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Spitzy髋臼成形术治疗残余髋关节发育不良后的无痛期——47例儿童和青年的长期研究

Painless period after Spitzy shelf operation for residual hip dysplasia-A long-term study of 47 children and young adults.

作者信息

Holm Anne Guro Vreim, Reikerås Olav, Terjesen Terje

机构信息

Oslo University Hospital, Department of Orthopaedics, Oslo, Norway.

University of Oslo, Norway.

出版信息

J Orthop. 2018 Feb 28;15(1):196-200. doi: 10.1016/j.jor.2018.01.007. eCollection 2018 Mar.

Abstract

OBJECTIVE

To study the effects of the Spitzy shelf operation on hip pain.

METHOD

A modified Spitzy shelf procedure was performed in 60 hips with residual hip dysplasia. The mean age at surgery was 11.7 years (range 5.5-22.4 years).

RESULTS

Twenty-one hips had pain preoperatively. One year postoperatively 57 hips (95%) were painless. The mean postoperative painless period in patients with >10 years follow-up was 24.1 years (range 5.0-51.5 years). The only independent predictor of long duration of painlessness was preoperative CE angle ≥10°.

CONCLUSION

The Spitzy procedure had favorable short- and long-term effects on hip pain.

摘要

目的

研究施皮茨髋臼加盖术对髋关节疼痛的影响。

方法

对60例残留髋关节发育不良的患者实施改良施皮茨髋臼加盖术。手术时的平均年龄为11.7岁(范围5.5 - 22.4岁)。

结果

21例髋关节术前有疼痛。术后1年,57例(95%)髋关节无痛。随访时间>10年的患者术后无痛的平均时长为24.1年(范围5.0 - 51.5年)。术前中心边缘角≥10°是无痛持续时间长的唯一独立预测因素。

结论

施皮茨手术对髋关节疼痛有良好的短期和长期效果。

相似文献

本文引用的文献

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Early deterioration after modified rotational acetabular osteotomy for the dysplastic hip.
J Bone Joint Surg Br. 1997 Mar;79(2):220-4. doi: 10.1302/0301-620x.79b2.7202.
9
A long-term review of shelf arthroplasty.肩关节置换术的长期回顾
J Bone Joint Surg Br. 1980 Aug;62(3):321-5. doi: 10.1302/0301-620X.62B3.7410463.

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