Lau J H, Parker J C, Hsu L C, Leong J C
J Bone Joint Surg Br. 1986 Aug;68(4):528-33. doi: 10.1302/0301-620X.68B4.3733824.
A retrospective study was made of the results of surgical treatment of subluxation or dislocation of the hip in patients who had suffered from poliomyelitis. Good results were achieved in 46% and satisfactory results in 24%. The key factors for success are muscle balance, the femoral neck-shaft and anteversion angles, and the acetabular geometry. Iliopsoas transfer can augment the hip abductor power by an average of one MRC grade. Varus derotation femoral osteotomy is important to re-establish a normal neck-shaft angle and anteversion. The results of pelvic osteotomy are variable and the importance of a posterior acetabular defect is emphasised.
对患有小儿麻痹症的髋关节半脱位或脱位患者的手术治疗结果进行了回顾性研究。46%的患者取得了良好效果,24%的患者取得了满意效果。成功的关键因素是肌肉平衡、股骨颈干角和前倾角以及髋臼几何形状。髂腰肌转移平均可使髋关节外展肌力量提高一个医学研究委员会(MRC)分级。内翻旋转股骨截骨术对于重建正常的颈干角和前倾角很重要。骨盆截骨术的结果各不相同,强调了髋臼后部缺损的重要性。