Moll F K
J Pediatr Orthop. 1982;2(5):573-6. doi: 10.1097/01241398-198212000-00020.
The case of a child treated at the age of 23 months for congenital dislocation of the hip by Chiari innominate osteotomy is presented. When additional surgery was required at the age of 4 years, exploration was made of the acetabulum which had been formed 2 years earlier by the Chiari procedure. Histologic evaluation revealed that capsular changes in the tissue interposed between the femoral head and the new acetabulum had produced well-vascularized, connective tissue with abundant collagen. The nature of the change in this tissue helps to explain why Chiari medial displacement innominate osteotomy may be successful.
本文介绍了一名23个月大的儿童因先天性髋关节脱位接受Chiari髋臼截骨术治疗的病例。4岁时需要进行额外手术,对两年前通过Chiari手术形成的髋臼进行探查。组织学评估显示,股骨头与新髋臼之间组织的关节囊变化产生了血管丰富、富含大量胶原蛋白的结缔组织。该组织变化的性质有助于解释为什么Chiari髋臼内移截骨术可能会成功。