Acta Orthop Belg. 1990;56(1 Pt B):379-86.
This operation, first described by König at the end of the 19th century, continues to have some indications. This simple operation should be performed with a very precise technique: the new shelf is placed at the rim of the acetabulum on the capsule; the shelf should be solid and well-fitting, making any secondary displacement impossible, even when the patient is walking. The hip should be covered anteriorly and superiorly. The main indication is a dysplastic acetabulum, especially with a vertical roof. The best results are seen after operation on dysplastic hips without osteoarthritis; when osteoarthritis is present, the results are less good. The procedure is generally indicated only in patients younger than 45 years and it is relatively contraindicated in patients over 50 years old. It is very important to discuss the indication for this operation with the patient; it is a prophylactic measure performed on a hip with normal mobility and little pain.
这种手术最早由柯尼希在19世纪末描述，至今仍有一些适应证。这种简单的手术应采用非常精确的技术进行：新的髋臼盖放置在髋臼边缘的关节囊上；髋臼盖应坚固且贴合良好，即使患者行走时也不可能发生任何继发性移位。髋关节应从前侧和上侧覆盖。主要适应证是髋臼发育不良，尤其是髋臼顶垂直的情况。在没有骨关节炎的发育不良髋关节手术后效果最佳；存在骨关节炎时，效果较差。该手术一般仅适用于45岁以下的患者，50岁以上的患者相对禁忌。与患者讨论该手术的适应证非常重要；这是对活动正常且疼痛轻微的髋关节采取的一种预防措施。
