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目的探讨Pemberton髋臼成形术联合股骨粗隆下短缩旋转截骨治疗儿童发育性髋关节发育不良(development dislocation of the hip DDH)的临床疗效。方法回顾分析15例采用Pemberton髋臼成形术联合股骨粗隆下短缩旋转截骨治疗儿童DDH,其中男5例,女10例,年龄2~8岁,平均3.5岁,按Tonnis统分级Ⅲ度5例,Ⅳ度10例。结果患儿随访1~4年,平均2.5年,术后无再脱位,股骨头坏死,无患肢短缩,Mc Kay评分为优。结论 Pemberton髋臼成形术联合股骨粗隆下短缩旋转截骨治疗儿童DDH临床效果良好,值得推广。
Objective To investigate the clinical efficacy of Pemberton acetabular angioplasty combined with subtrochanteric shortening rotary osteotomy in the treatment of children with developmental dislocation of the hip DDH. Methods Retrospective analysis of 15 cases of Pemberton acetabular angioplasty with femoral trochanter ablation rotary osteotomy in children with DDH, including 5 males and 10 females, aged 2 to 8 years, mean 3.5 years, according to Tonnis classification Ⅲ degree 5 cases, Ⅳ degree in 10 cases. Results The patients were followed up for 1 to 4 years with an average of 2.5 years. No dislocation, no necrosis of the femoral head and no shortening of the limbs were found. The Mc Kay score was excellent. Conclusion Pemberton acetabular angioplasty combined with trochanter ablation and shortening rotary osteotomy in children with DDH clinical effect is good, it is worth promoting.