采用股骨内翻截骨术治疗Legg-Calvé-Perthes病中的膝外翻。
Genu valgum in Legg-Calvé-Perthes disease treated with femoral varus osteotomy.
作者信息
Glard Yann, Katchburian Marcos V, Jacquemier Michel, Guillaume Jean-Marc, Bollini Gérard
机构信息
Department of Pediatric Orthopaedic Surgery, Timone Children's Hospital, 264, Rue St Pierre, 13385, Marseille Cedex 05, France.
出版信息
Clin Orthop Relat Res. 2009 Jun;467(6):1587-90. doi: 10.1007/s11999-009-0727-8. Epub 2009 Feb 13.
UNLABELLED
Femoral varus osteotomy is one of the most common treatments for patients with symptomatic Legg-Calvé-Perthes disease with more severe deformities. We hypothesized knee valgus alignment at maturity in patients with Legg-Calvé-Perthes disease is an effect of the disease and not an effect of femoral varus osteotomy. We retrospectively compared matched groups of 28 patients with and without femoral varus osteotomy. The two groups were similar with respect to age at onset and classification of Herring et al. The distribution of valgus alignment among patients who had surgery and patients who did not have surgery was assessed at maturity and was similar between the operative and nonoperative groups. The data suggest valgus malalignment (genu valgum) is not a side effect of femoral varus osteotomy in patients with Legg-Calvé-Perthes disease, but rather an effect of the disease.
LEVEL OF EVIDENCE
Level III, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
未标注
股骨内翻截骨术是治疗有症状的、畸形更严重的Legg-Calvé-Perthes病患者最常用的治疗方法之一。我们推测，Legg-Calvé-Perthes病患者成年时的膝外翻对线是该疾病的影响，而非股骨内翻截骨术的影响。我们回顾性比较了28例接受和未接受股骨内翻截骨术的匹配组患者。两组在发病年龄和Herring等人的分类方面相似。在成年时评估了接受手术和未接受手术患者的外翻对线分布，手术组和非手术组相似。数据表明，外翻对线不良（膝外翻）不是Legg-Calvé-Perthes病患者股骨内翻截骨术的副作用，而是该疾病的影响。
证据水平
III级，预后研究。有关证据水平的完整描述，请参阅作者指南。
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