Yoon Taek Rim, Rowe Sung Man, Chung Jae Yoon, Song Eun Kyoo, Mulyadi Dicky, Anwar Iwan Budiwan
Department of Orthopedics, Chonnam National University Hospital, 8 Hak-dong, Kwangju 501-757, Korea.
J Pediatr Orthop. 2003 May-Jun;23(3):363-7.
The purpose of this study was to evaluate the results of the authors' modification of Salter innominate osteotomy in Perthes' disease. The operation was performed in 16 hips of 15 Perthes' patients (11 boys and 4 girls). The posterior half of the ilium was cut by a Gigli saw using a conventional method. The anterior half was osteotomized using a reciprocal saw in a direction of 45 degrees obliquely to the coronal plane and 30 degrees to 40 degrees posteroinferiorly to the sagittal plane. Stable interposition of the bone block was achieved within the osteotomy site. Bone union occurred in all cases within 4 months without displacement of the osteotomy. The mean of the center-edge angle improved from a mean 19 degrees preoperatively to 29.4 degrees postoperatively, and the average epiphyseal extrusion improved from 23% to 9.5%. The modified Salter osteotomy provided much better stability by simply changing the direction of osteotomy.
本研究的目的是评估作者对佩特兹病（Perthes病）的改良萨尔特（Salter）髋臼截骨术的效果。该手术在15例佩特兹病患者的16个髋关节上进行（11名男孩和4名女孩）。采用传统方法用线锯切断髂骨后半部分。前半部分采用往复锯在与冠状面呈45度角、与矢状面后下呈30度至40度角的方向进行截骨。在截骨部位实现了骨块的稳定嵌入。所有病例均在4个月内实现骨愈合，截骨无移位。中心边缘角的平均值从术前的平均19度提高到术后的29.4度，平均骨骺外移从23%改善到9.5%。改良的萨尔特截骨术通过简单改变截骨方向提供了更好的稳定性。
