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髋臼成形术的长期结果

[Long-term results of acetabuloplasty].

作者信息

Brüning K, Heinecke A, Tönnis D

机构信息

Orthopädische Klinik der Städtischen Kliniken Dortmund.

出版信息

Z Orthop Ihre Grenzgeb. 1988 May-Jun;126(3):266-73. doi: 10.1055/s-2008-1040202.

Abstract

The results of a modified acetabuloplasty after Albee-Lance performed simultaneously with a derotation-varusosteotomy (DVO) are investigated after cessation of growth. Measurements of the acetabulum have been normal or slightly pathologic after our classification system in 82-93%, while the values of the femoral head and neck showed a higher pathologic percentage. This is due to avascular necrosis after conservative or operative treatment, insufficient open reductions in a smaller number, but in the most cases caused by increased revalgisation after DVO. We have therefore performed acetabuloplasty since several years without DVO in the most cases, so far with good results.

摘要

在生长停止后,对同时进行Albee-Lance改良髋臼成形术与内旋内翻截骨术(DVO)的结果进行了研究。根据我们的分类系统,髋臼测量结果在82%至93%的病例中为正常或轻度病理状态,而股骨头和颈部的值显示出更高的病理百分比。这是由于保守或手术治疗后的缺血性坏死,少数病例复位不充分,但在大多数情况下是由DVO后再valgisation增加所致。因此,多年来我们在大多数病例中未进行DVO而进行髋臼成形术,迄今为止效果良好。

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