Prokhorov V P
Ortop Travmatol Protez. 1989 Oct(10):62-6.
The author has analysed the structure of disability of 142 patients with degenerative and dystrophic diseases of the hip joint (91 with coxarthrosis and 51 with osteonecrosis of the femoral head) after studying its dynamics for 3 to 10 years. Among coxarthroses the share of posttraumatic ones was especially significant, which was often due to inadequate treatment of the displaced trans-articular++ fractures of the pelvis. Attention is paid to a considerable occurrence of idiopathic osteonecrosis (up to 1/3 of the whole number of cases with degenerative and dystrophic pathology of the hip joint). A necessity of differential approach to these patients during the examination is stressed with more decisive acknowledgement of group 2 of disability at stage I and II of the disease with compulsory early surgical treatment which may prevent the development of persistent disability. At the same time the surgical treatment of coxarthrosis (intertrochanteric osteotomy), while contributing to a stabilization of the process, hardly affects the dynamics of disability.
作者在对142例髋关节退行性和营养不良性疾病患者（91例髋关节病和51例股骨头坏死）的残疾结构进行了3至10年的动态研究后进行了分析。在髋关节病中，创伤后病例的比例尤为显著，这通常是由于骨盆移位经关节骨折治疗不当所致。特发性骨坏死的发生率相当高（占髋关节退行性和营养不良性病变病例总数的1/3）受到关注。强调在检查期间对这些患者采用差异化方法的必要性，在疾病的I期和II期更果断地认定为2级残疾，并强制进行早期手术治疗，这可能防止持续性残疾的发展。同时，髋关节病的手术治疗（转子间截骨术）虽然有助于病情稳定，但对残疾动态影响不大。
