Catterall Anthony
Ortop Traumatol Rehabil. 2004 Nov-Dec;6(6):764-9.
Despite considerable research into the aetiology and management of Perthes' Disease, patients late with symptoms related to serious femoral head deformity. The process of progressive deformity is discussed and the clinical signs which recognize it identified. The clinical signs of the established condition are shortening, loss of abduction proceeding to a flexion/adduction contracture with unstable movement and hinge abduction on the dynamic arthrogram. Treatment must result in stable movement as the child stand and walks. This is achieved by a valgus/extension upper femoral osteotomy. The advantage of this procedure is that it relieves pain, improves leg length, restores the normal abductor lever and in consequence improves the limp, which is one of the patient's chief complaints. The results in the long term are discussed.
尽管对佩特兹病的病因和治疗进行了大量研究，但仍有患者出现与严重股骨头畸形相关的晚期症状。文中讨论了渐进性畸形的过程，并确定了识别该畸形的临床体征。已确诊病情的临床体征包括肢体缩短、外展丧失，进而发展为屈曲/内收挛缩，运动不稳定，以及动态关节造影显示的铰链式外展。治疗必须使患儿站立和行走时运动稳定。这可通过股骨上段外翻/伸展截骨术实现。该手术的优点是缓解疼痛、增加腿长、恢复正常外展杠杆，从而改善跛行，而跛行是患者的主要主诉之一。文中还讨论了长期疗效。
