Kerimoğlu Servet, Cıtlak Atilla, Baki Celal, Aydın Hafız
Department of Orthopedics and Traumatology, Medical Faculty of Karadeniz Technical University, Trabzon, Turkey.
Eklem Hastalik Cerrahisi. 2012 Apr;23(1):25-9.
We evaluated the long-term radiological outcomes of the patients with Perthes disease who were conservatively treated with brace.
Thirty-three hips of 27 skeletally mature patients (21 males, 6 females; mean age 25.2±3.4 years; range 20 to 32 years) treated with modified Thomas splint were included in this study. The results were evaluated according to the Stulberg classification.
The mean age of the patients was 6.3±2.2 (range 3-12) years at the onset of the disease and the mean follow-up was 18.6±3.2 (range 7.2-24.1) years. According to onset of the disease, good results were obtained for the patients who were less than six-years-old as 77.7%, between 6-9 years old as 84.2%, after nine years old as 40%. However, 100% of the Herring group A hips, 79.2% of the group B hips and 50% of the group C hips were healed with Stulberg class I or II results.
We obtained satisfactory results after conservative treatment with Thomas splint in patients who were between 6-9 years old at onset of the disease with Herring group B involvement. It is hard to say whether the good results were stemmed from having good prognosis of these patients, or stemmed from positive effect of using brace on treatment.
我们评估了采用支具保守治疗的佩特兹病患者的长期放射学结果。
本研究纳入了27例骨骼成熟患者（21例男性，6例女性；平均年龄25.2±3.4岁；范围20至32岁）的33个髋关节，这些患者采用改良托马斯夹板进行治疗。根据斯图尔伯格分类法对结果进行评估。
患者发病时的平均年龄为6.3±2.2（范围3 - 12）岁，平均随访时间为18.6±3.2（范围7.2 - 24.1）年。根据发病年龄，6岁以下患者的良好结果率为77.7%，6 - 9岁患者为84.2%，9岁以后患者为40%。然而，100%的赫林A组髋关节、79.2%的B组髋关节和50%的C组髋关节以斯图尔伯格I级或II级结果愈合。
对于发病时年龄在6 - 9岁且累及赫林B组的患者，采用托马斯夹板保守治疗后我们获得了满意的结果。很难说这些良好结果是源于这些患者本身预后良好，还是源于使用支具治疗的积极效果。
