Objective To sum up the experiences of subtrochanteric valgus osteotomy for congenital coxa vara and seek out a the way to the simple and effective operation.Methods Inserting Steinmann′s wire in the femoral neck and...Objective To sum up the experiences of subtrochanteric valgus osteotomy for congenital coxa vara and seek out a the way to the simple and effective operation.Methods Inserting Steinmann′s wire in the femoral neck and making a volgus asteotomy in a shape of “▲” under tuberositas in children patients with congenital coxa vara,8 cases,with a collodiaphysial angle of 86° to 100°.Results The collodiaphysial angles in all our cases were corrected to normal size,so were the Hilgeneriner epiphysis angles (HEA) postoperatively.Conclusion Guided by Steinmann′s wire,subtrochanteric valgus osteotomy under the rotors for congenital coxa vara is simple and has a statisfying effect.展开更多
目的：探讨转子间斜行截骨结合股骨近端防旋髓内钉（proximal femoral nail antirotation,PFNA）固定治疗股骨近端骨折术后髋内翻畸形的临床疗效和安全性。方法：2010年1月至2014年2月收治13例股骨近端骨折术后髋内翻畸形患者。男9例,女...目的：探讨转子间斜行截骨结合股骨近端防旋髓内钉（proximal femoral nail antirotation,PFNA）固定治疗股骨近端骨折术后髋内翻畸形的临床疗效和安全性。方法：2010年1月至2014年2月收治13例股骨近端骨折术后髋内翻畸形患者。男9例,女4例;年龄23-58岁,中位数42岁;左侧5例,右侧8例。转子间骨折8例,其中EvansⅣ型5例、Ⅴ型3例;转子下骨折5例,其中Russell-TaylorⅠB型2例、ⅡA型2例、ⅡB型1例。初次手术采用股骨近端解剖型锁定钢板（proximal femoral locking plate,PFLP）内固定治疗10例,股骨远端微创固定系统（less invasive stabilization systems,LISS）倒置内固定治疗3例。患侧颈干角70°-80°6例、80°-90°5例、90°-100°2例;患侧下肢较健侧短缩2-3 cm 8例、短缩3-4 cm 5例。初次手术至此次手术时间8-12周,中位数9周。采用转子间斜行截骨、自体髂骨植骨结合PFNA固定治疗。术后随访观察临床疗效和安全性。结果：13例患者均获随访,随访时间6-12个月,中位数8个月。所有截骨处均获骨性愈合,未发生内固定松动、断裂等并发症。末次随访时,初次手术采用PFLP内固定治疗的10例患者颈干角由82.44°±6.25°恢复至128.00°±4.44°,肢体短缩由（3.27±0.47）cm减小至（1.12±0.81）cm;初次手术采用股骨远端LISS倒置内固定治疗的3例患者颈干角由85.67°±9.50°恢复至131.31°±3.51°,肢体短缩由（3.30±0.42）cm减小至（1.60±0.14）cm;按照髋关节Harris评分标准评定,优11例、良1例、可1例。结论：转子间斜行截骨结合PFNA固定可有效纠正股骨近端骨折术后的髋内翻畸形,安全性高,值得临床推广应用。展开更多
文摘Objective To sum up the experiences of subtrochanteric valgus osteotomy for congenital coxa vara and seek out a the way to the simple and effective operation.Methods Inserting Steinmann′s wire in the femoral neck and making a volgus asteotomy in a shape of “▲” under tuberositas in children patients with congenital coxa vara,8 cases,with a collodiaphysial angle of 86° to 100°.Results The collodiaphysial angles in all our cases were corrected to normal size,so were the Hilgeneriner epiphysis angles (HEA) postoperatively.Conclusion Guided by Steinmann′s wire,subtrochanteric valgus osteotomy under the rotors for congenital coxa vara is simple and has a statisfying effect.
文摘目的：探讨转子间斜行截骨结合股骨近端防旋髓内钉（proximal femoral nail antirotation,PFNA）固定治疗股骨近端骨折术后髋内翻畸形的临床疗效和安全性。方法：2010年1月至2014年2月收治13例股骨近端骨折术后髋内翻畸形患者。男9例,女4例;年龄23-58岁,中位数42岁;左侧5例,右侧8例。转子间骨折8例,其中EvansⅣ型5例、Ⅴ型3例;转子下骨折5例,其中Russell-TaylorⅠB型2例、ⅡA型2例、ⅡB型1例。初次手术采用股骨近端解剖型锁定钢板（proximal femoral locking plate,PFLP）内固定治疗10例,股骨远端微创固定系统（less invasive stabilization systems,LISS）倒置内固定治疗3例。患侧颈干角70°-80°6例、80°-90°5例、90°-100°2例;患侧下肢较健侧短缩2-3 cm 8例、短缩3-4 cm 5例。初次手术至此次手术时间8-12周,中位数9周。采用转子间斜行截骨、自体髂骨植骨结合PFNA固定治疗。术后随访观察临床疗效和安全性。结果：13例患者均获随访,随访时间6-12个月,中位数8个月。所有截骨处均获骨性愈合,未发生内固定松动、断裂等并发症。末次随访时,初次手术采用PFLP内固定治疗的10例患者颈干角由82.44°±6.25°恢复至128.00°±4.44°,肢体短缩由（3.27±0.47）cm减小至（1.12±0.81）cm;初次手术采用股骨远端LISS倒置内固定治疗的3例患者颈干角由85.67°±9.50°恢复至131.31°±3.51°,肢体短缩由（3.30±0.42）cm减小至（1.60±0.14）cm;按照髋关节Harris评分标准评定,优11例、良1例、可1例。结论：转子间斜行截骨结合PFNA固定可有效纠正股骨近端骨折术后的髋内翻畸形,安全性高,值得临床推广应用。
