Radło Wojciech, Sułko Jerzy, Kotulski Dariusz
Oddział Ortopedyczno-Urazowy, Uniwersytecki Szpital Dzieciecy, CM UJ, Kraków.
Ortop Traumatol Rehabil. 2004 Oct 30;6(5):589-94.
Background. This article presents outcomes after conservative treatment of Perthes' disease according to Staheli's algorithm. Material and methods. We analyzed 38 children (30 boys and 8 girls), ranging in age from 2.5 to 10 years, who were treated in the period 1995-2003 using a homogeneous conservative method. Treatment consisted in the application of exercises to increase or maintain a full range of movement, swimming pool exercises, load release on the limb (crutches), and indirect traction. Clinical and radiological examinations were used to assess the outcome, and the results of this method were compared to the outcomes described in the literature. Results. In all subjects, after an average 3.8-year observation period, we observed reconstruction of the femoral head and a good functional outcome, regardless of age. Conclusions. Treatment of Perthes' disease by using crutches to relieve limb load, and by applying kinesitherapy and traction, allows for good results, comparable to those achieved with other conservative methods. The most decisive factors for treatment outcome are the child's age at onset and the degree of advancement of the changes.
背景。本文介绍了根据施塔赫利算法对佩特兹病进行保守治疗后的结果。材料与方法。我们分析了1995年至2003年期间采用同种保守方法治疗的38名儿童（30名男孩和8名女孩），年龄在2.5岁至10岁之间。治疗包括进行锻炼以增加或维持全关节活动范围、泳池锻炼、肢体减负（使用拐杖）以及间接牵引。通过临床和放射学检查评估治疗结果，并将该方法的结果与文献中描述的结果进行比较。结果。在所有受试者中，经过平均3.8年的观察期，无论年龄大小，均观察到股骨头重建且功能结果良好。结论。使用拐杖减轻肢体负荷，并应用运动疗法和牵引治疗佩特兹病，可取得与其他保守方法相当的良好效果。治疗结果的最决定性因素是患儿发病时的年龄以及病变进展程度。
