Collert S, Gillström P
Acta Orthop Scand. 1979 Oct;50(5):555-61. doi: 10.3109/17453677908989804.
Ninety-two patients (94 hips), who in 1971--1972 underwent intertrochanteric osteotomy for painful osteoarthritis of the hip, were assessed and graded according to a well-defined rating system immediately before operation and 1 and 5 years postoperatively. At the 1-year follow-up pain was absent or only slight in 73.5 per cent of the patients. Five years postoperatively this figure had decreased to 45.5 per cent; 41.5 per cent of the patients deteriorated between the two investigations. Nineteen patients had been reoperated upon and total hip replacement performed. It was not possible to predict the effect of the osteotomy from the preoperative clinical and roentgenological picture. Nor was the operative procedure (amount of medial displacement, varus angulation, tenotomy of the iliopsoas) found to have any influence on the results. Though the effect of the osteotomy is not as long-lasting as previously believed, it is concluded that it still has a place in the operative treatment of painful osteoarthritis of the hip in younger patients.
1971年至1972年间，92例（94髋）因髋关节疼痛性骨关节炎接受转子间截骨术的患者，在手术前、术后1年和5年时，根据一个明确的评分系统进行了评估和分级。在1年随访时，73.5%的患者疼痛消失或仅轻微疼痛。术后5年，这一数字降至45.5%；在两次调查之间，41.5%的患者病情恶化。19例患者接受了再次手术并进行了全髋关节置换。根据术前的临床和X线表现无法预测截骨术的效果。也未发现手术操作（内移量、内翻角度、髂腰肌切断术）对结果有任何影响。虽然截骨术的效果不如以前认为的那样持久，但得出的结论是，它在年轻患者髋关节疼痛性骨关节炎的手术治疗中仍占有一席之地。
