Oh Chang-Wug, Presedo Ana, Dabney Kirk W, Miller Freeman
Alfred I. duPont Hospital for Children, Wilmington, Delaware 19899, USA.
J Pediatr Orthop B. 2007 Jan;16(1):23-30. doi: 10.1097/01.bpb.0000228393.70302.ce.
The present study was conducted to review the long-term results of femoral varus osteotomy with/without pelvic osteotomy of spastic cerebral palsy. We also evaluated the spastic hip score with following factors: migration index of Reimer's, Shenton's line, shape of the femoral head, shape of the roof of the acetabulum, and presence of windblown effect. Of the 31 children (61 hips) reviewed, 49 hips (80%) had satisfactory outcomes after 10 years of follow-up. Twelve hips showed unsatisfactory outcomes with recurrent dislocation or significant osteoarthritis. A low preoperative spastic hip score was more indicative of a better outcome.
本研究旨在回顾痉挛性脑瘫行/不行骨盆截骨的股骨内翻截骨术的长期结果。我们还根据以下因素评估痉挛性髋关节评分：赖默尔移位指数、沈通氏线、股骨头形状、髋臼顶形状以及是否存在风吹样效应。在接受评估的31名儿童（61髋）中，49髋（80%）在随访10年后获得了满意的结果。12髋结果不满意，出现复发性脱位或严重骨关节炎。术前痉挛性髋关节评分较低更预示着较好的结果。
