Szulc W
Department of Orthopaedic Surgery, Medical Academy, Warsaw, Poland.
Int Orthop. 1989;13(4):227-9. doi: 10.1007/BF00268502.
A long-term review of 82 patients (117 hips) who had Colonna's operation for congenital dislocation of the hip has been carried out. Although early assessments had shown a high proportion of good results these deteriorated with time. At our latest review of 61 hips, with an average follow-up of 30 years, 34% had moderate, and 66% severe, osteoarthrosis; many of these patients now need a total hip replacement. We conclude that Colonna's operation is only indicated in a small number of cases. It should never be carried out over the age of 6 years, and only in younger children when there is severe underdevelopment of the acetabulum or where procedures which preserve the articular cartilage are unlikely to be successful.
对82例（117髋）因先天性髋关节脱位接受科隆纳手术的患者进行了长期随访。尽管早期评估显示有很高比例的良好结果，但随着时间推移这些结果逐渐恶化。在我们最近对61髋的随访中，平均随访时间为30年，34%的患者有中度骨关节炎，66%有重度骨关节炎；许多患者现在需要进行全髋关节置换。我们得出结论，科隆纳手术仅适用于少数病例。绝不应在6岁以上的患者中进行，仅适用于髋臼严重发育不良或保留关节软骨的手术不太可能成功的年幼儿童。
