摘要
目的:为了增强治疗小儿先天性髋脱位造盖术造盖的支撑力及抗压强度。方法:将传统的翻转造盖术扁放骨片和碎骨块改为立放3枚三角形骨块,在传统插入造盖上方加1枚立式骨块,取名"强力造盖术"。若真臼宽度够,只是髋臼指数大,应选用强力翻转造盖术;若假臼明显形成,将真臼顶挤压变窄,则应选用强力插入造盖术。结果:近5年来应用强力造盖术治疗小儿先天性髋脱位243例,315髋次,只发现1例1髋插入造盖折断。结论:基本上解决了造盖折断和吸收问题。因此,由原来多选用骨盆截骨术,改为现在多选用造盖术。
Objective:To enhance the shelf supporting forces and intensity of resistence in shelf operation on congenital hip dislocation.Methods:The flat piece and fragments of bone were changed into three pieces of vertical triangle bone and added a vertical bone segment.The rein- forced reversion shelf method should be adopted in acetabulum with enough width but a large acetabular index.If the false acetabulum was formed and narrowed the true acetabulum,the in- serting shelf operation should he chosen to widen the true acetabulum.Results:The operation was adopted in 243 cases(315 hips),only one had fracture of the inserting shelf.Conclusions: The authors prefer the shelf operation to the used innominate osteotomy to treat the CDH.The problems of fracture and absorption of the shelf have been solved basically.
出处
《中华小儿外科杂志》
CSCD
1997年第5期298-300,共3页
Chinese Journal of Pediatric Surgery
关键词
髋脱位
先天性
造盖术
儿童
Hip dislocation,congenital
Shelf operation
