Buchholz H W, Baars G W, Dahmen G, Behrend R
Z Orthop Ihre Grenzgeb. 1985 Sep-Oct;123(5):829-36.
The results of 106 patients with osteoarthritis secondary to severe congenital hip dysplasia and dislocations of the hip operated at the Endo-Klinik were evaluated after an average follow up of 21 months. 142 "St. Georg-Mini" total hips were implanted employing Refobacin-Palacos R. The clinical results were graded as "combined performance" which considered hip pain, walking distance, hip mobility and walking aids. In 93% of the cases "combined performance" was improved at follow up and 91.7% of the patients were satisfied with the result. The early (during hospitalization) and late (after discharge from hospital) complication rate which had an influence on the result at follow up was 2.1% (n = 3) and 3.5% (n = 4) respectively. There were no deep infections. An extended indication for total hip arthroplasty also for younger patients with severe osteoarthritis secondary to hip dysplasia is discussed and can be advocated.
对在内科诊所接受手术的106例继发于严重先天性髋关节发育不良和髋关节脱位的骨关节炎患者进行了评估,平均随访21个月。采用Refobacin-Palacos R植入了142个“圣乔治迷你”全髋关节。临床结果根据“综合表现”进行分级,该分级考虑了髋关节疼痛、行走距离、髋关节活动度和辅助行走工具。在93%的病例中,随访时“综合表现”得到改善,91.7%的患者对结果满意。对随访结果有影响的早期(住院期间)和晚期(出院后)并发症发生率分别为2.1%(n = 3)和3.5%(n = 4)。没有深部感染。讨论并提倡将全髋关节置换术的适应证扩大到患有继发于髋关节发育不良的严重骨关节炎的年轻患者。