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髋关节剥脱性骨软骨炎的长期观察(作者译)

[Long-term observation of osteochondrosis dissecans of the hip (author's transl)].

作者信息

Kerschbaumer F, Hausbrandt D, Bauer R

出版信息

Z Orthop Ihre Grenzgeb. 1980 Oct;118(5):708-12. doi: 10.1055/s-2008-1053529.

Abstract

The article presents treatment results in a group of 21 patients (22 joints) suffering from osteochondrosis dissecans of the hip, the minimum observation period being 10 years (average 14 years). By means of surgical treatment, it was possible to achieve healing of the osteochondral fragments in nine out of 16 cases. Such healing was not achieved without surgical treatment; in two-thirds of these cases, an increasing osteoarthrosis of the hip was observed. Among the surgical measures, a combination of adduction osteotomy together with forage, yielded the best success quota (5 healings as a result of 5 operations), whereas adduction osteotomy without forage resulted in healing in 2 cases only out of a total of 16 operated patients.

摘要

本文介绍了一组21例(22个关节)患有髋关节剥脱性骨软骨炎患者的治疗结果,最短观察期为10年(平均14年)。通过手术治疗,16例中有9例实现了骨软骨碎片愈合。未经手术治疗则无法实现这种愈合;在这些病例中,三分之二观察到髋关节骨关节炎加重。在手术措施中,内收截骨术与植骨术相结合的成功率最高(5例手术中有5例愈合),而单纯内收截骨术在总共16例手术患者中仅2例愈合。

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