摘要
目的：评价先天性髋关节脱位髋臼造顶术的疗效。方法：为１５９例（２０４髋）先天性髋关节脱位的患儿进行了髋关节切开复位、股骨上端短缩截骨、髋臼造顶术。患儿年龄１．５～１３岁，平均７．５岁。结果：随访３年５０例（６６髋），随访１０年以上２９例（３７髋）。按Ｍｃｋａｙ临床评定标准，３年随访组优良率为８７．８％，随访１０年组为８５．０％。按Ｓｅｖｅｒｉｎ的Ｘ线评定标准，随访３年及１０年组均为７３．０％。结论：通过临床、Ｘ线资料观察发现先天性髋关节脱位的诸多病理改变中，髋臼顶部（也称上部）由正常弧形改变为斜坡尤为重要，髋臼上部弧形截骨加髋臼造顶的联合手术，可使复位后的髋关节更加稳定。
Objective: To evaluate the results of a combined shelf procedure in the treatment for congenital dislocation of hip (CDH). Methods: During the last 20 years, 159 cases (204 hips, mean 7.5years of age) were performed open reduction on the femeral head, shortening osteotomy on proximal femur and shelf procedure on acetabulum. Results: Fifty cases (66 hips) were followedup for more than 3 years and 29 cases (37 hips) for 10 years with excellent or good results in 87.8% and 85.0% by Mckay criteria respectively, and only 73.0% by Severin's radiographic criteria. Conclusions: The Xray and clinical findings demonstrate that defect of the upper rim of the acetabulum (vertical roof) should be the main factor of dislocation. The combined arch osteotomy on the upper half of the acetabulum with shelf procedure is beneficial to a stable reduction of CDH.
出处
《中华小儿外科杂志》
CSCD
1998年第2期99-101,共3页
Chinese Journal of Pediatric Surgery
关键词
髋臼造顶术
先天性髋脱位
儿童
Shelf procedure of hip Hip dislocation, congenital
