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
BACKGROUND Surgical correction of femoral deformities in polyostotic fibrous dysplasia(PFD)or McCune-Albright syndrome(MAS),such as coxa vara or shepherd’s crook deformity,is a challenge.AIM To evaluate the treatment...BACKGROUND Surgical correction of femoral deformities in polyostotic fibrous dysplasia(PFD)or McCune-Albright syndrome(MAS),such as coxa vara or shepherd’s crook deformity,is a challenge.AIM To evaluate the treatment of patients with femoral deformities caused by PDF or MAS treated by osteotomies and stabilized with different methods,by analyzing the most relevant studies on the topic.METHODS A literature search was performed in Medline database(PubMed).Articles were screened for patients affected by PFD or MAS surgically managed by osteotomies and stabilized with different methods.RESULTS The initial search produced 184 studies,with 15 fulfilling the eligibility criteria of our study.Selected articles(1987-2019)included 111 patients overall(136 femurs).CONCLUSION Based on our results,the preferred method to stabilize corrective osteotomies is intramedullary nailing with neck cross pinning.When the deformity is limited to the proximal part of the femur,a screw or blade plate may be used,although there is a high risk of fracture below the plate.When the femur is entirely involved,a two-stage procedure may be considered.展开更多
目的探讨改良粗隆下截骨结合动力髋螺钉（dynamic hip screw，DHS）治疗股骨粗隆问骨折术后髋内翻与短缩畸形的临床疗效。方法15例粗隆间骨折术后发生髋内翻与短缩畸形患者，采用改良粗隆下截骨结合DHS内固定矫治，术后均早期功能锻炼...目的探讨改良粗隆下截骨结合动力髋螺钉（dynamic hip screw，DHS）治疗股骨粗隆问骨折术后髋内翻与短缩畸形的临床疗效。方法15例粗隆间骨折术后发生髋内翻与短缩畸形患者，采用改良粗隆下截骨结合DHS内固定矫治，术后均早期功能锻炼。观察股骨颈干角及患肢缩短的纠正，并发症的发生情况，以及髋部Harris评分改善情况与改善率。结果所有患者均获得随访，时间3个月～3．2年，平均2．5年。术后所有患者股骨颈干角均恢复正常，患肢缩短〈1cm，术后Harris评分较术前大为提高，患者术后平均改善率达93％，无一例严重术后并发症发生。结论改良粗隆下截骨结合DHS内固定术治疗股骨粗隆问骨折术后髋内翻疗效显著。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BACKGROUND Surgical correction of femoral deformities in polyostotic fibrous dysplasia(PFD)or McCune-Albright syndrome(MAS),such as coxa vara or shepherd’s crook deformity,is a challenge.AIM To evaluate the treatment of patients with femoral deformities caused by PDF or MAS treated by osteotomies and stabilized with different methods,by analyzing the most relevant studies on the topic.METHODS A literature search was performed in Medline database(PubMed).Articles were screened for patients affected by PFD or MAS surgically managed by osteotomies and stabilized with different methods.RESULTS The initial search produced 184 studies,with 15 fulfilling the eligibility criteria of our study.Selected articles(1987-2019)included 111 patients overall(136 femurs).CONCLUSION Based on our results,the preferred method to stabilize corrective osteotomies is intramedullary nailing with neck cross pinning.When the deformity is limited to the proximal part of the femur,a screw or blade plate may be used,although there is a high risk of fracture below the plate.When the femur is entirely involved,a two-stage procedure may be considered.
文摘目的探讨改良粗隆下截骨结合动力髋螺钉（dynamic hip screw，DHS）治疗股骨粗隆问骨折术后髋内翻与短缩畸形的临床疗效。方法15例粗隆间骨折术后发生髋内翻与短缩畸形患者，采用改良粗隆下截骨结合DHS内固定矫治，术后均早期功能锻炼。观察股骨颈干角及患肢缩短的纠正，并发症的发生情况，以及髋部Harris评分改善情况与改善率。结果所有患者均获得随访，时间3个月～3．2年，平均2．5年。术后所有患者股骨颈干角均恢复正常，患肢缩短〈1cm，术后Harris评分较术前大为提高，患者术后平均改善率达93％，无一例严重术后并发症发生。结论改良粗隆下截骨结合DHS内固定术治疗股骨粗隆问骨折术后髋内翻疗效显著。
