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Legg-Calvé-Perthes病的术前Russell牵引

Preoperative Russell traction in Legg-Calvé-Perthes disease.

作者信息

Serlo W, Heikkinen E, Puranen J

出版信息

J Pediatr Orthop. 1987 May-Jun;7(3):288-90. doi: 10.1097/01241398-198705000-00008.

DOI:10.1097/01241398-198705000-00008
PMID:3584444
Abstract

Divergent opinions about the pathophysiology and the optimal time and methods for the treatment of Legg-Calvé-Perthes (LCP) disease exist. Synovitis causing restriction of hip motions may be hazardous to the circulation to the femoral head. We studied 23 children (24 hips) in the initial phase of LCP disease. Seven to 14 days of Russell traction decreased the intraosseous pressure significantly (p less than 0.001) and increased the hip motion a mean of 33.6 degrees. As assessed by osteovenography, the venous congestion decreased in almost every hip during Russell traction.

摘要

关于Legg-Calvé-Perthes(LCP)病的病理生理学、最佳治疗时间和方法存在不同意见。导致髋关节活动受限的滑膜炎可能对股骨头的血液循环有害。我们研究了23名处于LCP病初始阶段的儿童(24个髋关节)。7至14天的Russell牵引显著降低了骨内压(p<0.001),并使髋关节活动平均增加了33.6度。通过骨静脉造影评估,在Russell牵引期间几乎每个髋关节的静脉淤血都有所减轻。

相似文献

1
Preoperative Russell traction in Legg-Calvé-Perthes disease.Legg-Calvé-Perthes病的术前Russell牵引
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引用本文的文献

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Legg-Calvé-Perthes disease: role of isolated adductor tenotomy?莱格-卡尔维-佩特兹病:单纯内收肌切断术的作用?
Eur J Orthop Surg Traumatol. 2013 Dec;23(8):921-5. doi: 10.1007/s00590-012-1116-7. Epub 2012 Oct 30.
3
Treatment outcome in the most severely affected Legg-Perthes patients, comparing prolonged traction in abduction with femoral varus derotation treatment.
比较外展长期牵引与股骨内翻旋转治疗对最严重受累的Legg-Perthes病患者的治疗效果。
J Child Orthop. 2011 Apr;5(2):89-95. doi: 10.1007/s11832-010-0309-z. Epub 2010 Dec 14.
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Hip range of motion in Perthes' disease: comparison of pre-operative and intra-operative values.佩特兹病的髋关节活动范围:术前与术中值的比较。
J Child Orthop. 2007 Mar;1(1):33-5. doi: 10.1007/s11832-007-0009-5. Epub 2007 Mar 3.
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Ultrasonography in Perthes' disease. Clinical relevance and influence on treatment.
Int Orthop. 1993 Nov;17(5):300-4. doi: 10.1007/BF00181704.