Refior H J, Hackenbroch M H
Arch Orthop Unfallchir. 1976 Aug 19;85(3):369-77. doi: 10.1007/BF00415198.
57 intertrochanteric osteotomies of the femur were performed in 43 patients during childhood. A statement about late radiographic results is made, based upon follow-up examination after cessation of growth of the upper end of the femur. Attention was given to the development of the CCD-angle, the AC-angle, the CE-angle as well as the development of antetorsion. Further-more the evaluation included the development of the caput-epiphyseal angle as well as the development deformities of the caput femoris. The data presented show that satisfactory results can be obtained through Bernbeck's method and also through the presently used derotation-varisation-osteotomy involving wedge removal. However, the results show that the correction of CCD-angle and antetorsion alone frequently is not sufficient. Thus the acetabulum deserve greater consideration is discussing intertrochanteric osteotomy in childhood.
43例患儿共进行了57次股骨粗隆间截骨术。基于股骨上端生长停止后的随访检查,给出了关于后期影像学结果的陈述。重点关注了颈干角(CCD角)、髋臼角(AC角)、CE角的发育情况以及前倾角的发育情况。此外,评估还包括股骨头骨骺角的发育情况以及股骨头的发育畸形情况。所呈现的数据表明,通过伯恩贝克法以及目前使用的涉及楔形切除的旋转内翻截骨术都可以获得满意的结果。然而,结果显示仅矫正颈干角和前倾角往往是不够的。因此,在讨论儿童期粗隆间截骨术时,髋臼值得更多关注。