Kulinich V I, Larin V A
Ortop Travmatol Protez. 1991 Jan(1):30-1.
In the article are analyzed the results of treatment of 16 children with Perthes disease. There is given clinico-roentgenologic substantiation of surgical treatment. The authors concluded that the surgical methods of treatment of children with Perthes disease of the II-III degree are the principal ones. The developed procedure of surgical intervention integrates the methods of intervention which were earlier applied by many authors and includes: correcting intertrochanteric detortion-variative osteotomies of femur, tunneling and biostimulation of neck and epiphysis of femoral head by allogenic osseous matrix and cortical transplants, by administration of chemotrypsin into epiphysis, decompression of hip joint with subsequent restorative-conservative treatment. Complex treatment allows 2-3-fold reduction of the terms of treatment of patients with good anatomic and functional results, prevents development of secondary hip joint deformations.
本文分析了16例 Perthes 病患儿的治疗结果。给出了手术治疗的临床放射学依据。作者得出结论,II - III 度 Perthes 病患儿的手术治疗方法是主要方法。所开发的手术干预程序整合了许多作者先前应用的干预方法,包括:股骨转子间扭转矫正性变异性截骨术、同种异体骨基质和皮质移植对股骨头颈部和骨骺进行隧道形成和生物刺激、向骨骺内注射胰凝乳蛋白酶、髋关节减压并随后进行恢复性保守治疗。综合治疗可使患者的治疗时间缩短2 - 3倍,获得良好的解剖和功能效果,防止继发性髋关节畸形的发展。