Mimura Tomohiro, Mori Kanji, Kawasaki Taku, Imai Shinji, Matsusue Yoshitaka
Tomohiro Mimura, Kanji Mori, Taku Kawasaki, Shinji Imai, Yoshitaka Matsusue, Department of Orthopaedic Surgery, Shiga University of Medical Science,Tsukinowa-cho, Shiga 520-2192, Japan.
World J Orthop. 2014 Jan 18;5(1):14-22. doi: 10.5312/wjo.v5.i1.14.
A wide variety of pelvic osteotomies have been developed for the treatment of developmental dysplasia of the hip (DDH). In the present paper, we present a detailed review of previous studies of triple osteotomy as an alternative treatment for DDH. We also report our experience treating 6 adult cases of DDH by triple osteotomy in order to highlight the various aspects of this procedure.The mean age of our patients was 31.2 years with a mean follow-up period of 6 years. We assessed range of motion, center-edge angle, acetabular index angle, Sharp angle, acetabulum head index, head lateralization index, Japanese Orthopedic Association score, Harris hip score, patient satisfaction, and the difference between lower limb lengths before and after the procedure. At final follow-up, clinical scores were significantly improved and radiographic parameters also showed good correction of acetabulum.
为治疗发育性髋关节发育不良(DDH),人们已研发出多种骨盆截骨术。在本文中,我们对先前关于三联截骨术作为DDH替代治疗方法的研究进行了详细综述。我们还报告了采用三联截骨术治疗6例成年DDH患者的经验,以突出该手术的各个方面。我们患者的平均年龄为31.2岁,平均随访期为6年。我们评估了活动范围、中心边缘角、髋臼指数角、夏普角、髋臼头指数、股骨头侧化指数、日本骨科协会评分、Harris髋关节评分、患者满意度以及手术前后下肢长度的差异。在最终随访时,临床评分显著改善,影像学参数也显示髋臼得到了良好矫正。