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[股骨颈延长截骨术的回顾性研究]

[Retrospective study on femoral neck lengthening osteotomy].

作者信息

Weissinger M, Helmreich C

机构信息

Orthopädische Schwerpunktabteilung des Allgemein-öffentlichen Krankenhauses Zwettl, Osterreich.

出版信息

Z Orthop Ihre Grenzgeb. 1997 Jan-Feb;135(1):31-4. doi: 10.1055/s-2008-1039551.

Abstract

Our retrospect study refers to the problem of improved flexibility of the hip joint, elongation of the leg as well as decrease of pain. Patients suffering from Coxa vara, a high positioned Trochanter and a short neck of the femur underwent triple osteotomy with a distal transposition of the Trochanter major. All 8 patients had a thorough clinical (according to the scheme by Merlé de Aubigné) and radiological postoperative checkup. The results were analyzed and showed an average increase of the length in leg of 1.9 cm and and average increase of capacity of abduction of 11 degrees. From these findings we draw the conclusion that triple osteotomy operation should be performed only on patients whose hip joints are free from arthrosis or show only insignificant symptoms of arthrosis.

摘要

我们的回顾性研究涉及髋关节灵活性改善、腿部延长以及疼痛减轻的问题。患有髋内翻、大转子高位和股骨颈短的患者接受了大转子远端移位的三联截骨术。所有8例患者均进行了全面的临床(根据Merlé de Aubigné方案)和术后影像学检查。对结果进行分析,结果显示腿部长度平均增加1.9厘米,外展能力平均增加11度。从这些发现中我们得出结论,三联截骨术仅应在髋关节无关节炎或仅表现出轻微关节炎症状的患者身上进行。

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