股骨近端旋转内翻截骨术治疗小儿股骨头缺血性坏死疗效观察及预后分析
发布时间：2018-08-31 14:18
【摘要】：目的:探讨小儿股骨头缺血性坏死股骨近端旋转内翻截骨术对患儿预后的分析。方法:2011年1月至2015年3月期间在我院骨科中心接受小儿股骨头缺血性坏死股骨近端旋转内翻截骨术患儿15例(17髋),其中男9例,女6例;单侧13例,双侧2例;年龄6~9岁,平均(7.23±1.1)岁。病因:股骨头缺血性坏死。术后随访运用Mckay髋关节评分进行综合评分、PACS系统软件测量骨盆正位片骺高比、髋臼覆盖率、Sharp角、CE角、Shenton线、股骨头形态。结果:15例患儿均完成随访,随访时间10~48个月,平均(21.2±11.7)月。术后按照Mckay髋关节评分,患儿术后优良率达80%。根据Willet骨盆测量法,患儿相关指标均较术前明显好转。结论:对于CatteralⅢ、Ⅳ型患儿股骨旋转内翻截骨术对患儿髋关节活动、股骨头重塑均有较好的帮助。
[Abstract]:Objective: to investigate the prognosis of children with avascular necrosis of femoral head. Methods: from January 2011 to March 2015, 15 children (17 hips) with proximal femoral head avascular necrosis underwent rotatory varus osteotomy in our orthopedic center, including 9 males and 6 females, 13 unilateral and 2 bilateral, aged 69 years. The mean age was (7.23 卤1.1) years. Cause: avascular necrosis of femoral head. The Mckay hip joint score was used to evaluate the epiphyseal height ratio, the acetabular coverage rate, the CE angle and the shape of the femoral head. Results all 15 cases were followed up for 10 ~ 48 months (mean 21.2 卤11.7 months). According to Mckay hip score, the excellent and good rate was 80%. According to Willet pelvic measurement, the related indexes of children were improved significantly compared with those before operation. Conclusion: rotational varus osteotomy of femur is helpful to hip motion and femoral head remodeling in children with Catteral type 鈪，
本文编号：2215245
[Abstract]:Objective: to investigate the prognosis of children with avascular necrosis of femoral head. Methods: from January 2011 to March 2015, 15 children (17 hips) with proximal femoral head avascular necrosis underwent rotatory varus osteotomy in our orthopedic center, including 9 males and 6 females, 13 unilateral and 2 bilateral, aged 69 years. The mean age was (7.23 卤1.1) years. Cause: avascular necrosis of femoral head. The Mckay hip joint score was used to evaluate the epiphyseal height ratio, the acetabular coverage rate, the CE angle and the shape of the femoral head. Results all 15 cases were followed up for 10 ~ 48 months (mean 21.2 卤11.7 months). According to Mckay hip score, the excellent and good rate was 80%. According to Willet pelvic measurement, the related indexes of children were improved significantly compared with those before operation. Conclusion: rotational varus osteotomy of femur is helpful to hip motion and femoral head remodeling in children with Catteral type 鈪，
本文编号：2215245
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