成人髋臼发育不良的微创髋臼周围截骨术
[Minimally invasive periacetabular osteotomy for adult hip dysplasia].
作者信息
Wassilew Georgi I, Hofer Andre, Rakow Anastasia, Gebhardt Sebastian, Hoffmann Manuela, Janz Viktor, Zimmerer Alexander
机构信息
Klinik und Poliklinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Greifswald, 17475, Greifswald, Deutschland.
ARCUS Kliniken, Rastatterstr. 17-19, 75179, Pforzheim, Deutschland.
出版信息
Oper Orthop Traumatol. 2022 Aug;34(4):275-294. doi: 10.1007/s00064-022-00771-w. Epub 2022 May 18.
OBJECTIVE
Performance of a periacetabular osteotomy (PAO) using a minimally invasive approach for three-dimensional correction of the acetabular position.
INDICATIONS
Symptomatic developmental dysplasia of the hip in adolescents and adults.
CONTRAINDICATIONS
Advanced osteoarthritis of the hip, incongruence of the hip joint surfaces.
SURGICAL TECHNIQUE
A periacetabular osteotomy is performed via a minimally invasive approach.
RESULTS
In total, 39 patients were followed up for 3.5 (3-4.5) years. The lateral center-edge angle of Wiberg increased significantly from 16.1° (7-24°) to 30.5° (25-37°) (p < 0.0001), the acetabular index changed from 13.2° (2-25.3°) to 2.8° (-3-13°; p < 0.0001). Mean duration of surgery was 88 (57-142) minutes. No major complications occurred.
目的
采用微创方法进行髋臼周围截骨术（PAO）以对髋臼位置进行三维矫正。
适应症
青少年及成人有症状的发育性髋关节发育不良。
禁忌症
髋关节晚期骨关节炎，髋关节表面不匹配。
手术技术
通过微创方法进行髋臼周围截骨术。
结果
总共39例患者接受了3.5（3 - 4.5）年的随访。维伯格外侧中心边缘角从16.1°（7 - 24°）显著增加至30.5°（25 - 37°）（p < 0.0001），髋臼指数从13.2°（2 - 25.3°）变为2.8°（-3 - 13°；p < 0.0001）。平均手术时间为88（57 - 142）分钟。未发生重大并发症。
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