進行期以降の変股症に対するChiari骨盤骨切り術の適応

抄録

Twenty-five Chiari pelvic osteotomies for advanced stage osteoarthritis of the hip joint were studied with follow-up periods of 4.1 years on an average. The mean Japanese Orthopaedic Association score was 63 before surgery and 87 after. Postoperative remodeling of the acetablum was classified according to X-ray findings, and there was significant correlation between the degree of acetabular remodeling and acetabular head index (AHI) . The hips with non-spherical heads showed better acetabular remodeling than the hips with spherical heads. These observations suggest that Chiari pelvic osteotomy is useful for advanced stage osteoarthritis of the hip joint.