股骨髁上截骨术的治疗方案和并发症

The Plastic Femoral Supracondylar Osteotomy Plans,Making and Complications Prevention

在儿麻后遗症中,股四头肌瘫痪,膝关节屈曲畸形者,用髁上截骨术,纠正负重力线是简单有效方法,我院自1959至1989年共作6450例次,获得长期随访者1900例,效果满意者占94%、功能不良者占6%。造成术后不满意的因素较多,主要有适应证的选择和手术方案确定错误,手术操作不当,术后处理不妥和并发症等问题引起,本文详细论述有关问题,并提出防止效果不良的措施,以提高疗效。

The plastic femoral supracondylar osteotomy is one of the most common and effective means to reatify the line of force in handicapped who suffered from the sequelae of polio paralysis of quadriceps femoris or the genu flexion. From 1959 to 1989,we had carried out 6450 cases,among them 1900 cases were followed up after discharge.Although six per cent cases didn't come up with good results,ninty-four per cent pati- eats ended up with gratifications.This report takes the problems into account idn etails and gives on the measures not only to prevent the problems but to secure the most desirable consequences.