Linde F, Pallesen R
Arch Orthop Trauma Surg (1978). 1985;104(5):267-70. doi: 10.1007/BF00435940.
Pain at rest with osteoarthritis of the hip may be due to increased intraosseous blood pressure, which falls immediately after an intertrochanteric osteotomy. Eighty-five consecutive hips from patients under 60 years of age at the time of operation were studied in order to evaluate if pain at rest was an indication for intertrochanteric osteotomy. Patients who operatively were predominantly in pain at rest had a significantly better prognosis than patients with a predominantly weight-bearing pain (P less than 0.05). Intertrochanteric osteotomy reduced pain for the group of patients with predominant pain at rest (n = 50) by 81%, 66%, and 56% at 5, 10, and 15 years respectively. In the group where weight-bearing pain was predominant (n = 35), the operation was a success in only 39% at 5 years and after.
髋关节骨关节炎静息时的疼痛可能是由于骨内血压升高所致，而转子间截骨术后骨内血压会立即下降。为了评估静息时的疼痛是否是转子间截骨术的指征，我们对手术时年龄在60岁以下患者的85个连续髋关节进行了研究。与主要是负重时疼痛的患者相比，静息时主要处于疼痛状态的手术患者预后明显更好（P小于0.05）。转子间截骨术使静息时主要疼痛的患者组（n = 50）在5年、10年和15年时的疼痛分别减轻了81%、66%和56%。在负重疼痛为主的患者组（n = 35）中，该手术在5年及之后的成功率仅为39%。
