THE NATURAL COURSE OF OSTEOARTHRITIS OF THE HIP DUE TO SUBLUXATION OR ACETABULAR DYSPLASIA
THE NATURAL COURSE OF OSTEOARTHRITIS OF THE HIP DUE TO SUBLUXATION OR ACETABULAR DYSPLASIA
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DOI：
10.1007/bf00571474
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发表时间：
1992-06-01
影响因子：
2.3
通讯作者：
MIURA, T
中科院分区：
文献类型：
--
作者：
HASEGAWA, Y;IWATA, H;MIURA, T
在59例患者中，我们检查了86例髋关节半脱位或髋关节发育不良，以确定病情的自然病程并选择合适的治疗方法。33%的关节（13/39个髋关节）在平均9.2年的时间内从前期骨关节炎发展为早期骨关节炎，而剩下的66%（31/47个髋关节）在平均7.8年的时间内从早期骨关节炎发展为晚期骨关节炎。根据影像学对病情进展的分析，将患者分为进展组和非进展组，并进行统计学分析。在骨关节炎前期，中心边缘角度。髋臼顶坡度、髋臼头指数、髋臼深度比和日本骨科协会（JOA）髋关节评分是早期骨关节炎的显著预测因子。申顿的断线颅关节间隙、JOA评分差异有统计学意义。在多个参数的基础上，建立了预测骨关节炎前期患者、早期骨关节炎患者和所有患者病情发展的公式，准确率分别为87%、71%和68%。
In 59 patients, 86 hips with subluxation or hip dysplasia were examined to determine the natural course of the condition and select suitable treatment. Thirty-three percent of the joints (13/39 hips) developed early osteoarthritis from pre-osteoarthritis within an average term of 9.2 years, while the remaining, sixty-six percent (31/47 hips) developed advanced-stage osteoarthritis from early osteoarthritis within an average term of 7.8 years. Patients were classified into advanced and non-advanced groups according to radiographic analysis of the advance of the disease and statistical analysis was performed. In pre-osteoarthritis, centre-edge angle. slope of the acetabular roof, acetabular head index, acetabular depth ratio and Japanese Orthopaedic Association (JOA) hip score were significant predictors, while in early osteoarthritis. a broken Shenton's line. cranial joint space and JOA score were significant. On the basis of multiple parameters, formulas for predicting development in patients with pre-osteoarthritis, those with early osteoarthritis, and all patients together were established, with an accuracy of 87%, 71%, and 68%, respectively.