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基于犬类模型制定的未成熟骨骼中Chiari截骨术指南。

Guidelines for Chiari's osteotomy in the immature skeleton developed from a canine model.

作者信息

Böhler N, Chiari K, Grundschober F, Niebauer G, Plenk H

出版信息

Clin Orthop Relat Res. 1985 Jan-Feb(192):299-311.

PMID:3967437
Abstract

Three variations of Chiari's pelvic osteotomy were performed on 18 dysplastic hip joints in young, growing German shepherd dogs and rottweilers. The results of the operations and the reactions of the skeletal tissue were investigated radiologically and histologically after six and 12 months. By use of polyfluorochrome sequential labeling and microangiography, it was demonstrated that neither the formation of new bone nor the blood supply in the vicinity of the rim of the acetabulum (apophysis of the acetabular roof) was seriously impaired by the operation. Conversely, the operative technique was of decisive importance to the result of the operation. Only if the osteotomy was performed through the original acetabular rim, completely covering the femoral head, was the newly formed acetabular roof adequately biomechanically loaded, providing the conditions required for functionally adapted differentiation of skeletal tissue. Chiari's pelvic osteotomy can be performed on canine hips with good chances of success, provided one uses the proper operative technique. Apophyseal bone growth and the blood supply of the newly formed acetabular roof were apparently not disturbed by Chiari's operation.

摘要

对18只年轻、处于生长阶段的德国牧羊犬和罗威纳犬的发育不良髋关节实施了三种不同的Chiari骨盆截骨术。在术后6个月和12个月时,通过放射学和组织学方法对手术结果以及骨骼组织的反应进行了研究。通过使用多荧光色素顺序标记法和微血管造影术,结果表明手术并未严重损害髋臼边缘(髋臼顶骨突)附近新骨的形成或血液供应。相反,手术技术对手术结果起着决定性作用。只有当截骨术通过原始髋臼边缘进行,完全覆盖股骨头时,新形成的髋臼顶才能获得足够的生物力学负荷,为骨骼组织功能适应性分化提供所需条件。只要采用适当的手术技术,Chiari骨盆截骨术在犬类髋关节上实施成功的几率较大。Chiari手术显然并未干扰骨突的骨生长以及新形成髋臼顶的血液供应。

相似文献

1
Guidelines for Chiari's osteotomy in the immature skeleton developed from a canine model.基于犬类模型制定的未成熟骨骼中Chiari截骨术指南。
Clin Orthop Relat Res. 1985 Jan-Feb(192):299-311.
2
[Clinical and computer tomography results following Chiari pelvic osteotomy].[Chiari骨盆截骨术后的临床及计算机断层扫描结果]
Z Orthop Ihre Grenzgeb. 1984 Nov-Dec;122(6):760-5. doi: 10.1055/s-2008-1045063.
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[Chiari's osteotomy in the adult. Apropos of 70 cases].[成人 Chiari 截骨术。关于 70 例病例]
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[Chiari's pelvic osteotomy in the management of Perthes disease].
Magy Traumatol Orthop Helyreallito Seb. 1989;32(3):221-7.
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[Current experiences with Chiari's pelvic osteotomy].[关于Chiari骨盆截骨术的当前经验]
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[Chiari's osteotomy. Principles, results and indications. Apropos of 31 cases].[Chiari截骨术。原则、结果及适应证。附31例报告]
Rev Rhum Mal Osteoartic. 1983 Oct;50(10):665-71.
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Long-term experience with Chiari's osteotomy.关于Chiari截骨术的长期经验。
Clin Orthop Relat Res. 2009 Sep;467(9):2215-20. doi: 10.1007/s11999-009-0910-y. Epub 2009 Jun 12.
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Observations on the development of the acetabulum following Chiari osteotomy.
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Iowa Orthop J. 2002;22:66-74.
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[Effects of Chiari osteotomy on acetabular development in the growing subject. Experimental study in puppies].
Int Orthop. 1989;13(3):167-72. doi: 10.1007/BF00268041.