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[Steel三联截骨术治疗先天性髋关节发育不良所致髋关节骨关节炎的初步经验]

[Initial experience with the Steel triple osteotomy in the treatment of arthrosis of the hip joint as a result of congenital hip dysplasia].

作者信息

Rejholec M, Rybka V, Popelka S, Sadil K

出版信息

Acta Chir Orthop Traumatol Cech. 1989 Jul;56(4):294-302.

PMID:2800863
Abstract

The age of the patients was 18 to 40 years (mean age 32 years), the interval after operation was 5 months to 3 years (mean 17 months). In all 8 patients proper covering of the head was achieved, CE angle 25-45 degrees, mean gain of CE angle 35 degrees. The X-ray picture revealed widening of the articular space and reabsorption of arthritic pseudocysts. As regards the clinical picture, marked regression of complaints was recorded. Osteotomy of the pelvis according to Steele prolongs the vitality of the hip joint: a) by increasing the contact surface in the hip joint, b) by shifting the till then minimally burdened and thus minimally usurated cartilage into the zone of the main burdening, c) the usurated cartilage, on the other hand, is shifted beyond this zone. Moreover, osteotomy of the pelvis prepares a bed for anchoring of the cup of a possible future prosthesis. The above facts are advantages, as compared with different types of osteotomies of the femur, which moreover may in future cause further complications of the implantation of the femoral component of the artificial joint.

摘要

患者年龄为18至40岁(平均年龄32岁),术后间隔时间为5个月至3年(平均17个月)。所有8例患者均实现了头部的良好覆盖,CE角为25至45度,CE角平均增加35度。X线片显示关节间隙增宽和关节炎性假囊肿吸收。就临床表现而言,记录到症状明显减轻。根据Steele法进行的骨盆截骨术可延长髋关节的使用寿命:a)通过增加髋关节的接触面积;b)将此前负荷最小、因此磨损最小的软骨转移到主要负荷区域;c)另一方面,磨损的软骨被转移到该区域之外。此外,骨盆截骨术为未来可能植入的假体髋臼提供了锚固床。与不同类型的股骨截骨术相比,上述事实具有优势,而且股骨截骨术未来可能会导致人工关节股骨部件植入的进一步并发症。

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Acta Chir Orthop Traumatol Cech. 1989 Jul;56(4):294-302.
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