Rodriguez Hugo A, Viña Felipe, Muskus Meilyn A
Department of Orthopedics and Traumatology, Hospital Universitario Infantil de San José - Fundacion Universitaria de Ciencias de la Salud, Bogotá, Colombia.
Medical Surgeon, Fundación Universitaria de Ciencias de La Salud, Bogotá, Colombia.
Bone Jt Open. 2020 Nov 2;1(7):431-437. doi: 10.1302/2633-1462.17.BJO-2020-0058.R1. eCollection 2020 Jul.
In elderly patients with osteoarthritis and protrusio who require arthroplasty, dislocation of the hip is difficult due to migration of the femoral head. Traditionally, neck osteotomy is performed in situ, so this is not always achieved. Therefore, the purpose of this study is to describe a partial resection of the posterior wall in severe protrusio.
This is a descriptive observational study, which describes the surgical technique of the partial resection of the posterior wall during hip arthroplasty in patients with severe acetabular protrusio operated on between January 2007 and February 2017.
In all, 49 hip arthroplasties were performed. The average age of patients was 60 years, and idiopathic was the most frequent aetiology of protrusio. All patients were treated with femoral head autograft and no intra- or postoperative complications were reported. No patients required revision surgery.
Partial resection of the posterior wall demonstrated to be a safe surgical technique with 100% survival in a follow-up to ten years in total hip arthroplasty due to severe acetabular protrusio.Cite this article: 2020;1-7:431-437.
在患有骨关节炎和髋臼前突且需要进行关节置换术的老年患者中，由于股骨头移位，髋关节脱位很难实现。传统上，原位进行颈部截骨术，所以并不总是能成功。因此，本研究的目的是描述严重髋臼前突时后壁的部分切除术。
这是一项描述性观察研究，描述了2007年1月至2017年2月期间接受手术的严重髋臼前突患者在髋关节置换术中后壁部分切除术的手术技术。
共进行了49例髋关节置换术。患者的平均年龄为60岁，特发性是髋臼前突最常见的病因。所有患者均接受了自体股骨头移植治疗，未报告术中或术后并发症。没有患者需要翻修手术。
后壁部分切除术被证明是一种安全的手术技术，在因严重髋臼前突进行全髋关节置换术的十年随访中生存率为100%。引用本文：2020;1 - 7:431 - 437。
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