Hunka L, Said S E, MacKenzie D A, Rogala E J, Cruess R L
Clin Orthop Relat Res. 1982 Nov-Dec(171):30-6.
The treatment of the acute state of septic arthritis of the hip in children has been clearly outlined in the current literature. The treatment of residual anatomic deformity is less well understood; no classification or comprehensive treatment program has been documented. The following classification of the sequelae of septic hips in children is based on the presence or absence of a capital femoral epiphysis and hip stability. This classification defines the case material and outlines the anatomic problem requiring solution. Of ten patients with severe destruction of the femoral head followed for an average period of 11.2 years, there were eight satisfactory and two unsatisfactory results. Both unsatisfactory results were Type III hips with pseudarthrosis of the neck. Both had an average of five surgical procedures, compared with 2.2 procedures for patients with satisfactory results. The complications were leg-length discrepancy, hip instability, and scoliosis.
儿童髋关节化脓性关节炎急性期的治疗在当前文献中已有明确阐述。对于残留解剖畸形的治疗，人们了解得较少；尚无分类或综合治疗方案的记录。以下儿童化脓性髋关节后遗症的分类基于股骨头骨骺的有无以及髋关节的稳定性。该分类明确了病例资料，并概述了需要解决的解剖问题。在平均随访11.2年的10例股骨头严重破坏的患者中，8例结果满意，2例结果不满意。两个不满意的结果均为III型髋关节，伴有颈部假关节形成。两者平均接受了5次外科手术，而结果满意的患者平均为2.2次。并发症包括腿长差异、髋关节不稳定和脊柱侧弯。
