Grzegorzewski Andrzej, Synder Marek, Szymczak Wiesław, Kozłowski Piotr, Sibiński Marcin
Katedra i Klinika Ortopedii i Ortopedii Dzieciecej Uniwersytetu Medycznego, Łódź
Ortop Traumatol Rehabil. 2004 Oct 30;6(5):575-81.
Background. The aim of our research was to compare unilateral and bilateral Perthes disease. Material and methods. The study population consisted of 261 patients with unilateral Perthes disease and 50 with bilateral. The hip joints were followed up from onset to the end of the growth period. The mean age at onset in unilateral disease was 7 years 1 month (range: 2.5-13 years), and in bilateral, 5 years and 10 months (range: 2.5-10.4 years). The mean follow up was 13.4 years (range: 4-50 years). Necrosis was estimated using the Herring and Catterall classifications. Outcome was evaluated using the Stulberg and Mose classification. Results. There was no correlation between gender and unilateral or bilateral Perthes disease. Onset in patients with unilateral femoral head necrosis averaged 15 months later than in the bilateral group. The greatest incidence of Perthes' disease was between age 6 and 9 in the unilateral group and under 6 in the bilateral group. There was no difference between unilateral and bilateral Perthes disease according to Stulberg classification. Age at onset correlated with Stulberg classification. Better results were achieved significantly more often in younger patients. There was no correlation between age at onset and Herring's classification in either group. Statistical analysis revealed that patients with unilateral disease in Catterall group 4 were the youngest. Conclusion. The age at onset of bilateral Perthes disease averaged 15 months earlier than with unilateral disease. There was no significant difference between unilateral and bilateral femoral head necrosis according to the Stulberg classification.
背景。我们研究的目的是比较单侧和双侧佩特兹病。材料与方法。研究人群包括261例单侧佩特兹病患者和50例双侧佩特兹病患者。对髋关节从发病至生长期末进行随访。单侧疾病发病时的平均年龄为7岁1个月（范围：2.5 - 13岁），双侧疾病为5岁10个月（范围：2.5 - 10.4岁）。平均随访时间为13.4年（范围：4 - 50年）。使用赫林分类法和卡特拉尔分类法评估坏死情况。使用斯图尔伯格分类法和莫斯分类法评估结果。结果。性别与单侧或双侧佩特兹病之间无相关性。单侧股骨头坏死患者的发病时间平均比双侧组晚15个月。单侧组佩特兹病的最高发病率在6至9岁之间，双侧组在6岁以下。根据斯图尔伯格分类法，单侧和双侧佩特兹病之间无差异。发病年龄与斯图尔伯格分类法相关。年轻患者显著更常取得更好的结果。两组中发病年龄与赫林分类法之间均无相关性。统计分析显示，卡特拉尔4组中的单侧疾病患者最年轻。结论。双侧佩特兹病的发病年龄平均比单侧疾病早15个月。根据斯图尔伯格分类法，单侧和双侧股骨头坏死之间无显著差异。
