摘要
目的探讨大龄儿童发育性髋关节脱位的手术方法及临床效果。方法对16例7～16岁大龄发育性髋关节脱位患儿(18髋)采用"切开复位+股骨转子下缩短旋转截骨+骨盆内移旋转截骨+髋臼成形"的联合手术治疗。结果术后2个月摄片复查髋关节复位位置好,股骨头及髋臼形态基本正常。骨盆截骨植入骨块及股骨缩短旋转截骨断端已骨性愈合。髋臼骨质与周围骨质密度基本一致,无坏死征象。患儿均获随访,时间1～7年。按疗效评定标准:优11髋,良6髋,差1髋。结论联合手术是治疗大龄发育性髋关节脱位较有效的方法。
Objective To study the operation methods and effect of older children developmental hip dislcation.Methods 16 cases(18 hips)of older children(7～16 y)were undergone open reduction,subtrochanteric shortening and derotation osteotomy,Chiari osteotomy and acetabular reconstruction.Results In 2 months after operation,the X-ray showed good hip reduction with normal femoral head and acetabular shape.The osteotomy healed.The bone density is similiar to the ajacent.No bone necrosis was found.All cases were followed up for 1～7ys.According to the evaluation,the results were excellent in 11 cases,good in 6 and poor in 1.Conclusions It is effective to treat older children developmental hip dislcation with Combined operation.
出处
《临床骨科杂志》
2011年第6期654-656,共3页
Journal of Clinical Orthopaedics
