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首页> 外文期刊>Acta Orthopaedica et Traumatologica Turcica >Mid-term radiological and clinical results of incomplete triple pelvic osteotomy
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Mid-term radiological and clinical results of incomplete triple pelvic osteotomy

机译:不全三联骨盆截骨术的中期放射学和临床结果

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摘要

Objective The aim of this study was to assess clinical and radiological results of incomplete triple pelvic osteotomy in acetabular dysplasia. Patients and methods Twenty-six hips of 24 patients (5 males, 19 females) treated with incomplete triple pelvic osteotomy by a single surgeon from February 1995 to October 2001 were retrospectively reviewed at an average follow-up time of 12 years. The mean age at the time of surgery was 21.6 years (range: 14–41). Radiological evaluation was based on the central edge angle, acetabular angle, acetabular index, acetabular head index and lateralisation. Clinical and radiological scoring was performed using the Harris scoring system, ?mero?lu scoring system and the T?nnis criteria for osteoarthritis. Results There was significant improvements in all of the radiological parameters with 88.5% good radiological results, 96.2% excellent clinical results, no significant progression to osteoarthritis and no need for conversion to total hip arthroplasty. The rate of major complication was 11%. Retroversion was seen in 15.4% of the hips. Conclusion Our results support the use of incomplete triple pelvic osteotomy as a safe choice in the treatment of acetabular dysplasia as it offers clinical and radiological benefits and contributes to the prevention of osteoarthritis.
机译:目的本研究的目的是评估髋臼发育不良的不完全三联骨盆截骨术的临床和放射学结果。患者和方法1995年2月至2001年10月,由一位外科医生对不完全的三重骨盆截骨术治疗的24例患者中的26例髋部(5例男性,19例女性)进行了回顾性回顾,平均随访时间为12年。手术时的平均年龄为21.6岁(范围:14-41)。放射学评估基于中央边缘角,髋臼角,髋臼指数,髋臼头指数和侧位。使用Harris评分系统,merolu评分系统和Tnnis骨关节炎标准进行临床和放射学评分。结果所有影像学检查指标均得到显着改善,放射学检查结果良好(88.5%),临床结果优良(96.2%),无明显进展为骨关节炎,也无需转换为全髋关节置换术。大并发症发生率为11%。在臀部的15.4%中观察到了逆行。结论我们的研究结果支持使用不完整的三重骨盆截骨术作为治疗髋臼异型增生的安全选择,因为它具有临床和放射学意义,并有助于预防骨关节炎。

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