整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
外反骨切りによる青壮年期変股症の治療
糸満 盛憲山本 真笹本 憲男中村 省司今井 智彦橋本 聡森田 真史
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1986 年 35 巻 2 号 p. 549-553

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Twenty-seven cases with 30 hips of advanced coxarthrosis treated by valgus extension osteotomy (Bombelli) and valgus flexion osteotomy were investigated.
Clinically, arevition of pain was notable.
Roentugenologically, disappearance of bone sclerosis and pseudocyst made the trabecular structure normal. Joint space became remarkably wide and remodelled as a new joint. Some effects could be obtained as determined as a biomechanical analysis.
However, capital drop may be considered to be a new femoral head adapting to a new acetabulum, formed as the result of biological restoration. In order to promote the remodelling of the hip joint using the capital drop most efficiently, the valgus flexion osteotomy seems to be more rational than the valgus extension osteotomy.

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