髋臼发育不良骨盆截骨术后全髋关节置换术：一项系统评价。
Total hip arthroplasty after pelvic osteotomy for acetabular dysplasia: A systematic review.
作者信息
Shapira Jacob, Annin Shawn, Rosinsky Philip J, Maldonado David R, Lall Ajay C, Domb Benjamin G
机构信息
American Hip Institute Research Foundation, Chicago, IL, 60018, USA.
American Hip Institute, Chicago, IL, 60018, USA.
出版信息
J Orthop. 2021 Apr 21;25:112-119. doi: 10.1016/j.jor.2021.04.001. eCollection 2021 May-Jun.
Abstract
The purposes were (1) to investigate and compare the findings of patients undergoing total hip arthroplasty (THA) following a corrective pelvic osteotomy (PO), to a control group of patients who underwent THA but not PO and (2) to evaluate the outcomes and complications for secondary THA after PO. Three studies recorded reduced cup anteversion in the osteotomy group. Two studies reported higher PROs for the control group. The most common complication after failed PAO was dislocations. PO may entail challenges on a subsequent THA, illustrated by higher intraoperative blood loss, lower consistency in cup positioning and compromised patients reported outcomes.
摘要
目的是
（1）调查并比较接受矫正骨盆截骨术（PO）后行全髋关节置换术（THA）的患者与接受THA但未行PO的对照组患者的研究结果；（2）评估PO后二次THA的结果和并发症。三项研究记录了截骨术组髋臼前倾角减小。两项研究报告对照组的患者报告结局（PROs）更高。PAO失败后最常见的并发症是脱位。PO可能给后续的THA带来挑战，表现为术中出血量增加、髋臼定位一致性降低以及患者报告结局受损。
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