Hoikka V, Poussa M, Yrjönen T, Osterman K
Orthopedic Hospital of the Invalid Foundation, Helsinki, Finland.
Acta Orthop Scand. 1991 Dec;62(6):549-53. doi: 10.3109/17453679108994494.
We analyzed various prognostic factors in 112 children operated on for Perthes' disease (Catterall's groups II-IV); special attention was paid to acetabular changes and postoperative containment. The radiographic results of 126 intertrochanteric femoral varus osteotomies were analyzed 2-16 years postoperatively. Catterall's grouping or head-at-risk phenomenon, bicompartmentalization of the acetabulum, and preoperative subluxation of the femoral head did not correlate with the result. The result was worse in cases operated on in the healing phase of the disease and in patients operated on at the age of 9 years or older. The strongest prognostic factor was containment of the femoral head after osteotomy.
我们分析了112例因佩特兹病接受手术治疗的儿童（卡特拉尔II-IV组）的各种预后因素；特别关注髋臼变化和术后包容情况。对126例股骨转子间内翻截骨术的术后2至16年的影像学结果进行了分析。卡特拉尔分组或股骨头危险现象、髋臼双室化以及术前股骨头半脱位与结果无关。在疾病愈合期接受手术的病例以及9岁及以上接受手术的患者中，结果较差。最强的预后因素是截骨术后股骨头的包容情况。
