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使用股骨近端加长髓内钉和腓骨移植进行一期截骨固定治疗纤维结构不良患者的严重牧羊拐畸形:一例报告

One-stage osteotomy and fixation using a long proximal femoral nail and fibular graft to correct a severe shepherd's crook deformity in a patient with fibrous dysplasia: a case report.

作者信息

Kataria Himanshu, Sharma Neeraj, Kanojia Rajesh Kumar

机构信息

Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.

出版信息

J Orthop Surg (Hong Kong). 2009 Aug;17(2):245-7. doi: 10.1177/230949900901700229.

DOI:10.1177/230949900901700229
PMID:19721165
Abstract

We report a case where a one-stage osteotomy and fixation, using a long proximal femoral nail and fibular graft, was performed to correct a severe shepherd's crook deformity (70-degree varus and 50-degree retroversion) of the femoral neck with a pathological stress fracture in a patient with fibrous dysplasia. The neck shaft angle was corrected to 125 degrees. At the 57-month follow-up, the patient was free of pain and had no limp or evidence of recurrence.

摘要

我们报告了一例病例,该病例为一名患有纤维发育不良的患者,其股骨颈出现严重的牧羊人之钩畸形(70度内翻和50度后倾)并伴有病理性应力性骨折,采用长型股骨近端髓内钉和腓骨移植进行一期截骨和固定。颈干角被矫正至125度。在57个月的随访中,患者无疼痛,无跛行,也没有复发迹象。

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