对患有外侧柱B型和C型Legg-Calvé-Perthes病的患者进行内翻截骨术，并随访至骨骼成熟。
Varus-producing osteotomy for patients with lateral pillar type B and C Legg-Calvé-Perthes disease followed to skeletal maturity.
作者信息
Castañeda Pablo, Haynes Richard, Mijares Jorge, Quevedo Héctor, Cassis Nelson
机构信息
Shriners Hospital for Children, Av. Del Imán #257, Del. Coyoacan, 04600, México, DF, Mexico,
出版信息
J Child Orthop. 2008 Oct;2(5):373-9. doi: 10.1007/s11832-008-0125-x. Epub 2008 Sep 2.
PURPOSE
We sought to determine if a varus-producing osteotomy of the proximal femur was related to a better outcome than non-operative treatment for LCP disease.
METHODS
This was a retrospective review of 121 patients; clinical outcome was determined with the Iowa Hip Score, and radiographic outcome was determined with the Stulberg classification.
RESULTS
A total of 73 patients undergoing a VO and 48 treated non-operatively were included; 70 had lateral pillar type B and 51 type C hips. Average follow-up was 12.03 years. The mean Iowa Hip Score was 86.8 for the VO group and 85.9 for the non-operative group. According to the Stulberg classification for the group undergoing a VO, there were 8 type II, 33 type III, and 32 type III, and for the group undergoing non-operative treatment there were 11 type II, 24 type III, and 13 type IV.
CONCLUSIONS
We found no statistically significant difference in the clinical or radiographic result for patients undergoing a VO compared to non-operative treatment.
目的
我们试图确定股骨近端内翻截骨术与儿童股骨头缺血性坏死（LCP病）非手术治疗相比是否能带来更好的治疗效果。
方法
这是一项对121例患者的回顾性研究；临床疗效采用爱荷华髋关节评分来确定，影像学疗效采用斯图尔伯格分类来确定。
结果
总共纳入了73例行内翻截骨术（VO）的患者和48例接受非手术治疗的患者；70例为外侧柱B型，51例为C型髋关节。平均随访时间为12.03年。VO组的爱荷华髋关节评分平均为86.8分，非手术组为85.9分。根据斯图尔伯格分类，VO组中8例为II型，33例为III型，32例为III型；非手术治疗组中11例为II型，24例为III型，13例为IV型。
结论
我们发现，与非手术治疗相比，接受VO治疗的患者在临床或影像学结果上没有统计学上的显著差异。
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