摘要
本文介绍了用改良Salter骨盆截骨术治疗120髋先天性髋脱位,平均随访2年10月,术后再脱位发生率为0,股骨头坏死率为3.3%,髋关节屈曲功能小于120°者为5%。强调手术年龄选择、术前牵引、术中适度扩大加深髋臼、关节囊紧缩和硅胶管引流的重要性,前倾角小于60°者不需做股骨旋转截骨术。
AbstractHundued and twenty hips, congenitally dislocatedwere treated with modified Salter innominate osteotomyand followed -up for 2 years and 10 months.No re-dislo-Cation was seen.Avascular necrosis of the femoral headoccurred in 3.3%, In 5%of the postopeative cases,the flexion function of the hipe were less than 120°. Childrenover 6 years of age are not suitable for this operation.Pre-operative traction , enlargement and deepening of theacetabulum,tightening suture of the joint capeule and sili-con tube drainage are the key for success. The authorssuggested that patients with anteversion below 60°are not indicated for rotational osteotomy of the femur.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1994年第8期470-473,共4页
Chinese Journal of Orthopaedics