Price Charles T, Thompson George H, Wenger Dennis R
Pediatric Orthopaedic Division, Arnold Palmer Hospital for Children, Orlando, FL 32806, USA.
Orthop Clin North Am. 2011 Jul;42(3):329-40, vi. doi: 10.1016/j.ocl.2011.04.008.
The objective of containment treatment in Perthes disease is to hold the femoral head in the acetabulum during the period of "biologic plasticity" while necrotic bone is resorbed and living bone is restored through the process of "creeping substitution." This article identifies the various methods of containment and the technical aspects of each method. Choice of method depends on the experience of the surgeon and the psychosocial needs of the patient and family. Failure is more commonly a result of inappropriate patient selection for a particular method, delay in management, or technical errors rather than to the method that was selected.
佩特兹病(股骨头骨骺缺血性坏死)包容治疗的目的是在“生物可塑性”期间将股骨头保持在髋臼内,在此期间坏死骨被吸收,活骨通过“爬行替代”过程得以恢复。本文介绍了各种包容方法及其技术要点。方法的选择取决于外科医生的经验以及患者和家属的心理社会需求。治疗失败更常见的原因是针对特定方法患者选择不当、治疗延迟或技术失误,而非所选方法本身。