Ekkernkamp M, Katthagen B D
Orthopädische Klinik, Städtische Kliniken Dortmund.
Orthopade. 1997 Jan;26(1):75-80. doi: 10.1007/s001320050072.
Lateral acetabular osteotomy in comparison to three-dimensional osteotomies of the pelvis in hip dysplasia is a simple technical procedure. Contraindications are an age over 8 years and an irreducible femoral head. For a long time we have used xenogenic deproteinized bone wedges from animals. We now use autoclaved and deep-frozen wedges from allogenic femoral heads. The wedges are sterilized at 121 degrees C for 20 min and then kept deep-frozen in the bone bank. Our results in 109 patients show that this method is very successful; even extreme angles of acetabular index correction are possible with this technique. It is unfortunate that the lateral acetabuloplasty with autoclaved allogenic bone graft is not used frequently and we recommend that this method be installed at all paediatric orthopaedic hospitals.
与用于治疗髋关节发育不良的骨盆三维截骨术相比，髋臼外侧截骨术是一种简单的技术操作。禁忌症为年龄超过8岁和股骨头不可复位。长期以来，我们一直使用来自动物的异种脱蛋白骨楔。现在我们使用来自异体股骨头的经高压灭菌和深度冷冻的骨楔。骨楔在121摄氏度下灭菌20分钟，然后保存在骨库中深度冷冻。我们对109例患者的研究结果表明，这种方法非常成功；使用该技术甚至可以进行髋臼指数的极端角度矫正。遗憾的是，使用经高压灭菌的异体骨移植进行髋臼外侧成形术并不常用，我们建议所有儿科骨科医院采用这种方法。
