Zlatić M, Radojević B, Lazović C, Lupulović I
University Orthopaedic Hospital, Banjica, Belgrade, Yugoslavia.
Int Orthop. 1988;12(2):149-54. doi: 10.1007/BF00266981.
Between 1971 and 1985, 461 adult patients were treated by Chiari's pelvic osteotomy with medial displacement. Of these, 161 patients (171 hips) were followed up for an average of 9 years. The average age at operation was 29 years. We describe five groups of painful dysplastic hips in which the operation is indicated. Clinical evaluation by Colton's rating system gave 84% of excellent, good or fair results. Radiographs showed that the secondary osteoarthritic changes were arrested in 73%, improved in 11% and that there was deterioration in 16%. Pain was largely or completely relieved in 87%, the range of movement was maintained in 80% and the gait improved in 77% of our cases. The late results were better in younger patients. We conclude that improved biomechanical conditions are responsible for good congruency of the joint which is preserved for a long time.
1971年至1985年间，461例成年患者接受了Chiari骨盆内移截骨术治疗。其中，161例患者（171髋）平均随访9年。手术时的平均年龄为29岁。我们描述了五类适合进行该手术的疼痛性发育不良髋关节。采用Colton评分系统进行临床评估，结果显示84%为优、良或可。X线片显示，73%的患者继发性骨关节炎改变得到阻止，11%有所改善，16%出现恶化。87%的患者疼痛大部分或完全缓解，80%的患者活动范围得以维持，77%的患者步态得到改善。年轻患者的远期效果更好。我们得出结论，生物力学条件的改善是关节长期保持良好匹配性的原因。
