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[延长血源性骨髓炎后遗症患儿股骨对稳定髋关节状态的影响]

[The effects of lengthening the femur in children with sequelae of hematogenic osteomyelitis on the state of the stabilized hip joint].

作者信息

Garkavenko Iu E, Bergaliev A N, Pozdeev A P, Sadof'eva V I

出版信息

Vestn Khir Im I I Grek. 2000;159(5):47-51.

Abstract

The influence of stretching the femur on the state of stabilized hip joint after acute hematogenic osteomyelitis of the proximal part of the femur bone was studied in 47 children aged from 9 to 18 years. The restoration of the lower extremity length was obtained by the 4-12.5 cm stretching of the femur with the help of the Ilizarov apparatus and the wire-rod apparatus. The X-ray and radionuclide (three-phase dynamic osteoscintigraphy) methods were used. Long-term results were followed-up during the period from 1 to 12 years. It was found that stretching the injured femur not only failed to destabilize the hip joint and to worsen its state but maintained and increased the effect of the stabilizing operation.

摘要

对47名年龄在9至18岁的儿童进行了研究,探讨股骨延长对股骨近端急性血源性骨髓炎后稳定髋关节状态的影响。借助伊里扎洛夫器械和钢丝棒器械对股骨进行4至12.5厘米的延长,从而实现下肢长度的恢复。采用了X射线和放射性核素(三相动态骨闪烁显像)方法。在1至12年的时间里对长期结果进行了随访。结果发现,延长受伤的股骨不仅不会使髋关节失稳或使其状态恶化,反而能维持并增强稳定手术的效果。

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