摘要
作者从１９７７年５月～１９８３年１０月，曾一期采取切开复位、髋臼造顶和股骨短缩截骨术治疗先天性髓脱位（ＣＤＨ）７５例。其中２６例３３个髓关节获得平均１２．７年的随访。沿用文献中的Ｍｃｋａｙ临床评定标准和ＳｅｖｅｒｉｎＸ线评定标准对本组病例做了疗效评价。其临床优良率为８５％，Ｘ线优良率为７３％；术前髓臼指数平均为３５°，术后降到１８．１°；术前股骨头上移平均为３．５ｃｍ，术中短缩股骨２．１ｃｍ。结果表明，手术时患者的年龄和骸臼指数大小是影响远期疗效的重要因素，年龄小于６岁和髋臼＜３８°者，临床髋关节功能和Ｘ线形态的优良率均明显提高。
AbstractFrom 1977 to 1983,seventy-five patients with con-genital dislocation of hips( CDH ) were treated withsurgery in one-sething including open reduction, shelfprocedure and shortening osteotomy of proximal femur.Followup of 10.2～16 years(n1ean 12. 7 years) was ob-tained in 33 hips in 2 6 patients. Excellent and good re-sults were seen in 85%according to Mckay’s clinical cri-teria however only 73% radiographically according toSeverin’s X-rays criteria. The mean preoperative valueof acetabular index was 35°,the mean postoperative an-gl was 18.1° , and the mean proximal displacement offemoral head was 3. 5cm before operation and the femurwas shortened foran average of 2. 1cm during operation.The observat ion suggested that the age of patients andthe acetabulumindex were well correla ted with thelongterm results. For Patients over 6 years of age withthe acetabJum index more than 38 °, other stahlizationprocedlJres should be considered becaust they ecouls hol-get satistactory results with the above-mentioned of pro-cedures.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第7期406-408,共3页
Chinese Journal of Orthopaedics
