Abril J C, Calvo E, Castillo F, Alvarez L
Fundación Jiménez Díaz, Madrid, Spain.
J Pediatr Orthop. 1998 Mar-Apr;18(2):242-5.
Transfer of the greater trochanter is a surgical technique that is used for overgrowth of the greater trochanter arising from disturbance of the growth plate of the proximal femur. Few complications have been described, and to our knowledge, necrosis of the cartilage has not been reported. Herein we describe four cases of chondrolysis in three patients who underwent this surgical procedure. In our view, immobilization with plaster associated with the increased pressure produced by the descent of the gluteal attachment may have contributed to the development of chondrolysis.
大转子转移术是一种外科技术,用于治疗因股骨近端生长板紊乱引起的大转子过度生长。目前报道的并发症较少,据我们所知,尚未有软骨坏死的相关报道。在此,我们描述了3例接受该手术的患者发生的4例软骨溶解病例。我们认为,石膏固定以及臀肌附着点下移产生的压力增加可能促使了软骨溶解的发生。