佩特兹病晚期的治疗原则。
Principles of treatment in late stages of Perthes disease.
作者信息
Choi In Ho, Yoo Won Joon, Cho Tae-Joon, Moon Hyuk Ju
机构信息
Division of Pediatric Orthopaedics, Seoul National University Children's Hospital, Seoul, Korea.
出版信息
Orthop Clin North Am. 2011 Jul;42(3):341-8, vi. doi: 10.1016/j.ocl.2011.05.004.
It is of paramount importance to distinguish hips that may or may not be suitable for containment in the transitional stage (fragmentation to early reossification stage), because long-term clinical and radiological outcomes may be influenced by the choice of treatment. This article summarizes the definition of hinge abduction, pathoanatomy of hinge segment, assessment of hinge abduction, determination of reducible and irreducible hinge abduction, and treatment strategies for containable and uncontainable hips in the transitional stage.
区分在过渡阶段（骨折块形成至早期再骨化阶段）可能适合或不适合包容治疗的髋关节至关重要，因为治疗选择可能会影响长期的临床和影像学结果。本文总结了铰链外展的定义、铰链节段的病理解剖、铰链外展的评估、可复位和不可复位铰链外展的判定，以及过渡阶段可包容和不可包容髋关节的治疗策略。
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