Bulut Mehmet, Demirtş Abdullah, Uçar Bekir Yavuz, Azboy Ibrahim, Alemdar Celil, Karakurt Lokman
Acta Orthop Belg. 2014 Mar;80(1):56-62.
In this study, clinical and radiological results were evaluated in patients with Legg-Calve-Perthes disease treated with Salter pelvic osteotomy. Between 2004 and 2008, 16 patients underwent a Salter osteotomy as treatment for Legg-Calve-Perthes disease (15 male, 1 female; 10 right hip, 6 left hip). The mean age at the time of surgery was 8.1 +/- 1.4 (range: 6 to 10) years. Surgical indications were : age between 6-10 years at the onset of the disease; Herring classification type B, B/C, or C; and at least one risk sign. 6-8 year old patients were classified as group I and 9-10 year olds were classified as group II. We investigated the effects of age and Herring classification on radiological outcomes. The final radiographic evaluation according to the Stulberg classification showed nine hips (56.25%) classified as good (Stulberg I/II), five (31.25%) as fair (Stulberg III); and two (12.5%) as poor (Stulberg IV). In group I, 7 patients (70%) had good results, while only 2 (33.3%) in group II. The results in group I were statistically better than group II (p < 0.05). Based on the Herring lateral pillar type, of the 12 patients classified as B or B/C, at final follow-up, 8 (66.6%) had a good outcome (Stulberg I/II), whereas in the four patients classified as type C, only one (25%) had a good outcome. The Salter pelvic osteotomy is an effective method of surgical treatment for Legg-Cave-Perthes in patients between 6-8 years of age.
在本研究中，对采用Salter骨盆截骨术治疗的Legg-Calve-Perthes病患者的临床和影像学结果进行了评估。2004年至2008年期间，16例患者接受了Salter截骨术以治疗Legg-Calve-Perthes病（15例男性，1例女性；10例右侧髋关节，6例左侧髋关节）。手术时的平均年龄为8.1±1.4（范围：6至10）岁。手术指征为：疾病发作时年龄在6至10岁之间；Herring分类为B型、B/C型或C型；且至少有一个风险体征。6至8岁的患者分为I组，9至10岁的患者分为II组。我们研究了年龄和Herring分类对影像学结果的影响。根据Stulberg分类进行的最终影像学评估显示，9个髋关节（56.25%）分类为良好（Stulberg I/II级），5个（31.25%）为中等（Stulberg III级）；2个（12.5%）为差（Stulberg IV级）。在I组中，7例患者（70%）结果良好，而II组中只有2例（33.3%）。I组的结果在统计学上优于II组（p<0.05）。根据Herring外侧柱类型，在12例分类为B或B/C型的患者中，最终随访时，8例（66.6%）结果良好（Stulberg I/II级），而在4例分类为C型的患者中，只有1例（25%）结果良好。Salter骨盆截骨术是治疗6至8岁Legg-Calve-Perthes病患者的一种有效手术方法。
