Maistrelli G, Fusco U, Avai A, Bombelli R
Department of Orthopaedics, Busto Arsizio General Hospital, Italy.
J Bone Joint Surg Br. 1988 Nov;70(5):761-6. doi: 10.1302/0301-620X.70B5.3192575.
We have reviewed the results of 106 intertrochanteric osteotomies performed for osteonecrosis of the femoral head. The average age at operation was 47.5 years. At two years from operation 71% of the hips had a clinically satisfactory result and at final follow-up, an average of 8.2 years after operation, 58% continued to have excellent or good rating. Twenty-four hips had needed total replacement or arthrodesis because of pain. Patients aged less than 55 did better than those operated on after that age, and hips with an idiopathic or post-traumatic aetiology did considerably better than alcohol-induced or steroid-induced cases. In view of these findings we believe that in the younger adult, in the absence of metabolic bone disease or advanced joint destruction, intertrochanteric osteotomy should be considered for the treatment of osteonecrosis.
我们回顾了106例因股骨头坏死而进行转子间截骨术的结果。手术时的平均年龄为47.5岁。术后两年，71%的髋关节临床效果令人满意；在最后随访时，平均术后8.2年，58%的髋关节仍评定为优或良。有24例髋关节因疼痛需要进行全髋关节置换或关节融合术。年龄小于55岁的患者比该年龄之后接受手术的患者效果更好，特发性或创伤后病因的髋关节比酒精性或类固醇性病因的病例效果好得多。鉴于这些发现，我们认为，对于较年轻的成年人，在没有代谢性骨病或关节严重破坏的情况下，转子间截骨术可考虑用于治疗股骨头坏死。
