Clinical results of pelvic osteotomy and muscle release for bilateral severe coxarthrosis.
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- HONDA Megumi
- Department of Orthopaedic Surgery, School of Medicine, Iwate Medical University
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- 宍戸 博
- 岩手医科大学整形外科
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- 菊池 達也
- 盛岡市立病院整形外科
Bibliographic Information
- Other Title
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- 青壮年期両側末期股関節症に対する骨盤骨切り術と筋解離術の限界
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Abstract
Five patients underwent muscle release around the hip joint, according to O'Malley's method as modified by Itami, for treatment of bilateral severe coxarthrosis. However, the procedure was done only for the unilateral hip. Average follow-up period after surgery was 8.2±3.4 years. Though this procedure relieved pain, favorable results were limited because of insufficient improvement of ADL, ROM and gait ability. There was no additional surgery, even in the contralateral hip, in any of the cases.<BR>Twelve hip joints of eight patients underwent pelvic osteotomy, such as Chiari osteotomy, for treatment of bilateral severe coxarthrosis with acetabular dysplasia. Four contralateral hip joints underwent arthrodesis, muscle release, and shelf operation in addition to varus osteotomy of the femoral head, and bipolar total hip arthroplasy in each. Four patients underwent pelvic osteotomy bilaterally. Average follow-up period after surgery was 9.8±1.7 years. Six hip joints which received this procedure in patients less than 39 years of age obtained good results 10 years after surgery. However, two hips of six hip joints which received this procedure in patients more than 40 years of age had to be replaced with a total hip prosthesis, one 3 years and the other 10 years after surgery. Therefore, in bilateral severe coxarthrosis with acetabular dysplasia in patients more than 47 years of age total hip arthroplasty should be a first choice for improvement of ADL, ROM, and gait abil-ity. Thereafter, pelvic osteotomy can be done for preservation of the joint.
Journal
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- Japanese Journal of Rheumatism and Joint Surgery
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Japanese Journal of Rheumatism and Joint Surgery 15 (2), 107-116, 1996
Japanese Society for Joint Diseases
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Details 詳細情報について
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- CRID
- 1390282679738524416
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- NII Article ID
- 130004002644
- 10009787958
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- NII Book ID
- AN00187929
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- ISSN
- 18849059
- 02873214
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed