Nakamura N, Sugano N, Masuhara K, Ohzono K, Takaoka K
Department of Orthopedics, Osaka University Medical School, Japan.
Acta Orthop Scand. 1996 Apr;67(2):138-42. doi: 10.3109/17453679608994658.
We performed dome pelvic osteotomy in 57 hips (54 patients) because of acetabular dysplasia. All patients had preoperative scintigraphy and were followed for more than 2 years. Excellent or good results were obtained in 49 hips, but 8 hips deteriorated. All hips which deteriorated had preoperatively a spotty isotope uptake image localized to the weight bearing area and the medial area of the joint. No hip without this image deteriorated, even when preoperative radiography showed advanced arthrosis. Our findings indicate that bone scintigraphy may be a more reliable predictor of failure for this operation than radiography.
由于髋臼发育不良，我们对57个髋关节（54例患者）实施了髋臼穹窿截骨术。所有患者术前均进行了骨闪烁显像检查，并随访了2年以上。49个髋关节获得了优或良的结果，但有8个髋关节病情恶化。所有病情恶化的髋关节术前在负重区和关节内侧区域均有散在的同位素摄取影像。即使术前X线片显示有晚期关节病，没有这种影像的髋关节均未恶化。我们的研究结果表明，对于该手术，骨闪烁显像可能比X线摄影是更可靠的失败预测指标。
