Hartofilakidis George, Lampropoulou-Adamidou Kalliopi
George Hartofilakidis, Kalliopi Lampropoulou-Adamidou, Laboratory for the Research of Musculoskeletal System "Th. Garofalidis", Medical School, University of Athens, General Hospital of Athens KAT, Athens 14561, Greece.
World J Orthop. 2016 Dec 18;7(12):785-792. doi: 10.5312/wjo.v7.i12.785.
Orthopaedic surgeons specialising in adult hip reconstruction surgery often face the problem of osteoarthritis secondary to congenital hip disease (CHD). To achieve better communication among physicians, better treatment planning and evaluation of the results of various treatment options, an agreed terminology is needed to describe the entire pathology. Furthermore, a generally accepted classification of the deformities is necessary. Herein, the authors propose the use of the term "congenital hip disease" and its classification as dysplasia, low dislocation and high dislocation. Knowledge of the CHD natural history facilitates comprehension of the potential development and progression of the disease, which differs among the aforementioned types. This can lead to better understanding of the anatomical abnormalities found in the different CHD types and thus facilitate preoperative planning and choice of the most appropriate management for adult patients. The basic principles for improved results of total hip replacement in patients with CHD, especially those with low and high dislocation, are: Wide exposure, restoration of the normal centre of rotation and the use of special techniques and implants for the reconstruction of the acetabulum and femur. Application of these principles during total hip replacement in young female patients born with severe deformities of the hip joint has led to radical improvement of their quality of life.
专门从事成人髋关节重建手术的骨科医生经常面临先天性髋关节疾病（CHD）继发骨关节炎的问题。为了在医生之间实现更好的沟通、更好地进行治疗规划以及评估各种治疗方案的结果，需要一种商定的术语来描述整个病理情况。此外，还需要一种普遍接受的畸形分类方法。在此，作者提议使用“先天性髋关节疾病”这一术语，并将其分类为发育不良、低位脱位和高位脱位。了解CHD的自然病史有助于理解该疾病的潜在发展和进展情况，上述不同类型之间存在差异。这有助于更好地理解不同CHD类型中发现的解剖学异常，从而便于术前规划以及为成年患者选择最合适的治疗方法。改善CHD患者全髋关节置换效果的基本原则，尤其是那些低位和高位脱位患者的基本原则是：广泛暴露、恢复正常旋转中心以及使用特殊技术和植入物来重建髋臼和股骨。在为患有严重髋关节畸形的年轻女性患者进行全髋关节置换时应用这些原则，已使其生活质量得到了根本性改善。
