Ding Xiaofei,Liao Shijie,Lin Huahao.Current status of pelvic trigeminal osteotomy in the treatment of Perthes disease[J].Journal of Clinical Pediatric Surgery,2021,20(03):280-284.[doi:10.12260/lcxewkzz.2021.03.015]
骨盆三联截骨术治疗Perthes病的研究进展
- Title:
- Current status of pelvic trigeminal osteotomy in the treatment of Perthes disease
- 关键词:
- Perthes病/外科学; 截骨术
- Keywords:
- Perthesdisease/SU; Osteotomy
- 分类号:
- R726.8;R681.6
- 摘要:
- Perthes病即儿童股骨头缺血性坏死。目前Perthes病治疗理念是"包容治疗"，包容治疗的术式较多，常用的包括股骨近端内翻截骨术、骨盆Salter截骨术及骨盆三联截骨术，骨盆三联截骨术具有不影响股骨头颈干角及下肢力线、不增加髋关节压力、不改变髋臼形状等特点。各种三联截骨术入路及截骨方式不同、手术术式多，并且三联截骨术存在手术难度大、手术风险高等缺点。三联截骨术在治疗Perthes病中具有独特的优势，但目前其入路、截骨位置（坐骨、耻骨、髂骨）及截骨方式的选择均存在着较大的争议。本文就骨盆三联截骨术治疗Perthes病的研究进展进行综述。
- Abstract:
- The treatment concept for Perthes disease is inclusive of proximal femoral bone osteotomy,pelvic Salter bone osteotomy and pelvis triple osteotomy.Triple osteotomy has no effect on femoral head and neck stem Angle or lower extremity power line,increases no pressure on hip and does not change the shape of acetabulum.Because of different routes and modes of osteotomy,there are numerous surgical approaches for triple osteotomy.Meanwhile,there are some disadvantages of triple osteotomy such as high difficulties and high risks.Triple osteotomy has been clinically predominant in the treatment of Perthes disease.However,its approaches,locations of sciatic,pubic and iliac bones for osteotomy and modes of osteotomy are still controversial.
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备注/Memo
收稿日期:2018-07-25。
基金项目:1.广西省自然科学基金（编号：2017GXNSFAA198305）；2.广西医科大学资助项目（编号：Z2016313）
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