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基于远期结果的股骨转子间截骨术的适应证(作者译)

[The indication for intertrochanteric osteotomy of the femur based on late results (author's transl)].

作者信息

Refior H J, Hackenbroch M H

出版信息

Arch Orthop Unfallchir. 1976 Aug 19;85(3):369-77. doi: 10.1007/BF00415198.

DOI:10.1007/BF00415198
PMID:949294
Abstract

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.

摘要

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。

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1
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本文引用的文献

1
[Rotatory osteotomy as a preventive measure for improvement of treatment of congenital hip luxations].[旋转截骨术作为改善先天性髋关节脱位治疗的预防措施]
Med Klin. 1958 Apr 4;53(14):566-8.
2
[Results of antetorsion correction in intertrochanteric femoral osteotomy of hip dysplasia in childhood].[儿童髋关节发育不良股骨转子间截骨术中前倾角矫正的结果]
Arch Orthop Unfallchir. 1969;65(1):1-12.
3
[Behavior of acetabular roof angle and femoral neck angle following intertrochanteric derotating varisation osteotomy; indication for acetabuloplasty].
[股骨转子间旋转内翻截骨术后髋臼顶角度和股骨颈角度的变化;髋臼成形术的指征]
Arch Orthop Unfallchir. 1969 Jul;66(3):171-91. doi: 10.1007/BF00416048.
4
[On the reconstruction of the femur neck following intertrochanteric derotation and varisation osteotomy].[关于转子间旋转和内翻截骨术后股骨颈的重建]
Z Orthop Ihre Grenzgeb. 1967 Jul;103(2):139-47.
5
[Results of treatment of intertrochanter osteotomy in simple hip dysplasia in childhood].[儿童单纯性髋关节发育不良转子间截骨术的治疗结果]
Z Orthop Ihre Grenzgeb. 1966 Feb;101(1):63-72.
6
[Results of treatment of intertrochanter osteotomy in hip luxation in childhood].[儿童髋关节脱位转子间截骨术的治疗结果]
Z Orthop Ihre Grenzgeb. 1966 Feb;101(1):47-63.