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[成人Chiari截骨术——附70例报告]

[Chiari's osteotomy in adults--apropos of 70 cases].

作者信息

Duquennoy A, Gougeon F, Fontaine C, Callieret J, D'Herbomez O, Migaud H

机构信息

Service d'Orthopedie et de traumatologie, Hôpital B CHU Lille, France.

出版信息

Acta Orthop Belg. 1990;56(1 Pt B):351-6.

PMID:2382571
Abstract

Between 1975 and 1987, 83 Chiari osteotomies were performed on 49 women and 11 men. The osteotomy was bilateral in 5 cases. The average age was 34 years. The average follow-up was 4 years with a range of 1 to 12 years. In 65 patients there was acetabular dysplasia, associated in 26 cases with coxa valga and, in one patient, with coxa vara. In 12 cases there was a subluxation of the femoral head, greater than 15 mm and in 16 cases, the femoral head was deformed after a post-reductional osteochondritis. The technique and results are discussed.

摘要

1975年至1987年间,对49名女性和11名男性实施了83例Chiari截骨术。其中5例为双侧截骨。平均年龄为34岁。平均随访时间为4年,范围为1至12年。65例患者存在髋臼发育不良,其中26例合并髋外翻,1例合并髋内翻。12例患者股骨头半脱位超过15 mm,16例患者在复位后发生骨软骨炎,股骨头变形。本文讨论了手术技术及结果。

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