Nonnenmacher Lars, Zimmerer Alexander, Hofer André, Bohorc Manuela, Matziolis Georg, Wassilew Georgi
Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, Universitätsmedizin Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Deutschland.
Deutsches Zentrum für Orthopädie, Waldkliniken Eisenberg, 07607, Eisenberg, Deutschland.
Orthopadie (Heidelb). 2023 Apr;52(4):272-281. doi: 10.1007/s00132-023-04359-5. Epub 2023 Mar 20.
Hip dysplasia is the most common cause of secondary hip osteoarthritis. The Ganz periacetabular osteotomy (PAO) is a well-established procedure that allows a reliable and reproducible correction of the complex pathology. The promising medium and long-term good treatment results are offset by the potential risk of complications from an invasive pelvic procedure. Considering the mainly young age of the patients, knowledge of the possible complications and the resulting adequate therapy is crucial.
The continuous development of surgical techniques and increase in overall surgical experience alongside the appreciation of critical surgical steps have led to a substantial reduction of serious complications. In addition, to improve patient outcome, a greater understanding of the associated pathologies that may be related to hip dysplasia is essential.
髋关节发育不良是继发性髋关节骨关节炎最常见的病因。甘茨髋臼周围截骨术(PAO)是一种成熟的手术,能够可靠且可重复地矫正复杂病变。侵入性骨盆手术带来的潜在并发症风险抵消了其良好的中长期治疗效果。鉴于患者主要为年轻人,了解可能出现的并发症及相应的适当治疗方法至关重要。
手术技术的不断发展、整体手术经验的增加以及对关键手术步骤的重视,已使严重并发症大幅减少。此外,为改善患者预后,深入了解可能与髋关节发育不良相关的伴发病理情况至关重要。