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[Chiari骨盆截骨术后的临床及计算机断层扫描结果]

[Clinical and computer tomography results following Chiari pelvic osteotomy].

作者信息

Bläsius K, Wimmer B

出版信息

Z Orthop Ihre Grenzgeb. 1984 Nov-Dec;122(6):760-5. doi: 10.1055/s-2008-1045063.

Abstract

22 hips in 20 patients operated with Chiari's pelvic osteotomy between 1970 and 1980, were examined with clinical methods and computerized tomography. With computerized tomography one is surely able to see if the femoral head is completely covered with pelvic bone or not. It was completely covered in 36.4% only. Especially the dorsal part of the femoral head often was not. We report on the influence of former and contemporaneous intertrochanteric osteotomy on the result. The influence of the degree of covering of the femoral head upon absence of postoperative pain, motility of the hip, Trendelenburg's sign, and contentment of the patient is discussed.

摘要

1970年至1980年间,对20例接受Chiari骨盆截骨术的患者的22个髋关节进行了临床检查和计算机断层扫描。通过计算机断层扫描,确实能够看出股骨头是否完全被骨盆骨覆盖。结果发现只有36.4%的股骨头完全被覆盖。尤其是股骨头的背侧部分常常未被覆盖。我们报告了既往和同期转子间截骨术对结果的影响。还讨论了股骨头覆盖程度对术后疼痛、髋关节活动度、Trendelenburg征以及患者满意度的影响。

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