Eyb R, Kotz R
Arch Orthop Trauma Surg (1978). 1987;106(3):161-7. doi: 10.1007/BF00452203.
The early and late results of 39 transtrochanteric anterior rotational osteotomies of Sugioka, performed since 1975 in idiopathic aseptic necroses of the femoral head, are presented; 23 results are excellent and good. The rates of postoperative complications and reoperations are high, more than 40% each. Reoperations in smaller necrotic areas are far less frequent. There is no deterioration of the result when the hip joint is replaced by an endoprosthesis after Sugioka osteotomy. Insufficiency of the gluteus muscles is more frequent, but, on the other hand, range of motion of the hip joint increases after total hip replacement. Based on the results, we feel that there are fewer indications for this operation. The procedure is indicated for young patients with good function of the hip joint and sectors of necrosis up to 90 degrees, especially when there is not other way to remove the area of necrosis from the weight-bearing zone of the femoral head.
本文介绍了自1975年以来，对39例股骨头特发性无菌性坏死患者实施的Sugioka经转子前旋转截骨术的早期和晚期结果；23例结果为优或良。术后并发症和再次手术的发生率很高，均超过40%。较小坏死区域的再次手术频率要低得多。Sugioka截骨术后用人工关节置换髋关节，结果并无恶化。臀肌功能不全较为常见，但另一方面，全髋关节置换术后髋关节活动范围增加。基于这些结果，我们认为该手术的适应证较少。该手术适用于髋关节功能良好、坏死区域达90度的年轻患者，特别是当没有其他方法从股骨头负重区去除坏死区域时。
