Skoff H D, Keggi K
Orthopedics. 1987 Mar;10(3):485-9. doi: 10.3928/0147-7447-19870301-15.
Hip subluxation occurs in 4% to 5% of Down's patients; adulthood coxarthrosis may result. Eight total hip replacements were performed in five Down's patients (ages 37 to 64 years) for painful coxarthrosis. The patients were followed for a mean of 4.3 years. The hip scores improved from an average of fair preoperatively to excellent postoperatively, with a Harris hip score of 92. All of the patients demonstrated clinical improvement and were cared for more easily by virtue of the procedure. There were no major complications. Total hip replacement should be considered a useful surgical option for the treatment of hip osteoarthritis in patients with Down's syndrome.
髋关节半脱位在4%至5%的唐氏综合征患者中出现；可能会导致成年期髋关节病。五名唐氏综合征患者（年龄37至64岁）因疼痛性髋关节病接受了8次全髋关节置换术。对患者平均随访4.3年。髋关节评分从术前的平均中等水平提高到术后的优秀水平，Harris髋关节评分为92分。所有患者均表现出临床改善，且由于该手术，护理变得更加容易。无重大并发症。全髋关节置换术应被视为治疗唐氏综合征患者髋关节骨关节炎的一种有效手术选择。
