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目的:评价股骨头表面重建术治疗Ⅳ期Perthes病的临床治疗效果,总结影响因素。方法:从2005年12月～2005年12月对5例FicatⅣ期12岁以上Perthes病病人行股骨头表面重建术。清除股骨头死骨,修整髋臼,从股骨头与股骨颈平行呈品字型钻入三枚螺纹克氏针,在人工股骨头(双动头)金属杯中填满骨水泥后套入股骨颈形成新的股骨头。结果:5例病人术后随访6个月～36个月,行走无疼痛,生活自理,可上学。按Harris髋关节功能评定标准评分,平均46分改善至味后92分,4例为优,1例为良。结论:股骨头表面重建术是治疗FicatⅣ期Perthes病有效方法,近期效果满意,远期效果有待继续观察。
Objective: To evaluate the effect of femoral head reconstruction in the treatment of stage Ⅳ Perthes disease and to summarize the influencing factors. Methods: From December 2005 to December 2005, 5 patients with Ficat Ⅳ stage over 12 years old with Perthes disease underwent femoral head surface reconstruction. Clear the femoral head sequestrum, trimming the acetabulum, from the femoral head and femoral neck parallel to the font into the three threaded Kirschner wire, artificial femoral head (double head) metal cup filled with bone cement into the femur Neck forms new femoral head. Results: 5 patients were followed up for 6 months to 36 months, walking without pain, self-care, can go to school. According to Harris hip function evaluation standard score, an average of 46 points to taste after 92 points, 4 cases were excellent, 1 case was good. Conclusion: Reconstruction of femoral head surface is an effective method for the treatment of Fetat Ⅳ Perthes disease. The recent results are satisfactory and the long-term effect remains to be observed.