Weisl H
J Bone Joint Surg Br. 1980 Feb;62-B(1):37-42. doi: 10.1302/0301-620X.62B1.6243306.
The results of 757 intertorchanteric osteotomies for osteoarthritis of the hip carried out between 1958 and 1970 were reviewed. After osteotomy the joint space in two thirds of the hips was increased and a similar proportion experienced relief of pain lasting at least five years. However, the effect of the osteotomy declined after some ten years; only a quarter of the hips had a lasting "good result" as defined in this investigation. The best results were obtained in active patients under 70 years of age with unilateral hip disease in which a fair range of movement had been preserved despite some shortening and where the radiographs showed loss of joint space with a break in Shenton's line. In this study a displaced osteotomy fixed with a spline emerged as the most successful surgical technique.
对1958年至1970年间为治疗髋关节骨关节炎而进行的757例转子间截骨术的结果进行了回顾。截骨术后，三分之二的髋关节关节间隙增大，且相似比例的患者疼痛缓解至少持续五年。然而，截骨术的效果在大约十年后逐渐下降；按照本研究的定义，只有四分之一的髋关节有持久的“良好效果”。最佳结果出现在70岁以下的活跃患者中，这些患者患有单侧髋关节疾病，尽管有一定程度的缩短，但仍保留了相当的活动范围，并且X线片显示关节间隙变窄且Shenton线中断。在本研究中，使用骨栓固定的移位截骨术成为最成功的手术技术。
