Kuroda Takayuki, Mitani Shigeru, Sugimoto Yoshihisa, Asaumi Koji, Endo Hirosuke, Akazawa Hirofumi, Nakagomi Tadashi, Ozaki Toshifumi
Science of Functional Recovery and Reconstruction, Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science, Okayama, Japan.
J Pediatr Orthop B. 2009 May;18(3):116-9. doi: 10.1097/BPB.0b013e32832b07b1.
The purpose of this study was to examine the correlation between the changes in the lateral pillar grades and the factors influencing such changes. We reviewed 102 patients with Perthes' disease. Changes were observed in 32 (31%) hips. The percentage of the changes in each treatment group showed significant differences. Patients with extensive involvement showed significantly more changes. There was no difference in the age at the onset. We recommend that treatment methods be used that more effectively relieve the mechanical force on the capital femoral epiphysis for patients with extensive involvement regardless of the age at the onset.
本研究的目的是探讨外侧柱分级变化与影响这些变化的因素之间的相关性。我们回顾了102例佩特兹病患者。在32（31%）个髋关节中观察到了变化。每个治疗组的变化百分比显示出显著差异。广泛受累的患者变化明显更多。发病年龄没有差异。我们建议，对于广泛受累的患者，无论发病年龄如何，都应采用能更有效减轻股骨头骨骺机械力的治疗方法。
