Kempf I, Persoons D
Rev Chir Orthop Reparatrice Appar Mot. 1985;71(2):101-9.
The authors have reviewed 39 Chiari pelvic osteotomies for hip arthrosis in adults. The surgical technique was found to be difficult and several modifications have been made during the last ten years. The complication rate was high initially but improved later thanks to technical improvements. However, the overall results were very satisfactory as regards both function and radiological appearances. Improved coverage of the femoral head was usually obtained when the operation was performed correctly and pain was diminished in two-thirds of the patients. The results were less satisfactory as regards gait, hip movement and the radiological joint space. In 13 cases a femoral osteotomy was made in association with Chiari pelvic osteotomy without any special complications.
作者回顾了39例针对成人髋关节病行Chiari骨盆截骨术的病例。发现该手术技术难度较大，在过去十年中已进行了一些改进。最初并发症发生率较高，但由于技术改进，后来有所改善。然而，在功能和放射学表现方面，总体结果都非常令人满意。当手术操作正确时，通常可改善股骨头的覆盖情况，并且三分之二的患者疼痛减轻。在步态、髋关节活动度和放射学关节间隙方面，结果不太令人满意。13例患者在Chiari骨盆截骨术的同时进行了股骨截骨术，未出现任何特殊并发症。
