The use of self-reinforced absorbable(SR-PLLA) rods for cutting pelvis by Chiari way to cure Perthes disease

LIU Xing; et al

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The use of self-reinforced absorbable(SR-PLLA) rods for cutting pelvis by Chiari way to cure Perthes disease

更新时间：2024-01-17

- The use of self-reinforced absorbable(SR-PLLA) rods for cutting pelvis by Chiari way to cure Perthes disease
- Journal of Chongqing Medical University Issue 3, Pages: 297-299(2007)
- 作者机构：
  
  1. 重庆医科大学附属儿童医院骨科
  2. 重庆医科大学附属儿童医院骨科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：
  CLC： R726.8
- Published：2007，
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[1]刘星,李明,张德文,刘传康,覃佳强,曹豫江.儿童股骨头缺血性坏死Chiari骨盆截骨术中可吸收棒的应用[J].重庆医科大学学报,2007(03):297-299.

LIU Xing, et al. The use of self-reinforced absorbable(SR-PLLA) rods for cutting pelvis by Chiari way to cure Perthes disease. [J]. Journal of Chongqing Medical University (3):297-299(2007)
[1]刘星,李明,张德文,刘传康,覃佳强,曹豫江.儿童股骨头缺血性坏死Chiari骨盆截骨术中可吸收棒的应用[J].重庆医科大学学报,2007(03):297-299. DOI：

LIU Xing, et al. The use of self-reinforced absorbable(SR-PLLA) rods for cutting pelvis by Chiari way to cure Perthes disease. [J]. Journal of Chongqing Medical University (3):297-299(2007) DOI：

摘要

目的:探讨可吸收棒固定骨盆Chiari截骨的疗效。方法:对我科收治的50例53髋（双侧3例）儿童股骨头缺血性坏死病人

按Herring外侧柱分型:B型16髋

B/C型5髋

C型32髋

均采用Chiari骨盆内移截骨

截骨断端用可吸收棒内固定术。结果:所有患儿获得随访

髋关节功能明显改善

伸屈可达0￣120°

疼痛消失

跛行明显改善。复查X片示股骨头均覆盖良好;骨盆截骨处骨痂丰富

骨折线模糊的时间为6￣12周

平均8周。仅早期1例骨盆截骨处有回缩

余52髋骨盆内移截骨固定好

无移位

可吸收棒的低密度影在5￣6个月时渐消失。结论:可吸收棒代替克氏针应用于骨盆截骨术

操作简单

固定牢靠

可缩短骨折愈合时间

无明显不良反应

避免二次手术

费用减少。

Abstract

Objective:To evaluate the results of treating Perthes disease by pelvic osteotomy and internal fixation with self-reinforced absorbable (SR-PLLA) rods. Methods:50 cases of Perthes disease(53 hips) were involved. According to Herring classification

there were 16 hips of type B ?5 hips of type B/C and 32 hips of type C. All patients were treated by pelvic osteotomy(Chiari)and internal fixation with self-reinforced absorbable (SR-PLLA) rods. Results:All cases were followed up for 2 months to 18 months

with an average of 6 months. All cutting bone was healed. There was no bacterial wound infection or sterile inflammatory foreign-body reaction. Failure of fixation was only occurred in one case. Bone union was seen 6 weeks to 12 weeks

with an average of 8 weeks. All patients restored normal hip joint function and had no pain. Conclusion:This operative technique is simple and can achieve reliable fixation. It can improve bone healing with a reduced healing time and avoid secondary a removal operation. This surgical procedure is an effective way to treat cutting pelvis in Perthes disease.

关键词

股骨头缺血性坏死骨盆截骨内固定可吸收棒

Keywords

Perthes diseasePelvic osteotomyinternal fixationAbsorbable rod

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Related Institution

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