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范内斯旋转截骨术治疗股骨近端局灶性缺损和先天性股骨短缩

Van Nes rotational osteotomy for treatment of proximal femoral focal deficiency and congenital short femur.

作者信息

Kostuik J P, Gillespie R, Hall J E, Hubbard S

出版信息

J Bone Joint Surg Am. 1975 Dec;57(8):1039-46.

PMID:1201985
Abstract

The results of twenty Van Nes rotational osteotomies for unilateral proximal femoral focal deficiency and congenital short femur were analyzed after follow-ups of two to eight years. Assessed on the basis of prosthetic function, the results were good in ten, fair in six, and poor in four. Twelve patients required a rerotation procedure, six of them twice, because of postoperative derotation. Appropriate leg-length discrepancy to place the ankle, converted to the knee, at the right level, as well as normal ankle and foot motion and muscle power, are prerequisites to the procedure, which should be deferred until the child is about twelve years old to avoid prolonged hospitalization for rerotation and gait training.

摘要

对20例采用范内斯旋转截骨术治疗单侧股骨近端局灶性缺损和先天性股骨短缩的病例进行了分析,随访时间为2至8年。根据假体功能评估,结果为良好的有10例,一般的有6例,差的有4例。12例患者因术后旋转不良需要再次进行旋转手术,其中6例进行了两次。进行该手术的前提条件是要有合适的腿长差异,使踝关节(换算为膝关节)处于正确水平,以及正常的踝关节和足部活动及肌肉力量。该手术应推迟到儿童约12岁时进行,以避免因再次旋转和步态训练而延长住院时间。

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1
Van Nes rotational osteotomy for treatment of proximal femoral focal deficiency and congenital short femur.范内斯旋转截骨术治疗股骨近端局灶性缺损和先天性股骨短缩
J Bone Joint Surg Am. 1975 Dec;57(8):1039-46.
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Rotational osteotomy for proximal femoral focal deficiency.股骨近端局灶性缺损的旋转截骨术。
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Rotationplasty for Severe Congenital Femoral Deficiency.严重先天性股骨缺损的旋转截骨术
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Midterm follow-up of total hip arthroplasty in a patient with contralateral Van Nes rotationplasty for congenital proximal femoral focal deficiency.
对一名因先天性股骨近端局灶性缺损行对侧范内斯旋转截骨术患者的全髋关节置换中期随访。
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Amputation and rotationplasty in children with limb deficiencies: current concepts.肢体缺陷儿童的截肢与旋转成形术:当前概念
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Lengthening With External Fixation Is Effective in Congenital Femoral Deficiency.外固定延长术治疗先天性股骨缺损有效。
Clin Orthop Relat Res. 2015 Oct;473(10):3261-71. doi: 10.1007/s11999-015-4461-0. Epub 2015 Jul 21.
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Van Nes rotationplasty as a treatment method for Ewing's sarcoma in a 14-month-old.范内斯旋转截骨术治疗一名14个月大儿童的尤因肉瘤。
Int J Surg Case Rep. 2013;4(10):893-7. doi: 10.1016/j.ijscr.2013.07.027. Epub 2013 Aug 6.
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Treatment of osteosarcomata of the distal femur by rotation-plasty.
Arch Orthop Trauma Surg (1978). 1981;99(2):131-6. doi: 10.1007/BF00389748.
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[Van Nes rotation osteoplasty in congenital dysplasias and aplasias of the proximal femur in young children. A study of 6 cases].[儿童先天性股骨近端发育不良和发育不全的范内斯旋转截骨术。6例研究]
Int Orthop. 1987;11(1):43-51. doi: 10.1007/BF00266057.