Nové operační řešení u morbus Perthes pomocí anteromediální redukční osteotomie hlavice / Anteromedial wedge reduction osteotomy as a new surgical procedure in treatment of Morbus Perthes

Description

Morbus​ ​Perthes​ ​(LCP)​ ​is​ ​an​ ​idiopathic​ ​defect​ ​in​ ​the​ ​blood​ ​flow​ ​of​ ​the​ ​proximal femoral​ ​epiphysis,​ ​where​ ​morphological​ ​and​ ​functional​ ​pathologies​ ​of​ ​the​ ​hip​ ​joint occur.​ ​Unfavorable​ ​prognostic​ ​factors​ ​include​ ​aspheric​ ​and​ ​incongruent​ ​hip,​ ​often manifested​ ​by​ ​the​ ​appearance​ ​of​ ​hinge​ ​abduction.​ ​The​ ​head​ ​is​ ​no​ ​longer​ ​remodeling after​ ​"golden"​ ​period​ ​of​ ​remodellation.​ ​Anteromedial​ ​Wedge​ ​Reduction​ ​Osteotomy (AWRO)​ ​is​ ​a​ ​new​ ​surgical​ ​method​ ​to​ ​improve​ ​the​ ​shape​ ​and​ ​reduce​ ​the​ ​femoral head​ ​and​ ​thus​ ​extend​ ​the​ ​life​ ​of​ ​a​ ​significantly​ ​altered​ ​hip​ ​joint. We​ ​evaluated​ ​10​ ​patients​ ​after​ ​the​ ​AWRO​ ​and​ ​established​ ​3​ ​hypotheses,​ ​in​ ​the clinical​ ​part​ ​of​ ​the​ ​study.​ ​1st​ ​hypothesis​ ​"AWRO​ ​leads​ ​to​ ​the​ ​reshape​ ​of​ ​the​ ​head" was​ ​confirmed​ ​following​ ​the​ ​Stulberg's​ ​classification.​ ​2nd​ ​hypothesis​ ​"AWRO​ ​leads to​ ​a​ ​reduction​ ​in​ ​the​ ​mediolateral​ ​diameter​ ​of​ ​the​ ​head",​ ​was​ ​confirmed​ ​by​ ​measuring the​ ​capitodiaphyseal​ ​index,​ ​which​ ​was​ ​reduced​ ​in​ ​all​ ​femoral​ ​heads​ ​after​ ​AWRO. The​ ​3rd​ ​hypothesis​ ​"Harris​ ​Hip​ ​Score​ ​improved​ ​in​ ​medium-term​ ​follow​ ​up​...

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1. http://www.nusl.cz/ntk/nusl-372374

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Additional Fields

Identifer	oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:372374
Date	January 2017
Creators	Burian, Michal
Contributors	Dungl, Pavel, Havlas, Vojtěch, Gallo, Jiří
Source Sets	Czech ETDs
Language	Czech
Detected Language	English
Type	info:eu-repo/semantics/doctoralThesis
Rights	info:eu-repo/semantics/restrictedAccess