Intertrochanteric rotational osteotomy for the tre

e707004304 · Wysłany: Czw 23:50, 10 Mar 2011

Intertrochanteric rotational osteotomy for the treatment of avascular necrosis of adult collapse

Near normal. 1000m above the hips to walk without pain or a sense of mild inflation. Hip flexion less than 9O. , Abduction, rotation is limited more than l5. . Can: the curvature of the femoral head round the basic recovery. Near-normal joint space, hip flexion greater than 7O. , Abduction, rotation is limited with the preoperative risk of hip appeared in more than 500m walking pain. Differential: Yin bone curvature part of the recovery load a round face, narrow joint space, pain with preoperative hip flexion less than 70. ,[link widoczny dla zalogowanych], Abduction, rotation is limited with preoperative. Chinese Journal of Surgery 2002, three students once plastic ring plastic parameters of SVM kohlrabi l scattered bones before (into the line that suppress the results of the bone line 2 hip incision healed 2l, 18 hips in 8 to 24 weeks after bone healing, 3 more than 28 hip bone healing. after 8 months more than 6 cases were lost to the hip by 3.0 to 3.5 l5 years of follow-up. l5 hip evaluation results in this group were: excellent in 13, holy, and good in 1 hip. can be a special adult hip 3 Discussion Treatment of avascular necrosis of onset many ways, the surgical options are often based on disease stage, in the collapse of the femoral head does not appear before the removal of various lesions, vascular anastomosis with blood or bone transplantation is effective with the verge of collapse of the stock bones with avascular necrosis of femoral head with vascularized fibular graft to prevent the collapse of the report. femoral head surface for the collapse of the cases have occurred, there is generally believed that patients with advanced arthritis of the hip injury outcome is inevitable land, multi-shift use of pelvic osteotomy E end of the femur or the morning shift outside the palliative surgery such as osteotomy, the majority of patients with total hip replacement to the end of treatment. The outfitting onset patients are mostly young adults,[link widoczny dla zalogowanych], longer duration, disability rate. to patients and their families with to great pain. Constant collapse of the Yin to the treatment of ischemic necrosis of bone in the dilemma. 1978 Sugioka anterior femoral head was first reported in the surgical rotation, the mechanism is the normal articular surface of the femur to move the rear loading area , delay or avoid the risk of occurrence of traumatic arthritis of hip. from adult idiopathic avascular necrosis of the pathological evolution to see. The method is a permanent solution to the collapse of the significance of cases. for the treatment of avascular necrosis of the provision of collapse a new surgical method. osteotomy of the group turn in the rotation Q J5 hip femoral head and neck patients were followed up for 3 to 35 years. ÷ of good clinical display that: ① Wang strictly surgical adaptation. with the surgical principle of weight-bearing surface of the femoral head share greater than 30%, acetabular hip is normal or near normal after treatment and apply a good foundation. preoperative imaging evaluation, since the majority of patients with hip abduction, rotation is limited magnitude of the standard by hip lateral x-ray film has been difficult. And cT scan acetabulum, joint space, femoral ring 3 5l head after the cut-off discussion,[link widoczny dla zalogowanych], observed after the radius of curvature is more intuitive, more accurate, so the routine use of CT scanning method to forecast risk of hip the possibility of the implementation of the procedure, by clinical observation, share more than 35%, and postoperative x ray shows a round curvature of the femoral head area cT satisfactory recovery measure also the first rotation of the head and neck of guiding significance to determine ② surgery osteotomy in the bone knife out of line to guide implementation wire saw fast and convenient method of osteotomy. In particular, the level of the small rotor proximal osteotomy, because of the location deep in the. using wire saws to reduce the exposed surface of the hip, at low alkali ... the probability of further damage to blood supply. intraoperative partial synovium of surgery is not tightly laced joint capsule, articular Liu shouted pressure, relieve symptoms, not without benefit. ⑨ adult idiopathic avascular necrosis and bone necrosis characteristics of the coexistence of bone repair, is the collapse of the original difficulties for the weight-bearing cystic Taipa not well filled by new bone, resistance to pressure difference. this group of 2l hip osteotomy healing of osteotomy good marrow followed up for 15 electric beam, see weight-bearing zone in the new higher density of cystic necrosis and other signs of bone,[link widoczny dla zalogowanych], called the changes that might shed rJL child syndrome avascular necrosis, there is a and the patient underwent a more formal physical therapy and early physical therapy, but suffer from varying degrees of hip flexion loss analysis may be changed with the osteotomy or hip femoral anteversion and femoral head said upper edge of the articular surface of the inclusion ratio of about , which affects the chance of functional recovery of hip flexion. Imagine the leading edge shortening osteotomy line can be 1.0ct1], will become a pure sagittal osteotomy sagittal osteotomy of the medial surface of tilt bits, but after the turn Can the idea of increased femoral neck anteversion, the femoral head to improve the acetabular articular surface of the exposed top of the proportion of help, because there is no similar national report. pending further improve the clinical application of towels and observation. [
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