[Supratrochanteric osteotomy of the hip in adults with dysplastic coxarthrosis].

S S Tkachenko, V S Dedushkin, R M Tikhilov
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引用次数: 0

Abstract

On the basis of complex assessment of the results of supratrochanteric osteotomy of pelvis (30 operations) and osteotomy of pelvis with the subsequent intertrochanteric osteotomy (24 observations) in patients with dysplastic coxarthrosis at mean terms of observation, equalling to 90 months, have been determined efficiency and indications for these operations. Indications for pelvic osteotomy are formed on the basis of roentgeno-anatomic interrelations in hip joint, where the decisive part is played by the angle of vertical inclination of the cotyloid cavity and degree of coating of the head of the femur. Intertrochanteric osteotomy following the pelvic osteotomy is indicated at preserved pain syndrome, resulting from coxarthrosis, subsequent to the muscular system restoration.

成人关节发育不良患者行髋粗隆上截骨术。
在对发育不良肩关节患者行股骨粗隆上截骨术(30例)和骨盆截骨术合并股骨粗隆间截骨术(24例)平均观察时间为90个月的结果进行复杂评估的基础上,确定了这些手术的疗效和适应证。骨盆截骨的指征是根据髋关节的x线解剖关系形成的,其中决定性的部分是子叶腔的垂直倾斜角和股骨头的覆盖程度。股骨粗隆间截骨术在骨盆截骨术后适用于关节关节病引起的保留性疼痛综合征,随后进行肌肉系统恢复。
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