Renner L, Perka C, Zahn R
Klinik für Orthopädie, Centrum für Muskuloskeletale Chirurgie, Charite-Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, 10117, Berlin, Deutschland,
Orthopade. 2014 Jan;43(1):16-23. doi: 10.1007/s00132-013-2120-2.
Complex deformities of the acetabulum are one of the most common reasons for secondary pelvic osteoarthritis. One option of treatment is osteotomy of the acetabulum close to the joint. The correction of the spatially reduced roof of the femoral head resulting from pelvic dysplasia can minimize the risk of developing secondary osteoarthritis or reduce the progression of an already existing osteoarthritis. The Ganz periacetabular osteotomy (PAO) and Tönnis triple osteotomy procedures are the predominant methods used to correct hip dysplasia in adolescents. Both are complex procedures which bear specific risks and complications, thus requiring very experienced surgeons.
髋臼复杂畸形是继发性骨盆骨关节炎最常见的原因之一。一种治疗选择是在靠近关节处进行髋臼截骨术。矫正因骨盆发育不良导致的股骨头空间性降低的髋臼顶,可将继发性骨关节炎的发病风险降至最低,或减缓已存在的骨关节炎的进展。甘茨髋臼周围截骨术(PAO)和托尼三联截骨术是用于矫正青少年髋关节发育不良的主要方法。这两种都是复杂的手术,存在特定的风险和并发症,因此需要经验非常丰富的外科医生。