Seiler B, Pohl W
Z Orthop Ihre Grenzgeb. 1977 Oct;115(5):765-72.
The increase of hip-replacement is also seen in departments of rehabilitation. Among 270 operations during 1974/75 the main age at operations was 50-59 years. Para-articular ossification was more common in men than women. Function was disturbed more often in women, pain more common after operations other than replacement. Unfitness for work and compensation depend on the degree of limitation of mobility and weightbearing related to occupation. Because of relatively common complications and still unsatisfactory postoperative improvement, indication for replacement ought to be more critical. Conservative measures often give astonishingly good results, delay progressive symptoms. Techniques preserving the joint should be exhausted before the proper age for operation is reached.
髋关节置换手术量的增加在康复科也有体现。在1974/1975年期间的270例手术中,手术的主要年龄为50至59岁。关节周围骨化在男性中比女性更常见。女性功能障碍更为常见,除置换手术外的其他手术后疼痛更为常见。工作不适和赔偿取决于与职业相关的活动能力和负重受限程度。由于并发症相对常见且术后改善仍不尽人意,置换手术的指征应该更加严格。保守治疗措施往往能取得惊人的良好效果,延缓症状进展。在达到合适的手术年龄之前,应充分尝试保留关节的技术。