Berlemont M, Mestdagh H
Service d'Orthopédie-Traumatologie A, Hôpital Régional, Lille.
Rev Chir Orthop Reparatrice Appar Mot. 1988;74(6):580-4.
To avoid the severe mutilation of a hip disarticulation and to improve limb-fitting, a method of partial limb preservation is proposed. Two cases of septic arthritis of the hip with neurological and atrophic lesions sufficient to justify disarticulation are described. Disarticulation was avoided by partial conservation of the thigh with an extensive resection of the upper end of the femur, a through-knee amputation and a large posterior musculo-cutaneous flap including the triceps surae whose muscle provided a good cover for an end-bearing myoplasty. The stump obtained was of good quality which, though a little unstable, was firm and well provided with muscle which allowed early mobilization with a temporary prosthesis and later limb-fitting with much more satisfactory function than that in a hip disarticulation.
为避免髋关节离断造成的严重肢体残缺并改善假肢适配情况，本文提出一种部分肢体保留的方法。本文描述了两例髋关节化脓性关节炎病例，其伴有足以证明需进行关节离断的神经和萎缩性病变。通过部分保留大腿、广泛切除股骨上端、进行经膝关节截肢以及制作一个包含小腿三头肌的大型后外侧肌皮瓣（该肌肉为终末负重肌成形术提供了良好的覆盖），避免了关节离断。所获得的残肢质量良好，虽稍显不稳定，但坚实且肌肉丰富，这使得患者能够早期使用临时假肢进行活动，后期安装假肢时功能比髋关节离断更为令人满意。
