Castaing J, Marcillaud G
Rev Chir Orthop Reparatrice Appar Mot. 1981;67(3):267-77.
141 hips were reviewed more than 10 years after operation. The average follow-up was 13.5 years. A close relationship between the pre-operative functional state and the final result was established. The improvement was due to a decrease of pain in most cases, especially severe ones. Mobility and walking ability were little changed. Some worsening of the condition of patients was noted at about the 10th post-operative year. The aetiology, the degree of dysplasia, or degree of displacement of the osteotomy, had little influence on the final result. The degree of post-operative hip congruence was unimportant. The best results were seen in excentrated hips with severe radiological involvement. It is concluded that varus osteotomy is a valuable procedure in severe arthrosis of the hip. The hazards of the procedure are small, and it is indicated in young or middle-aged patients.
对141例髋关节在术后10年以上进行了复查。平均随访时间为13.5年。术前功能状态与最终结果之间建立了密切关系。在大多数情况下，尤其是严重疼痛的病例，改善是由于疼痛减轻。活动能力和行走能力变化不大。术后约第10年注意到部分患者病情有所恶化。病因、发育不良程度或截骨移位程度对最终结果影响不大。术后髋关节的匹配程度并不重要。在严重放射性受累的外展型髋关节中效果最佳。结论是，内翻截骨术是治疗严重髋关节骨关节炎的一种有价值的手术方法。该手术风险小，适用于年轻或中年患者。
