Sofu Hakan, Kockara Nizamettin, Gursu Sarper, Issin Ahmet, Oner Ali, Sahin Vedat
Erzincan University Faculty of Medicine, Erzincan, Turkey.
Baltalimani Bone and Joint Diseases Hospital, Istanbul, Turkey.
J Arthroplasty. 2015 Jun;30(6):1019-23. doi: 10.1016/j.arth.2015.01.045. Epub 2015 Feb 2.
The purpose of this study was to review the outcomes of transverse subtrochanteric shortening osteotomy during cementless total hip arthroplasty in Crowe Type-III or IV developmental dysplasia. Seventy-three osteotomies were included in our study. Mean follow-up was 61 months. Harris hip score, leg length discrepancy, neurological status, union status of the osteotomy, and femoral component stability were the criteria for evaluation. All complications were noted. The mean Harris hip score improved from 38.6 points to 83.7 points. The mean leg length discrepancy decreased from 56.5 mm to 10.7 at the latest follow-up. The mean union time was 5.2 months. We observed 4 non-unions. Transverse subtrochanteric shortening osteotomy is an effective and reliable method in restoration of a more normal limb.
本研究的目的是回顾在Crowe III型或IV型发育性髋关节发育不良的非骨水泥型全髋关节置换术中，转子下横向缩短截骨术的疗效。我们的研究纳入了73例截骨术。平均随访时间为61个月。评估标准包括Harris髋关节评分、下肢长度差异、神经状态、截骨愈合情况以及股骨组件稳定性。记录所有并发症。Harris髋关节评分平均从38.6分提高到83.7分。在最近一次随访时，平均下肢长度差异从56.5毫米降至10.7毫米。平均愈合时间为5.2个月。我们观察到4例不愈合。转子下横向缩短截骨术是恢复肢体更正常状态的一种有效且可靠的方法。
