Borja F, Latta L L, Stinchfield F E, Obreron L
Clin Orthop Relat Res. 1985 Jul-Aug(197):181-90.
Total hip arthroplasty was performed for unilateral hip disease in 26 patients with trochanteric osteotomy (TS) and 27 patients without osteotomy (NS). Early postoperative recovery of function, pain, mobility, radiographic changes, and abduction torques were recorded and evaluated. Theoretic analysis of hip mechanics based on radiographic measurements was compared with measured abduction torques for each patient. Function, pain, and mobility ratings were similar for both groups pre- and postoperation. Radiographic measurements demonstrated better mechanical reconstruction of hips in both groups. There was a trend, but no statistically significant correlation, of mechanical parameters and measured isokinetic or isometric abduction torques at the hip joint in the TS group. In the NS group, no correlation was found between mechanical parameters and measured torques. A significant improvement in recovery of torque was found in the NS group when compared to the TS patients.
对26例行转子截骨术（TS）的单侧髋关节疾病患者和27例未行截骨术（NS）的患者进行了全髋关节置换术。记录并评估了术后早期的功能恢复、疼痛、活动度、影像学变化和外展扭矩。将基于影像学测量的髋关节力学理论分析与每位患者测量的外展扭矩进行比较。两组患者术前和术后的功能、疼痛和活动度评分相似。影像学测量显示两组髋关节的力学重建均较好。TS组机械参数与测量的髋关节等速或等长外展扭矩之间存在一种趋势，但无统计学显著相关性。在NS组中，未发现机械参数与测量扭矩之间存在相关性。与TS组患者相比，NS组的扭矩恢复有显著改善。
