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股骨近端局灶性缺损:50年的经验

Proximal femoral focal deficiency: a 50-year experience.

作者信息

Koman L A, Meyer L C, Warren F H

出版信息

Dev Med Child Neurol. 1982 Jun;24(3):344-55. doi: 10.1111/j.1469-8749.1982.tb13627.x.

DOI:10.1111/j.1469-8749.1982.tb13627.x
PMID:7095304
Abstract

The case histories of 91 patients (54 male, 37 female) with proximal femoral focal deficiency identified measurements which allow the physician to predict ultimate growth and pelvo-femoral stability early in the patient's life. For unilateral patients, the classification correlated with percentage of femoral inhibition, acetabular index, shelf index and acetabular dysplasia, enabling prediction to be made within the first two years of life. A constant percentage of femoral inhibition was confirmed in both unilateral and bilateral patients, and the effects of classification and associated anomalies were determined. Bilateral proximal femoral focal deficiency occurred twice as frequently among males, and function at maturity was primarily dependent upon leg-length differential, foot position and associated anomalies, and secondarily upon absolute leg-length and pelvo-femoral stability.

摘要

91例(54例男性,37例女性)股骨近端局灶性缺损患者的病史确定了一些测量指标,这些指标可使医生在患者生命早期预测最终生长情况和骨盆与股骨的稳定性。对于单侧患者,该分类与股骨生长抑制百分比、髋臼指数、髋臼植骨指数及髋臼发育不良相关,能够在出生后两年内进行预测。在单侧和双侧患者中均证实了恒定比例的股骨生长抑制,并确定了分类及相关异常的影响。双侧股骨近端局灶性缺损在男性中的发生率是女性的两倍,成熟时的功能主要取决于腿长差异、足部位置及相关异常,其次取决于绝对腿长和骨盆与股骨的稳定性。

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Proximal femoral focal deficiency: a 50-year experience.股骨近端局灶性缺损:50年的经验
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Lengthening With External Fixation Is Effective in Congenital Femoral Deficiency.外固定延长术治疗先天性股骨缺损有效。
Clin Orthop Relat Res. 2015 Oct;473(10):3261-71. doi: 10.1007/s11999-015-4461-0. Epub 2015 Jul 21.