THE NATURAL-HISTORY OF PERTHES-DISEASE

被引：24

作者：

NORLIN, R

HAMMERBY, S

TKACZUK, H

机构：

[1] Department of Orthopaedic Surgery, University Hospital, Linköping

[2] Department of Diagnostic Radiology, University Hospital, Linköping

来源：

INTERNATIONAL ORTHOPAEDICS | 1991年 / 15卷 / 01期

关键词：

D O I：

10.1007/BF00210525

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Since 1975, none of our patients with Perthes' disease have received any active treatment, except for managing severe pain. We have studied the functional and radiological results in order to evaluate the consequences of this approach and to demonstrate the natural history of the disease. We have followed up all patients over the age of 19 years; out of 20 only 6 were free of pain and only 2 reached 100 points on the Iowa hip score. Radiographs at follow up demonstrated that no involved hip had a spherical femoral head. We conclude that our passive attitude towards Perthes' disease results in relatively few patients having good hip function, especially when compared with the results of other authors. Active treatment, including operation, is probably more successful.

引用

页码：13 / 16

页数：4

共 11 条

[1]

Catterall A., The natural history of Perthes' disease, J Bone Joint Surg, 53, pp. 37-53, (1971)

[2]

Eaton G.O., Long-term results of treatment in coxa plana, J Bone Joint Surg, 48, pp. 1031-1042, (1967)

[3]

Eyring E.J., Bjornson D.R., Peterson C.A., Early diagnostic and prognostic signs in Legg-Calvé-Perthes disease, Am J Radiol, 93, pp. 382-387, (1965)

[4]

Jani L.F.H., Dick W., Results of three different therapeutic groups in Perthes' disease, Clin Orthop, 150, pp. 88-94, (1980)

[5]

Karpinski, Newton G., Henry A.P., The results and morbidity of varus osteotomy for Perthes' disease, Clin Orthop, 209, pp. 30-40, (1986)

[6]

Larsson C.B., Rating scale for hip abnormalities, Clin Orthop, 31, pp. 85-93, (1963)

[7]

Lloyd-Roberts G.C., Catterall A., Salamon P.B., A controlled study of the indications for and the results of femoral osteotomy in Perthes' disease, J Bone Joint Surg, 58, pp. 31-36, (1976)

[8]

McAndrew M., Weinstein S.L., A long-term follow-up of Legg-Calvé-Perthes disease, J Bone Joint Surg, 66, pp. 860-869, (1984)

[9]

Mindell E.R., Sherman, Late results in Legg-Perthes disease, J Bone Joint Surg, 33, pp. 1-23, (1951)

[10]

Mose K., Methods of measuring in Legg-Calvé-Perthes disease with special regard to the prognosis, Clin Orthop, 150, pp. 103-109, (1980)

← 1 2 →