摘要
报告30例(35髋)股骨头无菌坏死治疗结果。随诊期4~12.5年。可供分级的31髋皆属Catteral1Ⅲ、Ⅳ组。保守治疗11髋,滑膜切除10髋,血管植入7髋,髋臼造盖3髋,髂骨截骨3髋,内收肌松解1髋。按Stulberg标准评定,优良率31.4%,差22.9%。疗效差原因为(1)发病年龄大,8岁以上占半数;(2)病情重,88.6%病例属CatterallⅢ、Ⅳ组;(3)来院就诊晚,股骨头多已严重变形。保守治疗组与手术治疗组疗效比较无明显差别。病变修复前限制患肢负重是防止股骨头变形、控制病情恶化的有效举措。
AbstractThe results of treatment of 30 cases(35hips )of Legg-Perthes disease were reviewed.There were 31 hips be-longed to group Ⅲ or Ⅳ according to Catterall’s classifi-cation.4 hips were ont fit for classification.Conservativetreatment was used in 11 hips .Synovectomy was done in 10, vascular implantation in 7, shelf operation in 3,Chiariosteotomy in 3 and adductor release in one. The results of treatment were evaluated according to the criterion of Stulberg. The follow-up period extended for 4 to 12.5years.The total excellent rate was 31.4%,poor 22.9%.The poor results were possibly caused by:1.the senior ageof the patients ,2.more severe involvement of the femoralhead in patients of Catterall group Ⅲ and IV(88.6%),3. delayed treatment with the femoral head severely de-formed.No evident differences were found between the results of conservative and operative treatment.Durong the stage of creeping -subetitution , withholding weight-bearing of the affected leg is an effective measure for pre-venting deterioration and deformity of the femoral head.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1994年第8期453-456,T001,共5页
Chinese Journal of Orthopaedics