Tsuchiya H, Tomita K, Matsumoto T, Watanabe S
Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, Ishikawa, Japan.
Clin Orthop Relat Res. 1995 Jan(310):160-4.
A shepherd's crook deformity with an intracapsular femoral neck fracture in the fibrous dysplasia of a 19-year-old woman is reported. The deformity and fracture were treated by bone grafting using a single fibula through the femoral neck to its head, and corrective valgus osteotomy. Blood flow measurement using electrochemically generated hydrogen clearance was useful in evaluating avascular necrosis of the femoral head affected by tumorous tissue. Osteosynthesis combined with a fibular graft, and corrective valgus osteotomy after proper evaluation of the blood flow in the femoral head, is a reliable procedure for the treatment of shepherd's crook deformity associated with an intracapsular femoral neck fracture.
报道了一名19岁女性纤维发育不良患者出现伴有囊内股骨颈骨折的牧羊拐畸形。通过使用一根腓骨经股骨颈至股骨头进行植骨以及外翻截骨术来治疗畸形和骨折。采用电化学产生氢清除法进行血流测量有助于评估受肿瘤组织影响的股骨头缺血性坏死。在对股骨头血流进行适当评估后，采用接骨术联合腓骨移植以及外翻截骨术，是治疗伴有囊内股骨颈骨折的牧羊拐畸形的可靠方法。
