Guarniero R, Ishikawa M T, Luzo C A, Montenegro N B, de Godoy R M
Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1997 May-Jun;52(3):132-5.
The authors studied a group of 52 patients with Legg-Calvé-Perthes disease who had been treated by femoral varus osteotomy (54 osteotomies) aiming to show the end results and complications of the procedure based on Stulberg et al's evaluation. Regarding this classification of results were found 19 osteotomies (35.1%) with a good result (Stulberg's Groups 1 and 2), 35 (64.8%) with a fair end result (Stulberg's Groups 3 and 4) and none poor result. Few complications were observed in this series: pseudarthrosis occurred in three cases; Trendelemburg was observed in five patients postoperatively and overgrowth of the greater trochanter was observed in seven patients. In nine patients it was observed a significant leg length discrepancy with more than 2.1 cm of difference. However by the end results observed we may say that good results can be obtained with this technique in the treatment of patients with Legg-Calvé-Perthes disease. It is very important the indication criteria adopted based on the prognosis of the individual case studied.
作者研究了一组52例患有Legg-Calvé-Perthes病且接受过股骨内翻截骨术(共54次截骨)的患者,旨在根据Stulberg等人的评估来展示该手术的最终结果和并发症。根据这一结果分类,发现19例截骨(35.1%)效果良好(Stulberg 1组和2组),35例(64.8%)最终结果尚可(Stulberg 3组和4组),无效果差的病例。该系列中观察到的并发症较少:3例发生假关节;5例患者术后出现Trendelemburg步态,7例患者观察到股骨大转子过度生长。9例患者观察到明显的下肢长度差异,差值超过2.1厘米。然而,通过观察到的最终结果,我们可以说,该技术在治疗Legg-Calvé-Perthes病患者时可以获得良好的效果。根据所研究个体病例的预后采用的适应证标准非常重要。