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Legg-Perthes病的术前骨骼牵引

Preoperative skeletal traction in Legg-Perthes disease.

作者信息

Killian J T, Niemann K M

出版信息

South Med J. 1985 Aug;78(8):928-32. doi: 10.1097/00007611-198508000-00008.

DOI:10.1097/00007611-198508000-00008
PMID:4023783
Abstract

In four of 11 patients with Legg-Perthes disease for which a varus femoral osteotomy was planned, routine split Russell traction failed to produce complete preoperative containment. Preoperative skeletal traction was used to distract the joint, displace the extruded lateral physis below the acetabular margin, and then reintroduce the femoral head into the acetabulum with progressive abduction. The femoral heads were rated postoperatively as good (two cases), fair (two cases), and poor (one case). Preoperative skeletal traction is an adjunctive treatment method for patients with "hinge abduction" in whom a varus femoral osteotomy is indicated.

摘要

在计划进行内翻股骨截骨术的11例Legg-Perthes病患者中,有4例常规的分腿Russell牵引未能实现术前完全包容。术前骨牵引用于牵开关节,将突出的外侧骨骺移位至髋臼边缘下方,然后通过逐渐外展将股骨头重新纳入髋臼。术后股骨头评定为良好(2例)、尚可(2例)和差(1例)。术前骨牵引是对有“铰链外展”且需要进行内翻股骨截骨术的患者的一种辅助治疗方法。

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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。
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