吴其常 张志刚 王东生 苗旭漫 130062 长春， 解放军第208医院骨科 中华骨科杂志 1998 0 0 4


    关键词：脊髓灰质炎后综合征；骨盆畸形 期刊 zhgkzz 0 临床研究 fur -->


    

摘要 目的：脊髓灰质炎后遗严重骨盆倾斜，内收侧多伴有肢体短缩，持重功能丧失。传统手术，分期进行，周期长，疗效差。本研究的目的是探讨周期短，操作简单，疗效好的新术式。方法：采用改良Weissmen手术，即外展侧软组织松解加股骨转子下内收短缩截骨，内收侧利用对侧切取骨块做髂骨延长术。本组共21例，术前17例扶单拐，4例扶双拐。结果：术后平均随访3.8年，13例完全弃拐，5例短距离步行弃拐，3例扶单拐。结论：该术式具有一次矫正多种畸形的优点，缩短了治疗周期，提高了疗效，无术后严重并发症。

    Modified Weissmen Operation for Severe PelvicObliquity Wu Qichang, Zhang Zhigang,Wang Dongsheng,et al. Military Hospital 208, Changchun 130062

    Abstract Pelvic obliquity after poliomyelitis is usually caused by abductioncontracture of the soft tissue around the unilateral hip .The adduction often led to limbshortening and lost of weight bearing function. Traditional operative treatment took along period and required several stages, and the results were not completely satisfactory.Mordified Weissmen's procedure including adduction shortened osteotomy, soft tissuerelease on abduction limb and the bone stock taken from the opposite side used for iliumlengthening on adduction side. 21 patients have been treated by this method. The meanfollow-up was 3.8 years. 13 were able to walk freely without support, 5 for short distancewithout support and 3 with single crutch. Theauthors considered that the procedures had an advantage for various deformities such aspelvic obliquity, shortened limb and poorly covered femoral head. The deformities could be corrected at one stage, and the treatmentduration could be shortened. There was no major complications in this series.

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