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目的:分析转子间外展推移截骨术治疗先天性髋内翻的远期疗效。方法:用转子间外展推移截骨术治疗先天性髋内翻20例(27髋),平均随访14年。结果:所有股骨头骺板早期闭合,大转子上移,大部分髋臼发育不良,股骨头球形适应改变,肢体短缩。结论:手术可以使股骨头骺板处在正常位置上,但不能使股骨头骺板内部异常生长得到控制。股骨头骺板的早期闭合是骺板损伤后修复的结局,它维持头干角的稳定并引发周围形态的畸形
Objective: To analyze the long-term effect of intervertebral abduction osteotomy for the treatment of congenital cholestasis. Methods: 20 cases (27 hips) of congenital cochlear varus were treated with intervertebral abduction and osteotomy for an average of 14 years. Results: All the femoral head epiphyseal plate closed early, the greater trochanter up, most of the acetabulum dysplasia, femoral head spherical adaptation changes, limb shortening. Conclusion: Surgery can make the epiphyseal plate of the femoral head in a normal position, but it can not control the abnormal growth of the epiphyseal plate in the femoral head. The early closure of the epiphyseal plate is the outcome of the repair of the epiphyseal plate, which maintains the stability of the triceratum and triggers the deformity of the surrounding shape