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[应用 Imhauser 截骨术治疗青少年股骨头骨骺滑脱的疗效]

[Treatment outcome of juvenile slipped capital femoral epiphysis with Imhauser osteotomy].

作者信息

Tokarowski A, Wojciechowski P, Kusz D, Kaleta M

机构信息

Katedry i Kliniki Ortopedii Slaskiej Akademii Medycznej w Sosnowcu.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1995;60(4):307-12.

PMID:7587509
Abstract

Results of Imhauser osteotomy for treatment of slipped capital femoral epiphysis grade II and III performed in 32 patients (33 hips) are presented. The average correction of the slip angle was 39.7 +/- 14.9 degrees. Excellent results were found in 16 hips (48.5%), good in 10 (30.3%), fair in 5 hips (15.1%) and poor results in 2 hips (6.1%). No head-neck fixation after osteotomy did not lead to further slippage and decreased the risk of other complications. In 6 hips (18.2%) chondrolysis occurred. In one case prolonged immobilization of the hip was to blame, perforation of the femoral head in another, no cause has been identified in remaining cases. Avascular necrosis of the head was not observed.

摘要

本文介绍了对32例患者(33髋)进行Imhauser截骨术治疗II级和III级股骨头骨骺滑脱的结果。滑脱角的平均矫正角度为39.7±14.9度。16髋(48.5%)效果极佳,10髋(30.3%)效果良好,5髋(15.1%)效果尚可,2髋(6.1%)效果较差。截骨术后未进行头颈固定未导致进一步滑脱,并降低了其他并发症的风险。6髋(18.2%)发生了软骨溶解。1例是由于髋关节长期固定所致,另1例是股骨头穿孔所致,其余病例未查明原因。未观察到头缺血性坏死。

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