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首页> 外文期刊>Bulletin of the NYU hospital for joint diseases >Relative Neck Lengthening and Intracapital Osteotomy for Severe Perthes and Perthes-Iike Deformities
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Relative Neck Lengthening and Intracapital Osteotomy for Severe Perthes and Perthes-Iike Deformities

机译：严重Perthes和Perthes-Iike畸形的相对颈部延长和股骨内截骨术

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摘要

Intra-articular and extra-articular femoral Perthes deformities, or either, can result in severe alterations of the proximal femur and secondarily even involve the acetabulum, which can lead to premature osteoarthritis (OA) of the hip. In affected hips, joint damage due to impingement and instability may coexist. Classically, extra-articular impingement and associated abductor insufficiency in Perthes disease or similar pathologies are treated by trochanteric advancement. However, this leaves intra-articular impingement and instability unaddressed. The technique of surgical dislocation of the hip, in combination with a retinacularflap, allows for the relative lengthening of the femoral neck and even femoral head reduction osteotomy in such cases. This can be combined with an acetabular procedure to treat the secondary dysplasia. Since 2001, 14 patients with a minimum follow-up of 3 years have been treated by this technique without complications, such as femoral head osteonecrosis or trochanteric failures. All patients had markedly improved pain levels, hip mobility, and gait.
机译：关节内和关节外股骨Perthes畸形或其中之一可能导致股骨近端的严重改变，其次甚至累及髋臼，这可能导致髋关节过早发生骨关节炎（OA）。在受影响的臀部中，由于撞击和不稳固而造成的关节损伤可能并存。经典地，通过转子粗隆的进展来治疗Perthes病或类似病理学中的关节外撞击和相关的外展肌功能不全。然而，这使得关节内撞击和不稳定性无法得到解决。髋关节外科脱位的技术与视网膜瓣一起可在这种情况下相对延长股骨颈，甚至减少股骨头截骨术。可以结合髋臼手术治疗继发性不典型增生。自2001年以来，采用这种技术对14例患者进行了至少3年的随访，无并发症，如股骨头坏死或股骨转子衰竭。所有患者的疼痛程度，髋关节活动度和步态均得到明显改善。

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