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[全关节置换术前的外翻截骨术]

[Valgus osteotomies preceding total endoprosthesis].

作者信息

Reichel F

机构信息

Orthopädischen Klinik, Bergarbeiter-Krankenhauses Erlabrunn.

出版信息

Zentralbl Chir. 1989;114(12):777-87.

PMID:2763745
Abstract

A progress report is presented in this paper on 172 follow-up checks of cases with valgus osteotomy of the hip. Patients aged between 25 and 45 years with advanced coxarthrosis and severe deformations of the hip joint were predominant on the list. Valgus osteotomy, using surgical techniques according to Pauwels and Bombelli, proved successful under these conditions in 85 per cent of all cases. Those good results were reflected in lasting reduction of pain and maintenance of adequate articular functionality. Bridging of the time gap up to endoprosthetic replacement at age levels of 50 or 60 years has been considered another benefit of the method. There were no severe complications. The failure rate was clearly increased among patients with overweight.

摘要

本文给出了一份关于172例髋关节外翻截骨病例随访检查的进展报告。名单上以年龄在25至45岁之间、患有晚期髋关节病和严重髋关节畸形的患者为主。在这些情况下,采用 Pauwels 和 Bombelli 的手术技术进行外翻截骨,在所有病例中有85% 取得了成功。这些良好的结果体现在疼痛的持续减轻和关节功能的维持上。该方法的另一个好处是在50或60岁进行人工关节置换之前的这段时间里起到了过渡作用。没有出现严重并发症。超重患者的失败率明显增加。

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