Dhar Shabir Ahmed, Dar Tahir Ahmed, Sultan Asif, Malik Abdul Rouf, Mir Mohammed Ramzan
Government Hospital for Bone and Joint Surgery, Bagat Barzullah, Srinagar Kashmir, 190005, India,
Strategies Trauma Limb Reconstr. 2011 Nov;6(3):155-8. doi: 10.1007/s11751-011-0120-5. Epub 2011 Sep 9.
To report a proximal femoral osteotomy with retention of bone ledges in a reciprocal position to increase bone contact and stability. The method was applied to 5 patients over a 3-year period. All patients had coxa vara. The average length gained was 1.5 cm, and the average neck shaft angle improvement was 30°. The Harris hip score improved from an average of 63 to 82. The reciprocal ledge osteotomy is technically less demanding and also allows conversion of normal shear forces around the upper femur to stabilizing forces. This method allows easier use of the DHS implant as potential rotation about the axis of the screw is negated by the ledges and the dynamic forces.
报道一种保留骨嵴并使其处于相对位置以增加骨接触和稳定性的股骨近端截骨术。该方法在3年期间应用于5例患者。所有患者均患有髋内翻。平均肢体延长1.5厘米，平均颈干角改善30°。Harris髋关节评分从平均63分提高到82分。相对骨嵴截骨术在技术上要求较低，还可将股骨上段周围的正常剪切力转化为稳定力。由于骨嵴和动力消除了围绕螺钉轴的潜在旋转，该方法使动力髋螺钉（DHS）植入物的使用更加容易。
