Intertrochanteric Osteotomy for Osteoarthritis
نویسنده
چکیده
osteotomies for osteoarthritis ofthe hip carried out between 1958 and 1970 were reviewed. After osteotomy the joint space in two thirds of the hips was increased and a similar proportion experienced relief of pain lasting at least five years. However, the effect of the osteotomy declined after some ten years; only a quarter ofthe hips had a lasting “good result” as defined in this investigation. The best results were obtained in active patients under 70 years of age with unilateral hip disease in which a fair range of movement had been preserved despite some shortening and where the radiographs showed loss ofjoint space with a break in Shenton’s line. In this study a displaced osteotomy fixed with a spline emerged as the most successful surgical kchnique.
منابع مشابه
Intertrochanteric osteotomy in osteoarthritis of the hip.
The name of McMurray (1935, 1939) is firmly associated with intertrochanteric osteotomy for the treatment of osteoarthritis of the hip, although this method was based on the bifurcation operation of Lorenz (1919) and was suggested by several previous authorsAshley (1923), Galland (1930), Hey Groves (1933) and Lowendorf (1933). There is still, however, no unanimity about the technique of operati...
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