摘要
目的 评估髋臼旋转截骨术治疗成人髋臼发育不良的近、远期疗效。 方法 42例(50侧髋)髋臼发育不良的成年病人均接受髋臼旋转截骨术治疗,分别测定术前和术后JOA评分、中心边缘角和Sharp角。术前骨性关节炎分期:前期32侧髋,早期17侧髋,进展期1侧髋。 结果 术后平均随访7. 4年, 49侧髋的骨性关节炎得到明显改善(98. 0% ); 1侧无明显变化(2. 0% ); 无一例患髋的骨性关节炎病变继续恶化。JOA评分术前平均为76. 4分, 术后为96. 3分; 中心边缘角术前、术后平均为-14. 5°和30. 0°;Sharp角术前平均为50. 5°,术后为36. 3°,术前、术后比较具有显著性差异(P<0. 05)。结论 髋臼旋转截骨术能使发育不良的髋臼对股骨头的包容得到有效的改善,使疼痛症状得到缓解,并使骨性关节炎的过程得到有效遏制。
Objective To assess rotational acetabular osteotomy in the treatment of adult acetabular dysplasia. Methods 42 cases of adult acetabular dysplasia underwent rotational acetabular osteotomy with measurement of JOA scoring preoperatively and postoperatively, CE angle and sharp angle. Preoperative osteoarthritis stratified in preclinic stage, early stage and advanced stage of 32 hips, 17 hips and 1 hip in turn. Results With follow-up of average 7.4 year, symptoms obviously relieved in 49 cases of osteoarthritis (98.0%), whereas 1 case showed no reaction to treatment. JOA scored 76.4 points and 96.3 points pre- and postoperatively, average CE angle was -14.5° and 30.0° pre- and postoperatively, average sharp angle was 50.5° and 36.3° pre- and postoperatively showing significant difference ( P <0.05). Conclusion Rotational acetabular ostectomy can relieve the pain and effectively arrest the progression of osteoarthritis.
出处
《中国现代手术学杂志》
2005年第2期114-117,共4页
Chinese Journal of Modern Operative Surgery
