Slavković Nemanja, Vukasinović Zoran, Apostolović Milan, Vukomanović Boris
School of Medicine, University of Belgrade, Belgrade, Serbia.
Institute of Orthopaedic Surgery Banjica, Belgrade, Serbia.
Srp Arh Celok Lek. 2013 Sep-Oct;141(9-10):710-4. doi: 10.2298/sarh1310710s.
Chiari pelvic osteotomy is a surgical procedure having been performed for almost sixty years in patients with the insufficient coverage of the femoral head. It is most frequently used in young patients with dysplastic acetabular sockets as a part of developmental hip dysplasia. Even though performance of the Chiari osteotomy is associated with positive therapeutical results, above all, its main goal is to delay inevitable degenerative changes. Original surgical technique has been modified and improved over time. Nevertheless, the basic idea has remained unchanged--increasing of the femoral head coverage by medial displacement of the distal partof the pelvis along with capsular interpositioning. Given the complexity of operation, the complication percentage is rather low. Chiari pelvic osteotomy has lost its actuality and importance during this past six decades. The role of Chiari pelvic osteotomy has been considerably taken over by other more efficient and more lasting surgical procedures. Nonetheless, Chiari pelvic osteotomy is still present in modern orthopedic practice, above all as,salvage" osteotomy.
Chiari骨盆截骨术是一种已在股骨头覆盖不足的患者中实施了近60年的外科手术。它最常用于髋臼发育不良的年轻患者，作为发育性髋关节发育不良治疗的一部分。尽管Chiari截骨术的实施带来了积极的治疗效果，但最重要的是，其主要目标是延缓不可避免的退行性改变。随着时间的推移，原始手术技术已经得到了改进和完善。然而，基本理念保持不变——通过骨盆远端的内侧移位以及关节囊置入来增加股骨头的覆盖。鉴于手术的复杂性，并发症发生率相当低。在过去的六十年里，Chiari骨盆截骨术已失去了其现实意义和重要性。Chiari骨盆截骨术的作用已被其他更有效、更持久的外科手术相当程度地取代。尽管如此，Chiari骨盆截骨术在现代骨科实践中仍然存在，尤其是作为“挽救性”截骨术。
