Combined surgical treatment of Perthes disease of children.docVIP

 PAGE \* MERGEFORMAT 18 Combined surgical treatment of Perthes disease of children Of: Rende Sheng, WU Xin music, easy to apply for German, Wang Baoli, Xiong Bin [Abstract] [Objective] contains modified Chiari iliac osteotomy, partial synovectomy of hip, femoral neck drilling decompression, iliac psoas muscle and femoral adduction extended release of the combined surgical treatment of Perthes disease of the technical operation critical and long-term effects. [Method] the application of the surgical treatment of Perthes disease for more than 3 years were reviewed of children followed up, taken through the examination and assessment of X-ray treatment. [Results] 82 patients received more than 3 years with diagnosis, the use of self from the clinical symptoms, limb shortening, epiphyseal head cover, head epiphysis shape and spacing of the five options for joint rotor, each according to excellent, good, bad, respectively, 0,1 or 2 points total of five item is method for clinical results and the score ofgt; = 9 is divided into good, 7 to 8 is divided into good, can be divided into 5 to 6, “5 being poor. The results of 59 cases excellent, excellent rate was 75.6%. [Conclusion ] to improve the core of the modular Chiari surgery is not a cause of surgical treatment of Perthes disease in a more satisfactory treatment options. [Keywords:] femoral head necrosis, Perthes disease, Chiari pelvic osteotomy Abstract: [Objective] To present the key technique of combining procedures of Chiari’s ilium osteotomy, partial synovectomy of the hip joint, femur neck drilling decompression, iliopsoas muscle lengthening and detachment of adductor muscles of the femur for treating Legg-Perthes disease and the long -term results of combination treatment. [Method] A retrospective study of treating children with Legg-Perthes disease was carefully carried out.All patients enrolled were followed up more than 3 years after operation.The results of serial radiographs and physical exa