Grace J N, Sim F H, Shives T C, Coventry M B
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905.
J Bone Joint Surg Am. 1989 Mar;71(3):358-64.
Ten patients had a wedge resection of the symphysis pubis for the treatment of symptoms of osteitis pubis that had been recalcitrant to non-operative treatment for at least six months. Preoperatively, the average duration of symptoms was thirty-two months. The symptoms included a waddling gait and crepitus, pain, and tenderness over the symphysis pubis. The early radiographic signs of the disease were rarefaction of the adjacent pubic bones and widening of the symphysis pubis. Later signs included sclerosis and narrowing of the symphyseal joint space. Pathological examination of the resected joint revealed chronic inflammatory reaction in all patients. At an average of fourteen months postoperatively, all of the patients had marked improvement and were fully active. However, at an average of ninety-two months postoperatively, three of the ten patients were not satisfied with the result. One patient needed bilateral sacro-iliac arthrodesis for pain that was caused by instability.
十名患者因耻骨炎症状接受耻骨联合楔形切除术，这些症状对非手术治疗至少六个月无效。术前，症状的平均持续时间为32个月。症状包括摇摆步态、摩擦音、疼痛以及耻骨联合处压痛。该病早期的影像学表现为相邻耻骨骨质稀疏和耻骨联合增宽。后期表现包括关节硬化和耻骨联合关节间隙变窄。切除关节的病理检查显示所有患者均有慢性炎症反应。术后平均14个月时，所有患者均有明显改善且活动自如。然而，术后平均92个月时，十名患者中有三名对结果不满意。一名患者因不稳定导致疼痛，需要进行双侧骶髂关节融合术。
