Lanzetta A, Zani C
Ital J Orthop Traumatol. 1982 Dec;8(4):381-7.
The authors discuss the anatomical, structural and biomechanical aspects of osteoarthrosis of the hip that are the determining factors in the success of varizing osteotomy, based on a pre-operative radiological and clinical study of their cases. In describing the surgical technique, they stress the importance of posterior capsulotomy. The case material comprises thirty-two patients, twenty-seven of whom underwent osteotomy. Five received no surgical treatment and two of those operated on had no pre-operative dysplasia. All patients were followed up roughly ten years after operation. The same criteria of assessment were used as those recorded at the time of operation and included pain, mobility, walking and radiological appearances. The results obtained confirm the effectiveness of varizing osteotomy with posterior capsulotomy, provided that it is preceded by a careful assessment of the patient to ensure that the correct indications have been observed.
作者基于对其病例的术前放射学和临床研究，讨论了髋关节骨关节炎的解剖学、结构和生物力学方面，这些是内翻截骨术成功的决定性因素。在描述手术技术时，他们强调了后关节囊切开术的重要性。病例材料包括32例患者，其中27例行截骨术。5例未接受手术治疗，其中2例接受手术治疗的患者术前无发育异常。所有患者在术后约十年进行随访。采用与手术时记录相同的评估标准，包括疼痛、活动度、行走和放射学表现。获得的结果证实了后关节囊切开术的内翻截骨术的有效性，前提是在手术前对患者进行仔细评估，以确保遵循正确的适应症。
