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[基于亚琛-多特蒙德治疗算法的佩特兹病——诊断、分类与治疗]

[Perthes disease-diagnosis, classification and treatment based on Aachen-Dortmund treatment algorithm].

作者信息

Rosery K, Tingart M, Lüring C, Schulze A

机构信息

Orthopädische Klinik, Klinikum Dortmund, Beurhausstr. 40, 44137, Dortmund, Deutschland.

Klinik für Orthopädie, Uniklinikum RWTH Aachen, Aachen, Deutschland.

出版信息

Orthopade. 2018 Sep;47(9):722-728. doi: 10.1007/s00132-018-3609-5.

Abstract

Legg-Calvé-Perthes disease is a multifactorial idiopathic necrosis of the hip that typically occurs in childhood between the ages of 3 and 12. Treatment adapted to the stadium of the disease and to the clinical findings is medical art. The treatment is focused on the preservation or recovery of the arthrogenic containment of the femoral head. Multiple treatment options are available. The indications for treatment can be derived from clinical and radiological pathology. Structuring of the therapy options is the aim of this publication. For this purpose, a clear and concise overview of relevant clinical findings and useful radiographic classifications as well as reasonable therapy is presented.

摘要

莱-卡-佩病是一种多因素特发性髋关节坏死,通常发生在3至12岁的儿童期。根据疾病阶段和临床发现进行的治疗是医学技艺。治疗的重点是保留或恢复股骨头的关节源性包容。有多种治疗选择。治疗指征可从临床和放射病理学得出。构建治疗方案是本出版物的目的。为此,本文提供了相关临床发现、有用的影像学分类以及合理治疗的清晰简明概述。

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