Aldegheri R, Trivella G, Saleh M
Institute of Clinical Orthopaedics and Traumatology, University of Verona, Policlinico di Borgo Roma, Italy.
Clin Orthop Relat Res. 1994 Apr(301):94-101.
Between 1979 and 1982, 80 patients with a variety of hip diseases were treated with articulated distraction of the hip. The patients ranged from nine to 69 years of age (mean, 34 years). The primary diagnoses were avascular necrosis, osteoarthrosis, and chondrolysis. A standard dynamic axial fixator with a single axis articulating unit was used to create a 5-mm joint space. The fixator allowed flexion and extension motion and remained in place for six to ten weeks. The follow-up period ranged from five to eight years. Assessment was performed by questionnaire, clinical, and radiographic review. The results were poor in 24 patients who were either older than 45 years of age or had a diagnosis of inflammatory arthropathy. Forty-two good results were found in the 59 patients younger than 45 years with osteoarthrosis, hip dysplasia, avascular necrosis, and chondrolysis. Only four patients older than 45 years of age had a good result. No serious complications occurred.
1979年至1982年间，80例患有各种髋关节疾病的患者接受了髋关节的关节撑开治疗。患者年龄从9岁至69岁不等（平均34岁）。主要诊断为缺血性坏死、骨关节炎和软骨溶解。使用带有单轴关节单元的标准动态轴向固定器来创造5毫米的关节间隙。该固定器允许屈伸运动，并保留6至10周。随访期为5至8年。通过问卷调查、临床和影像学复查进行评估。24例年龄超过45岁或诊断为炎症性关节病的患者结果较差。在59例年龄小于45岁的骨关节炎、髋关节发育不良、缺血性坏死和软骨溶解患者中，有42例结果良好。45岁以上的患者中只有4例结果良好。未发生严重并发症。
