Butel J, Borgi R, Oberlin P, Faure C
Chir Pediatr. 1979;20(2):131-3.
In the case of advanced children tuberculosis of the hip, the authors propose a more active treatment than Wilkinson's, which is less conservative. A local curetting is important, and if the acetabulum reveals a geodic aspect, this surgery may be done by pelvic approach. After an orthopedic traction, the surgical method is more efficient and permits better flexibility of the hip, only to be noticed under general anesthesia. After surgery, this traction must be prolonged for a several months and kinesitherapic mobilisation must be associated. The excellent result, both clinical and radiographic obtained by the authors seems to justify the use of the above mentioned method.
对于晚期儿童髋关节结核，作者提出了一种比威尔金森疗法更积极的治疗方法，后者较为保守。局部刮除术很重要，如果髋臼呈现出地图形外观，这种手术可通过骨盆入路进行。在进行骨科牵引后，手术方法更有效，且能使髋关节获得更好的灵活性，不过这只有在全身麻醉下才能注意到。手术后，这种牵引必须延长几个月，并且必须结合运动疗法进行活动。作者所获得的良好的临床和影像学效果似乎证明了上述方法的使用是合理的。
