Aksoy M Cemalettin, Caglar Omur, Yazici Muharrem, Alpaslan A Mumtaz
Department of Orthopaedics and Traumatology, Hacettepe University Faculty Of Medicine, Sihhiye, 06530 Beysukent, Ankara, Turkey.
J Pediatr Orthop B. 2004 May;13(3):153-7. doi: 10.1097/00009957-200405000-00003.
Twenty-three hips of 23 Legg-Calvé-Perthes-disease (LCPD) patients treated with abduction orthosis and 28 hips of 25 non-braced LCPD patients were evaluated radiologically retrospectively. The mean age of the brace group was 6.82 years and the mean follow-up was 12.30 years. The mean age and mean follow-up were 7.03 and 17.85 years for non-braced patients, respectively. The hips were evaluated according to lateral pillar classification. There were eight Herring A, 15 Herring B and five Herring C hips in the non-braced patients group; and there were five Herring A, 11 Herring-B and seven Herring C hips in the brace group. The groups were similar in terms of mean age, mean follow-up, sex distribution and lateral pillar grade. Patients' end results were evaluated according to Stulberg classification. All Herring A patients healed with Stulberg class 1 or 2, either braced or non-braced. Fifty-three percent of non-braced hips and 65% of the hips treated with brace healed with satisfactory radiological outcome. There were no significant differences between the groups in terms of end result. The overall results of this study suggest that Herring's lateral pillar classification is a useful system for the prediction of the long-term outcome of the disease and that there was no significant difference between the braced and non-braced patients in terms of radiological end result.
对23例采用外展支具治疗的Legg-Calvé-Perthes病（LCPD）患者的23个髋关节以及25例未使用支具的LCPD患者的28个髋关节进行了回顾性放射学评估。支具组的平均年龄为6.82岁，平均随访时间为12.30年。未使用支具患者的平均年龄和平均随访时间分别为7.03岁和17.85年。根据外侧柱分类法对髋关节进行评估。在未使用支具的患者组中，有8个Herring A型、15个Herring B型和5个Herring C型髋关节；支具组中有5个Herring A型、11个Herring B型和7个Herring C型髋关节。两组在平均年龄、平均随访时间、性别分布和外侧柱分级方面相似。根据Stulberg分类法评估患者的最终结果。所有Herring A型患者无论是否使用支具，均愈合为Stulberg 1级或2级。未使用支具的髋关节中有53%以及使用支具治疗的髋关节中有65%愈合，放射学结果令人满意。两组在最终结果方面无显著差异。本研究的总体结果表明，Herring外侧柱分类法是预测该疾病长期预后的有用系统，并且在放射学最终结果方面，使用支具和未使用支具的患者之间没有显著差异。
