Annamalai Suresh Kumar Masilamani, Buckingham Rachel, Cashman John
Department of Paediatric Orthopaedics, Bristol Children's Hospital, Upper Maudlin Street, Bristol, BS2 8BJ, UK,
J Child Orthop. 2007 Jul;1(2):107-13. doi: 10.1007/s11832-007-0021-9. Epub 2007 Apr 20.
The treatment of Legg-Calvé-Perthes disease remains controversial. The aim of this survey was to ascertain the current management strategies of this condition amongst UK paediatric orthopaedic surgeons, with particular regard to containment procedures in the fragmentation phase. Questionnaires were distributed at the January 2006 meeting of the British Society for Children's Orthopaedic Surgery (BSCOS) and was posted to all absent members. The results showed a great deal of variability not only in the treatment of Perthes disease, but also in the decision-making processes. Consideration must now be given to a carefully constructed national multi-centre prospective randomised controlled study into the optimum management of this disease.
Legg-Calvé-Perthes病的治疗仍存在争议。本次调查的目的是确定英国小儿骨科医生对这种疾病的当前管理策略,尤其关注碎裂期的包容手术。调查问卷于2006年1月在英国儿童骨科学会(BSCOS)会议上分发,并邮寄给所有缺席成员。结果显示,不仅在Perthes病的治疗方面,而且在决策过程中都存在很大差异。现在必须考虑针对这种疾病的最佳管理进行精心设计的全国多中心前瞻性随机对照研究。