Pafilas Dimitrios, Nayagam Selvadurai
Royal Liverpool University and Royal Liverpool Children's Hospitals NHS Trusts, Eaton Road, Liverpool, L12 2AP, UK.
Strategies Trauma Limb Reconstr. 2008 Sep;3(2):83-92. doi: 10.1007/s11751-008-0039-7. Epub 2008 Aug 30.
The pelvic support osteotomy is a double level femoral osteotomy with the objective of eliminating a Trendelenburg and short limb gait in young patients with severe hip joint destruction as a consequence of neonatal septic arthritis. The osteotomy has seen several changes and a brief historical overview is provided to set the evolution of the modifications of the procedure in context. We present an analysis of the preoperative assessment that will assist the surgeon to plan out the procedure. Specifically, we set out to answer the following questions: (a) Where should the first osteotomy be performed and what is the magnitude of valgus and extension correction desired at this level? (b) Where should the second osteotomy be performed and what is the magnitude of varus and derotation desired at this level?
骨盆支撑截骨术是一种双平面股骨截骨术，目的是消除因新生儿化脓性关节炎导致严重髋关节破坏的年轻患者的Trendelenburg步态和肢体短缩步态。该截骨术经历了几次变革，现提供简要的历史概述，以阐述该手术改良的演变过程。我们对术前评估进行了分析，这将有助于外科医生规划手术。具体而言，我们试图回答以下问题：(a) 第一次截骨应在何处进行，该平面所需的外翻和伸展矫正角度是多少？(b) 第二次截骨应在何处进行，该平面所需的内翻和旋转矫正角度是多少？
