Summary
Pain at rest with osteoarthritis of the hip may be due to increased intraosseous blood pressure, which falls immediately after an intertrochanteric osteotomy [4, 5]. Eighty-five consecutive hips from patients under 60 years of age at the time of operation were studied in order to evaluate if pain at rest was an indication for intertrochanteric osteotomy. Patients who preoperatively were predominantly in pain at rest had a significantly better prognosis than patients with a predominantly weight-bearing pain (P < 0.05). Intertrochanteric osteotomy reduced pain for the group of patients with predominant pain at rest (n = 50) by 81%, 66%, and 56% at 5, 10, and 15 years respectively. In the group where weight-bearing pain was predominant (n = 35), the operation was a success in only 39% at 5 years and after.
Zusammenfassung
Nach Arnoldi et al. [4, 5] wird der Dauerschmerz bei der Coxarthrose durch erhöhten intraossären Druck, der unmittelbar nach einer intertrochanteren Osteotomie abnimmt, verursacht. Mit dem Ziel, die Bedeutung des Vorhandenseins von Dauerschmerzen als Indikation zur intertrochanteren Osteotomie zu beurteilen, untersuchten wir ein konsekutives Material, bestehend aus 78 Patienten unter 60 Jahren (85 Hüften) mit einer Coxarthrose. Patienten mit überwiegend Dauerschmerzen hatten eine signifikant bessere Prognose als Patienten mit hauptsächlich Belastungsschmerzen (P < 0.05). Bei den Patienten mit uberwiegend Dauerschmerzen fand man nach 5, 10 and 15 Jahren ein gutes Ergebnis bei 81% bzw. 66% and 56%, während man bei den Patienten, in denen die Belastungsschmerzen dominierten, nach 5 and folgenden Jahren ein gutes Ergebnis nur bei 39% fand.
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Linde, F., Pallesen, R. Osteoarthritis of the hip in patients under 60 years of age. Arch. Orth. Traum. Surg. 104, 267–270 (1985). https://doi.org/10.1007/BF00435940
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DOI: https://doi.org/10.1007/BF00435940