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Staheli手术治疗儿童髋臼发育不良

Staheli procedure in treatment of the hip dysplasia in the children
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摘要 目的 :回顾 3 2例 ( 3 3髋 ) Staheli手术 ,观察其治疗儿童髋臼发育不良的疗效。方法 :采用 Mc Kay髋关节临床和 Willett X线片评定标准 ,对术后 3 2例 ( 3 3髋 )的疗效予以评价。结果 :平均随访时间 3 1( 3~ 70 )个月。临床优 3 1例 ,3 2髋 ;良 1例。X线片测量 :髋臼覆盖股骨头的百分比 ( % ) :正常组为 ( 85 .3 9± 7.0 5 ) % ,术前组为( 5 1.60± 10 .2 5 ) % ,术后组为 ( 10 9.5 6± 11.4 0 ) %。F值 =2 0 5 .4 4,P=0 .0 0 1。结论 :该术式操作相对简便 ,对股骨头的覆盖非常充分 ,是治疗儿童特别是青少年髋臼发育不良的理想术式之一。 Objective:A retrospective review of thirty three Staheli procedure that were treated for the acetabular dysplasia in thirty two patients at the General Hospital of PLA to observe the result of the procedure. Methods:All patients were assessed by McKay Clinical criterion of the hip and Willett percentage of acetabylar cover. Results:Follow up of 3~70 months (mean 31 months) was obtained in all. Thirty one patients (thirty tow hips) have excellent clinical result. The percentage of acetabylar cover were 85 39±7 05 in normal group; 51 60±10 25 in preoperative group and 109 56±11 40 in postoperative group ( P =0 001).Conclusion:Staheli procedure is a relatively simple and reliable operation for treatment of the acetabular dysplasia in children, especially in older children.
出处 《军医进修学院学报》 CAS 2000年第1期77-78,共2页 Academic Journal of Pla Postgraduate Medical School
关键词 Staheli手术 髋臼发育不良 儿童 staheli procedure hip dysplasia
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参考文献4

  • 1[2]McKay DW. A comparison of the innominate and pericapsular osteotomy in treatment of congenital dislocation of the hip [J]. Clin Otrhop, 1974,98:124-127.
  • 2[3]Willett K, Hadson I, Catterall A. Lateral shelf acetabularplasty: An operation for older children with Perthes disease [J]. J Pediatr Orthop. 1992,12:563-566.
  • 3[4]Staheli LT. Acetabular Dysplasia: Treatment by Pelvic Osteotomy [A]. In: Steinberg ME ed. Hip and Its Disorders. Philadelphia: Saunders, 1991.346-353.
  • 4[5]Morrissy RT. The pelvis and hip [A]. In: Morrissy RT ed. Atlas of Pediatric Orthopaedic Surgery [M]. 1992.155-159.

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