股骨头表面重建术治疗Ⅳ期Perthes病的疗效观察

Femoral Head Surface Rebuilds Treatment Ⅳ Period Perthes Disease

目的:评价股骨头表面重建术治疗Ⅳ期Perthes病的临床治疗效果,总结影响因素。方法:从2005年12月～2005年12月对5例FicatⅣ期12岁以上Perthes病病人行股骨头表面重建术。清除股骨头死骨,修整髋臼,从股骨头与股骨颈平行呈品字型钻入三枚螺纹克氏针,在人工股骨头(双动头)金属杯中填满骨水泥后套入股骨颈形成新的股骨头。结果:5例病人术后随访6个月～36个月,行走无疼痛,生活自理,可上学。按Harris髋关节功能评定标准评分,平均46分改善至味后92分,4例为优,1例为良。结论:股骨头表面重建术是治疗FicatⅣ期Perthes病有效方法,近期效果满意,远期效果有待继续观察。

Objective：To review the method of treatment of femoral head surface rebuilds in Ⅳ period Perthes disease over 12years old. Methods：Five cases of Perthes disease, over 12 years old, the period of Ficat IV, were treated with femoral head surface rebuilds. Remove the dead bone of the femoral head, repair aeetabulum, three Kirschner or lag screw bore into from the head of femur, parallel to neck femur, present equilateral triangle. Fillup the bone cement in the bipolar hemiarthroplasty embolia neck of femur,form the new head of femur. Results： Five cases were followed up 6 months to 36 months, walking had no pain, taking care of oneself easily go to school. According to the revised Harris hip joint functional evaluation criteria, 4 were excellent, I was good. Conclusion： Femoral head surface rebuilds in treatment Ⅳ period Perthes disease over 12 years old, short time could return to normal ability of walking, had met patienfs daily life and study＇s needs, had offered a good transition for the thing that the artificial joint after growing up replaced.