Mayer G, Hartseil K
Arch Orthop Trauma Surg (1978). 1984;103(5):332-6. doi: 10.1007/BF00432421.
The reconstruction of hip joints is problematic in cases of subluxation coxarthrosis, since the dysplastic acetabulum's lack of depth does not primarily allow reliable anchorage of an acetabular prosthesis component. Since enlargement of the acetabulum by fraising is ruled out on biomechanical grounds, a suitable bed for the implant can only be created by reconstructing the roof of the acetabulum. Laterally supported osteoplasty has proved to be a suitable method for repairing dysplastic acetabular defects, involving screwing of autogenic or allogenic grafts firmly onto the acetabular margin. The radiological and clinical results of 70 hips followed up confirm the efficiency of the endoprosthetic acetabulum implanted by this method in cases of marked dysplastic coxarthrosis.
在髋关节半脱位性髋关节炎病例中,髋关节重建存在问题,因为发育不良的髋臼缺乏深度,这使得髋臼假体组件无法可靠地锚固。由于从生物力学角度排除了通过磨削扩大髋臼的可能性,因此只能通过重建髋臼顶部来为植入物创造合适的床。外侧支撑截骨术已被证明是修复发育不良髋臼缺损的合适方法,该方法包括将自体或异体移植物牢固地拧到髋臼边缘。对70例髋关节进行随访的放射学和临床结果证实了在明显发育不良性髋关节炎病例中,通过这种方法植入的人工髋臼假体的有效性。