Sofue M, Kono S, Kawaji W, Homma M
Department of Orthopaedics, Niigata University, Japan.
Int Orthop. 1989;13(2):129-33. doi: 10.1007/BF00266374.
We examined 40 patients (12 men, 28 women) who had undergone hip arthrodesis for severe osteoarthritis more than 15 years previously. Twenty-one cases were due to congenital dislocation of the hip. The age at fusion was mostly between 30 and 39 years. There was no case in which the position of fusion was unsatisfactory. At follow-up, 26 patients had back pain, 9 had pain in the same knee, 2 in the opposite knee and 3 had pain in both knees. Pain in the opposite hip occurred in 5 patients who had slight osteoarthritic changes on the preoperative radiographs. Every patient had been able to return to his or her previous occupation. Thirty-five had some difficulty in bending during Japanese-style sitting, but all could walk for more than 30 minutes without any difficulty. All but two were satisfied with the operation and none of them wanted to have a total hip replacement. In spite of the disadvantages of arthrodesis of the hip, such as the limitation of some activities and the effect on neighbouring joints, most patients were very satisfied with the result.
我们检查了40例患者（12名男性，28名女性），他们在15年多以前因严重骨关节炎接受了髋关节融合术。其中21例是由于先天性髋关节脱位。融合时的年龄大多在30至39岁之间。没有一例融合位置不满意。随访时，26例患者有背痛，9例同一膝关节疼痛，2例对侧膝关节疼痛，3例双膝疼痛。术前X线片有轻微骨关节炎改变的5例患者对侧髋关节疼痛。每位患者都能够恢复到以前的工作。35例患者在日式坐姿时弯腰有些困难，但所有人都能毫无困难地行走30多分钟。除2例患者外，所有患者对手术都很满意，且没有人希望进行全髋关节置换。尽管髋关节融合术存在一些缺点，如某些活动受限以及对相邻关节的影响，但大多数患者对结果非常满意。
