Marklund T, Tillberg B
Clin Orthop Relat Res. 1977(127):142-7.
In comparison with conservatives measures, does varus and derotation osteotomy accelerate recovery and prevent femoral deformation in Perthes Disease? In groups of 25 treated with osteotomy, and 22 treated conservatively, the primary anatomic result after reossification was judged from the radiographs by visual appraisal, and that is without introducing any measurements. The severity of the disease (the maximum epiphyseal involment) was the same in both treatment groups. The anatomic result (the shape of the femoral head after reossification) was in both groups found to be related closely to the age of patient and the severity of the disease. There was no demonstrable improvement in anatomic result in the osteotomized group. This could be explained by a similar effect of the conservative and surgical treatments or that neither was effective.
与保守治疗措施相比，内翻和旋转截骨术能否加速佩特兹病（Legg-Calvé-Perthes病）的恢复并防止股骨变形？在分别接受截骨术治疗的25例患者组和保守治疗的22例患者组中，通过X线片视觉评估来判断再骨化后的主要解剖学结果，且不进行任何测量。两个治疗组的疾病严重程度（最大骨骺受累情况）相同。两组的解剖学结果（再骨化后股骨头的形状）均被发现与患者年龄和疾病严重程度密切相关。截骨术组的解剖学结果没有明显改善。这可以通过保守治疗和手术治疗具有相似效果来解释，或者两者都无效。
