Wessinghage D, Kisslinger E, Zenger J
I. Orthopädischen Klinik des BRK-Rheumazentrums Bad Abbach/Regensburg.
Z Orthop Ihre Grenzgeb. 1996 Jan-Feb;134(1):29-35. doi: 10.1055/s-2008-1037414.
Extreme changes of the hip joint often require individual technical supplements in addition to the endoprosthesis. But the base of success are procedures using a model of prosthesis and a technique that are matured. This is available e.g. with the old M. E. Müller curved stem hip joint prosthesis. In special cases of extreme changes or damage of the proximal femur we perform in artificial joint-replacement of the hip or changing of prostheses a special kind of operative treatment. This is a combination of the Original-M. E. Müller curved stem endoprosthesis, long or short version of the femoral part, in addition fixated by bone-cement and M. E. Müller's special metal socket--primary indicated for stabilization of the acetabular roof. The indications for this method can be changes of proximal femur and hip-joint, especially dysplasias of pelvis or hip joint, extensive fractures especially in old patients, destructions in polyarthritis, dysplasia of pelvis and coxitis caused by juvenile chronic arthritis and long time therapy with corticosteroids, destructions, loosenings and fractures in changing operations of hip-endoprostheses. Until today we treated 15 different cases by this method--one case was operated 13 years ago--with good results, prooved by Merle d'Aubigné's score.
髋关节的极端变化通常除了使用人工关节假体之外还需要个性化的技术补充。但成功的基础是采用成熟的假体模型和技术的手术方法。例如，老式的M.E. Müller弯柄髋关节假体就具备这些条件。在股骨近端发生极端变化或损伤的特殊情况下，我们在髋关节人工关节置换或假体更换手术中采用一种特殊的手术治疗方法。这是将原始的M.E. Müller弯柄假体、长或短版本的股骨部件相结合，此外还通过骨水泥固定，并使用M.E. Müller的特殊金属髋臼杯——主要用于稳定髋臼顶。这种方法的适应症包括股骨近端和髋关节的变化，特别是骨盆或髋关节发育不良、广泛骨折（尤其是老年患者）、多关节炎中的破坏、幼年慢性关节炎和长期使用皮质类固醇导致的骨盆发育不良和髋关节炎、髋关节假体更换手术中的破坏、松动和骨折。到目前为止，我们用这种方法治疗了15例不同的病例——其中1例手术是在13年前进行的——结果良好，根据Merle d'Aubigné评分得到了证实。
