PELVIC OSTEOTOMIES FOR SUBLUXATION OF THE HIP IN CEREBRAL-PALSY
PELVIC OSTEOTOMIES FOR SUBLUXATION OF THE HIP IN CEREBRAL-PALSY
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DOI：
10.1097/01241398-199414060-00007
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发表时间：
1994-11-01
影响因子：
1.7
通讯作者：
DELUCA, PA
中科院分区：
文献类型：
--
作者：
POPE, DF;BUEFF, HU;DELUCA, PA
1977 ~ 1986年对21例脑瘫髋关节半脱位或脱位患者施行骨盆截骨术23例（Salter术10例，基亚里术7例，Steel术6例）。截骨术的主要适应症是股骨头覆盖不足。23例髋关节中有19例保持稳定，平均随访6.14年（2.0-13.3）。髋关节的中心-边缘角、髋臼角、Reimers指数和颈干角显著改善。有6例失败; 2例患者出现疼痛性退行性关节疾病，4例患者出现再半脱位或脱位。骨盆截骨术可以为选定的脑瘫患者提供髋关节稳定性。
Twenty-three pelvic osteotomies (10 Salter, seven Chiari, six Steel) were performed on 21 patients with cerebral palsy for hip subluxation or dislocation from 1977 to 1986. The principal indication for osteotomy was inadequate coverage of the femoral head. Stability was maintained in 19 of 23 hips with an average follow-up of 6.14 years (2.0-13.3). The hips showed a significantly improved center-edge angle, acetabular angle, Reimers index, and neck-shaft angle. There were six failures; painful degenerative joint disease developed in two patients and resubluxation or dislocation in four. Pelvic osteotomies can provide hip stability in selected cerebral palsy patients.