Santore R F, Dabezies E J
Sharp Memorial Hospital, San Diego, Calif.
Can J Surg. 1995 Feb;38 Suppl 1:S33-8.
Osteotomy around the hip is a valuable and important treatment option in hip disease. It may be used on either side of the joint or in a combined fashion. The authors review the scientific background to femoral osteotomy and summarize its role in the treatment of developmental dysplasia, nonunion of femoral neck fractures, osteonecrosis, slipped capital femoral epiphysis and Perthes disease. They conclude that it is a most useful tool for the contemporary hip surgeon. The procedure may not be appropriate for elderly patients with arthritic deterioration of the hip, but in carefully selected young adults with clearly defined antecedent developmental conditions, the results can be excellent and long lasting. Careful preoperative planning is emphasized; particular attention must be paid to the possibility of arthroplasty in the future because insertion of the stem of a hip prosthesis can be a problem difficult.
髋关节周围截骨术是治疗髋关节疾病的一种有价值且重要的治疗选择。它可用于关节的任何一侧或以联合方式使用。作者回顾了股骨截骨术的科学背景，并总结了其在发育性髋关节发育不良、股骨颈骨折不愈合、骨坏死、股骨头骨骺滑脱和佩特兹病治疗中的作用。他们得出结论，对于当代髋关节外科医生来说，这是一个非常有用的工具。该手术可能不适用于髋关节出现关节炎退变的老年患者，但对于精心挑选的、有明确既往发育状况的年轻成年人，结果可能非常出色且持久。强调了仔细的术前规划；必须特别注意未来进行关节置换术的可能性，因为髋关节假体柄的植入可能是一个难题。
