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采用AO加压钢板固定的无移位转子间截骨术治疗髋关节骨关节炎。

Intertrochanteric osteotomy without displacement fixed with an AO blade plate in the treatment of osteoarthritis of the hip.

作者信息

Isolauri J, Tervo T, Aho H, Rokkanen P

出版信息

Arch Orthop Trauma Surg (1978). 1980;97(1):57-60. doi: 10.1007/BF00381529.

DOI:10.1007/BF00381529
PMID:7447661
Abstract

The results in 90 patients with osteoarthritis of the hip, treated by intertrochanteric osteotomy fixed with an AO blade plate, were analyzed 1-5 years after operation. The operation was performed without displacement of osteotomy, the aim being to produce bony union in the original position using the AO compression technique. With one exception, all osteotomies fused, but dislocation exceeding 0.5 cm resulted in four cases. The operation brought about relief from night pain in 88% of the patients and relief from weight-bearing pain in 41%. Abduction and adduction were the only movements that improved. The results were the same 1-2 and 4-5 years after the operation. Complications were rare, and the use of the compression method enabled the patients to get on by themselves the day after operation. This method is particularly well suited for young patients.

摘要

对90例采用AO角钢板固定转子间截骨术治疗的髋关节骨关节炎患者在术后1至5年进行了结果分析。手术在截骨无移位的情况下进行,目的是使用AO加压技术在原位实现骨愈合。除1例例外,所有截骨均愈合,但有4例出现超过0.5厘米的脱位。该手术使88%的患者夜间疼痛缓解,41%的患者负重疼痛缓解。外展和内收是仅有的得到改善的动作。术后1至2年和4至5年的结果相同。并发症罕见,采用加压方法使患者术后次日就能自理。这种方法特别适合年轻患者。

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Arch Orthop Trauma Surg (1978). 1980;97(1):57-60. doi: 10.1007/BF00381529.
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引用本文的文献

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Osteoarthritis of the hip in patients under 60 years of age. A study of the importance of pain at rest as an indication for intertrochanteric osteotomy.60岁以下患者的髋关节骨关节炎。关于静息痛作为转子间截骨术指征的重要性的研究。
Arch Orthop Trauma Surg (1978). 1985;104(5):267-70. doi: 10.1007/BF00435940.

本文引用的文献

1
Oblique displacement osteotomy for osteoarthritis of the hip joint.髋关节骨关节炎的斜行移位截骨术
J Bone Joint Surg Br. 1950 May;32-B(2):148-60. doi: 10.1302/0301-620X.32B2.148.
2
THE ARREST OF EARLY PRIMARY OSTEOARTHRITIS OF THE HIP BY OSTEOTOMY.通过截骨术阻止早期原发性髋骨关节炎
Proc R Soc Med. 1963 Dec;56(12):1051-60. doi: 10.1177/003591576305601204.
3
Intertrocnanteric osteotomy for osteoarthritis of the hip; a review of fifty-eight operations.用于髋关节骨关节炎的粗隆间截骨术;58例手术回顾
J Bone Joint Surg Br. 1958 May;40-B(2):219-26. doi: 10.1302/0301-620X.40B2.219.
4
Intertrochanteric osteotomy for primary osteoarthritis of the hip joint.髋关节原发性骨关节炎的转子间截骨术
Ann Chir Gynaecol Fenn. 1967;56(1):51-4.
5
Osteotomy in osteoarthritis of the hip-joint. A follow-up study.髋关节骨关节炎的截骨术。一项随访研究。
Acta Orthop Scand. 1968;39(2):182-202. doi: 10.3109/17453676808989452.
6
Stable fixation in the intertrochanteric osteotomy.转子间截骨术中的稳定固定。
Acta Orthop Scand. 1969;40(4):466-78. doi: 10.3109/17453676909046533.
7
Immediate effect of osteotomy on the intramedullary pressure in the femoral head and neck in patients with degenerative osteoarthritis.
Acta Orthop Scand. 1971;42(5):454-5.
8
Intertrochanteric displacement osteotomy in the treatment of osteoarthritis of the hip. Results of follow-up examination.粗隆间移位截骨术治疗髋关节骨关节炎。随访检查结果。
Acta Orthop Scand. 1971;42(1):63-77. doi: 10.3109/17453677108989026.
9
Compression osteosynthesis by the McLaughlin apparatus in intertrochanteric displacement osteotomy. Results in 186 cases of osteoarthritis of the hip.麦克劳克林器械用于转子间移位截骨术的加压接骨术。186例髋骨关节炎的结果。
Acta Orthop Scand. 1972;43(1):39-44. doi: 10.3109/17453677208988662.
10
Intertrochanteric osteotomy for degenerative arthritis of the hip.转子间截骨术治疗髋关节退行性关节炎
Clin Orthop Relat Res. 1972 Jul-Aug;86:73-8. doi: 10.1097/00003086-197207000-00011.