Bytyçi Cen, Qorraj Hasime, Bytyqi Dafina
Orthopaedic Department, University Clinical Center, Prishtina, Kosovo.
Cases J. 2009 Jul 1;2:6332. doi: 10.4076/1757-1626-2-6332.
The most serious complication of the septic arthritis of the hip in childhood and especially in newborns is the avascular necrosis of the femoral head. The aim of the study was evaluation of residual deformity after neonatal septic arthritis of the hip in a boy aged thirteen years.
A 13-year-old, white male, was operatively treated by intertrochanteric osteotomy of valgisation, anterotation and extension at age of twelve years because of leg length discrepancy, changes in the femoral neck, coxa vara, plana and breva. It was delay in diagnosis and failure to begin treatment promptly in the neonatal period.
Valgus intertrochanteric osteotomy of the femur, moves the greater trochanter distally and laterally, tensioning the abductors muscles and improving their leverage.
儿童期尤其是新生儿期髋关节化脓性关节炎最严重的并发症是股骨头缺血性坏死。本研究的目的是评估一名13岁男孩新生儿期髋关节化脓性关节炎后的残留畸形情况。
一名13岁白人男性，因腿长差异、股骨颈改变、髋内翻、扁平髋和短缩髋，于12岁时接受了转子间外翻、前旋和伸展截骨术。这是新生儿期诊断延迟和未能及时开始治疗所致。
股骨转子间外翻截骨术可将大转子向远侧和外侧移动，拉紧外展肌并改善其杠杆作用。
