摘要
脊髓灰质炎后遗髂胫束挛缩致患侧骨盆倾斜，髋膝关节屈曲、外展畸形，假长跛行。手术方法采用骨盆悬吊术（Ａｘｅｒ法），经随访发现胸盆稳定不足。用改良术式旨在发挥盆上提肌组力量，方法为髂胫束条反转穿过肋骨编织后，再与髂肋肌、背阔肌、腰背筋膜束，相互编织，紧缩。正反二组动力协调增加胸盆稳定。自１９８８年１１月～１９９３年１２月用改良术式治疗４０例。随访３５例，平均随访２．５年，优良率达９１％。认真掌握手术适应证和关节畸形矫正，有利于提高疗效。
Thehipandkneeflexioncontractureandabductiondeformitiesofthelowerextremitieswithpelvicobliquityandhighsteppagegaitwereduetocontractureoftheilio-tibialbandafterpo-liomyelitis.Theresultsofconventionalsuspensionoperation(Axermethod)wasfoundtobeinsuffi-cientforthoraco-pelvicstability.Theauthorsreportedamodifiedprocedurecharacterizedbystrength-eningthepoweroftheelevatormusculatureofthepelvisincludingtheiliocostalmuscle,latissmusdorsimuscleandlumbodorsalfasciatostabilizethethoraco-pelvicsegment.From1988to1993,40casesofpelvicobliquityduetocontractureoftheilio-tibialbandafterpoliomyelitisunderwenttheimprovedpro-cedure.35caseswerefolowedupforanaverageof2.5years.Theresultswereassessedasexcelentin74%ofthecases,goodin17%andfairin9%.Theauthorssuggestthatproperindicationsforsurgicalinterventionandcorrectionofthejointdeformityareimportantconsiderationsforobtainingsatisfactoryresults.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1996年第10期638-640,共3页
Chinese Journal of Orthopaedics
关键词
骨盆倾斜
脊髓灰质炎
后遗症
盆悬吊术
ImprovedpelvissuspensionoperationPelvicobliquityPoliomyelitis
