Wiesman H J, Simon S R, Ewald F C, Thomas W H, Sledge C B
J Bone Joint Surg Am. 1978 Mar;60(2):203-10.
Twelve patients with bilateral hip replacement, one side performed with a trochanteric osteotomy and the other without osteotomy, were analyzed by review of the clinical records, the findings on physical examination, preoperative and postoperative Harris hip scores, each patient's evaluation, biomechanical analysis of the preoperative and postoperative roentgenograms of the hips and pelvis, and force-plate gait analysis. All operations yielded good results clinically but the majority of patients preferred the replacement done without osteotomy. Blood loss and trochanteric bursitis were greater problems in patients who had an osteotomy. There were no differences between the two groups in the postoperative Harris scores or in the biomechanical measurements made on the preoperative and postoperative roentgenograms except for the change in the abductor-muscle length. Changes in this parameter correlated well with the patients' symptoms and clinical findings.
对12例双侧髋关节置换患者进行了分析，其中一侧采用转子截骨术，另一侧未行截骨术。分析内容包括临床记录、体格检查结果、术前和术后Harris髋关节评分、每位患者的评估、髋关节和骨盆术前及术后X线片的生物力学分析以及测力板步态分析。所有手术临床效果良好，但大多数患者更喜欢未行截骨术的置换手术。截骨术患者的失血和转子滑囊炎问题更严重。除外展肌长度变化外，两组术后Harris评分以及术前和术后X线片的生物力学测量结果均无差异。该参数的变化与患者的症状和临床发现密切相关。
