Pucher A
Katedra i Klinika Ortopedii, Akademia Medyczna im. Karola Marcinkowskiego, Poznaniu.
Chir Narzadow Ruchu Ortop Pol. 1998;63(5):423-30.
A series of 73 patients with avascular necrosis complicating surgical or nonsurgical treatment for congenital hip dysplasia is presented. The femoral head, neck and subcapital growth plate has been damaged in all cases. A-P radiographs of proximal femur revealed three types of growth disturbances: lateral, medial and total one. Localization of growth plate damage determined the type of growth disturbances. Mutual features for all types were: shortening of the femoral neck and growth disproportion between femoral head and greater trochanter. In 43 hips the greater trochanter grew over the femoral head and constituted the most proximal part of the femur (trochanter altus). Growth disturbances of the acetabulum coexisted (primary and secondary acetabular dysplasia). Radiological parameters of deformed hips have been compared with normal values.
本文报告了73例先天性髋关节发育不良手术或非手术治疗后并发股骨头缺血性坏死的患者。所有病例中股骨头、股骨颈及股骨头下生长板均有损伤。股骨近端前后位X线片显示三种生长紊乱类型:外侧型、内侧型和整体型。生长板损伤的部位决定了生长紊乱的类型。所有类型的共同特征为:股骨颈缩短以及股骨头与大转子之间生长不均衡。43个股骨头中,大转子高于股骨头生长,成为股骨最近端部分(高位大转子)。髋臼也存在生长紊乱(原发性和继发性髋臼发育不良)。已将畸形髋关节的放射学参数与正常值进行了比较。