临床小儿外科杂志2018，Vol.17Issue(4)：263-268,6.DOI:10.3969/j.issn.1671-6353.2018.04.006
骨盆三联截骨术治疗儿童股骨头缺血性坏死的疗效分析
Efficacy analysis of triple pelvic osteotomy for Legg-Calve-Perthes disease
廖宁 1李明 1刘星 1刘行 1周海 1郑超 1董超群1
作者信息
- 1. 重庆医科大学附属儿童医院骨科中心、儿童发育疾病研究教育部重点研究室、儿童发育重大疾病国家国际科技合作基地、儿科学重庆重点实验室 重庆市,400014
- 折叠
摘要
Abstract
Objective To evaluate the therapeutic effect of triple pelvic osteotomy for LCPD in children.Methods We retrospectively reviewed the records of 39 patients(29 male and 10 female)with LCPD who were treated with triple pelvic osteotomy between with 2005 to 2012 in our hospital.All hips were classified with the modified lateral pillar classification(18 patients in lateral pillar group B,13 patients in lateral pillar group B/C,8 patients in lateral pillar group C).CE angle,Sharp's angle,Acetabular index,Femoral head extrusion index were measured to analysis femoral head containment.Leg length discrepancy and the Stulberg classification were used for evaluate progonosis.Results In the follow-up term,patients ranged 3 to 10 years (mean,5.3 years).38 patients exhibited femoral head containment at last followup.The lateral pillar B group or B/C group have a better stulberg classification with triple pelvic osteotomy.The lateral pillar classification is the factor related with Stulberg classification.Only two patients after treatment the LLD(Leg Length Discrepancy)is over 20 mm.Conclusion Triple pelvic osteotomy could achieve good containment effect in LCPD.To keep sphericity of the femoral head and congruity with acetabulum of the hip.This method could effectively prevent the complication of limp.It should be an effective procedure for treating LCPD in children.关键词
儿童股骨头缺血性坏死/骨盆三联截骨术/包容治疗Key words
Legg-Calve-Perthes disease/Triple pelvic osteotomy/Containment treatment引用本文复制引用
廖宁,李明,刘星,刘行,周海,郑超,董超群..骨盆三联截骨术治疗儿童股骨头缺血性坏死的疗效分析[J].临床小儿外科杂志,2018,17(4):263-268,6.
