转子间外展截骨治疗股骨头坏死塌陷的长期观察.docVIP

转子间外展截骨治疗股骨头坏死塌陷的长期观察 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：转子间外展截骨治疗股骨头坏死塌陷的长期观察 2 1 一般资料 3 2 数据测量 3 3 影像分析 4 1 数据测量 4 2 影像分析 4 1 病理特点 5 2 头赘马蹄关节 5 3 启动头赘马蹄关节 5 文2：转子下外展截骨治疗先天性髋内翻长期疗效观察 6 1 临床资料 7 2 结 果 7 3 讨 论 8 31 先天性髋内翻发病机理及诊断标准 8 32 手术指征和年龄的选择 8 34 三角骨块和骺板转归 9 35 短颈畸形、肢体不等长和大转子过度增长 10 36 髋内翻并发膝外翻问题 10 参考文摘引言： 11 原创性声明（模板） 12 文章致谢（模板） 12 正文 转子间外展截骨治疗股骨头坏死塌陷的长期观察 文1：转子间外展截骨治疗股骨头坏死塌陷的长期观察 Abstract： Objective To explore the relation of the intertrochanteric osteotomy with the femoral head The 30 cases with 35 hips subjected to femoral head necrosis were treated by the intertrochanter valgus operative and postoperative Xray and CT image changes were observed,and the hoeshoe angle,the included angle between the hoeshoe angle and the capital drop(angdrop angle) and the ratio between anteroposterior edge distance of the hoeshoe angle and diameter of the capital drop(angdrop ratio) were hoeshoe angles of 10 hips in the uninjured side were taken as the normal The intertrochanter valgus osteotomy recovered the functio of hoeshoe angle and the capital femoral head necrosis group: the mean hoeshoe angle was (±)°;the mean angdrop angle was (±)°;the angdrop ratio was ： normal group: the mean hoeshoe angle was (±)°.Compared the hoeshoe angle,there was no significant difference in the two The femoral head necrosis collapses and shows elliptical deformation,but the hoeshoe angle doesnt start the capital drophoeshose joint,the intertrochanter 30 degreesvalgus osteotomy should be performed. Key words：femoral head necrosis;hip joint;osteotomy 近年来，关节翻修术成为研究热点，而髋部截骨术 发展 及应用陷入低谷[1，2]。回顾我院1986年～2006年股骨头坏死塌陷经转子间外展截骨手术病例126例，96例获得随访，其治疗效果满意，现报告如下。 临床资料 1 一般资料 笔者采用转子间外展截骨治疗股骨头坏死塌陷126例，获随访96例，随访时间3～23年，平均年。按王岩等股骨头缺血坏死疗效评价法[3]：优，90分;良，75～89分;可，60～74分;差，60分。本组优89例(%)，良6例(%)，可1例(%);优良率%。随机抽样随访病例30例35髋术前、术后X线片，术前X线片对应CT片10髋，进行测量、分析。其中男性23例，女性7例;年龄7～45岁，平均岁。健侧10髋为正常对照。 2 数据测量 回顾性分析，剔除术前、后影像检查条件不统一因素，不用计量单位，采用比值