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目的:探讨儿童发育性髋关节脱位手术治疗的意义和方法。方法:对17例儿童17髋发育性髋关节脱位手术治疗,采用关节囊外Salter手术+股骨近端内收短缩旋转截骨手术的联合截骨治疗,术后过腰支具固定12~18月,骨愈合后负重活动。结果:随访时间1~1.6年,优10髋(10/17),良髋5(5/17),2例术后髋关节外展受限,关节轻度强直(2/17)。髋臼指数由手术前的38~45°(平均32.5°)减少到手术后的10~15°(平均10.2°);CE角由手术前的-10~10°(平均-02°)增加到手术后的37~49°(平均41.2°),对照健侧髋关节,髋臼覆盖股骨头的百分比由手术前的10%~20%(平均15%)增加到手术后的80.2%~90.1%。结论:髋关节囊外联合截骨手术治疗发育性髋关节脱位是一种积极有效的治疗方法。
Objective: To explore the significance and methods of surgical treatment of developing hip dislocation in children. Methods: Seventeen children underwent hip arthroplasty and hip arthroplasty. Seventeen children underwent hip arthroplasty and total hip arthroplasty. The arthroscopic Salter operation plus proximal femur rotation and shortening osteotomy were performed. Month, bone healing load-bearing activity. Results: Follow-up time ranged from 1 to 1.6 years, excellent in 10 hips (10/17) and good hips in 5 (5/17). Out of the 2 patients, hip abduction was limited and joint was slightly tonic (2/17). The acetabular index decreased from 38 to 45 ° (mean 32.5 °) before surgery to 10 to 15 ° (mean 10.2 °) after surgery. The CE angle increased from -10 to 10 ° (mean -02 °) before surgery to hand The percentage of femoral heads covered by acetabular fractures increased from 10% to 20% (average 15%) before surgery to 80.2% to 90.1% after surgery, compared with 37 to 49 ° (mean 41.2 °) . Conclusion: Extracapsular combined osteotomy for the development of dislocation of the hip is an active and effective treatment.