Berruex P
Rev Chir Orthop Reparatrice Appar Mot. 1978 Mar;64(2):123-9.
The author advocates the fixation by plating of the fractures and curves of long bones in Paget's disease. This method is described as easy and three cases of fractures of the femur are described. The biomechanical problems of pagetic bone are analysed. It is concluded that straightening of the curves and fracture fixation must be performed simultaneously. Therefore the plates must be long enough for bridging the pathological area of the bone. Later on the plate should be left in place for prevention of further increase of the curves.
作者提倡采用钢板固定佩吉特病中长骨的骨折和弯曲。这种方法被描述为简便易行,并描述了3例股骨骨折的病例。分析了佩吉特骨的生物力学问题。得出结论,弯曲矫正和骨折固定必须同时进行。因此,钢板必须足够长以跨越骨的病变区域。之后,钢板应留在原位以防止弯曲进一步加重。