摘要
目的：观察小儿Ｓａｌｔｅｒ骨盆截骨术后髋关节形态学的变化，探讨骨关节炎发生的病理基础。方法：对发育性髋脱位手法复位后失败的６０例，７２髋进行了Ｓａｌｔｅｒ骨盆截骨术。经过平均７．４年的追踪观察，采用系列Ｘ线片观察髋关节形态学的变化，如股骨头的发育，髋臼形态和髋臼硬化带的形态等。结果：７２髋中有６０％出现股骨头增大的改变，５０％髋臼内凹凸不平，髋臼硬化带为外三角形者占３６％。结论：股骨头增大，髋臼的改变成为Ｓａｌｔｅｒ骨盆截骨术后骨关节炎发生的潜在病理基础。
bjective: To observe the morphological changes of the hip and investigate the pathological bases of osteoarthritis after Salter osteotomy.Materials: 72 hips of 60 patients under 3 years underwent Slater osteotomy for developmental dislocation of the hip were followed- up for an average of 7.4 years. A retrospective review study of X- ray images, including the development of the femoral head, the morphology of the acetabulum and scerotic acetabular roof, was carried out.Results: 60% of the hips had the enlarged femoral head, 59% had rug surface of acetabulum and 36% had scerotic triangle shaped acetabular roof .Conclusions:Those changes may be the earlier pathological bases of osteoarthritis.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1998年第5期298-300,共3页
Chinese Journal of Orthopaedics
基金
卫生部临床重点学科建设项目
