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目的探索Pemberton关节囊周围髂骨截骨术治疗发育性髋关节脱位的临床应用价值。方法选择2008年1月～2009年1月某科就诊的25例(28髋)发育性髋关节脱位患儿,回顾分析25例(28髋)发育性髋关节脱位患儿的术后疗效,对照分析治疗前后CE角、AI角及髋臼深度。结果本组25例(28髋),参照髋关节X线分级标准评定,优良率为92.9%,参照McKay临床疗效分级标准评定,优良率为85.8%。并发症情况:髋关节骨性关节炎1例,再脱位1例,其余无严重并发症发生。对照显示,治疗前后CE角差异有统计学意义(P﹤0.05),治疗后AI角[(16.3±5.2)°]比治疗前[(51.5±10.1)°]显著小(P﹤0.05),而治疗后髋臼深度[(11.4±4.2)mm]比治疗前[(6.5±4.4)mm]显著大(P﹤0.05)。结论 Pemberton关节囊周围髂骨截骨术治疗发育性髋关节脱位疗效确切,且较为安全,值得临床中推广应用。
Objective To explore the clinical value of Pemberton periarticular osteotomy for the treatment of developmental dislocation of the hip. Methods From January 2008 to January 2009, 25 children (28 hips) with developmental dislocation of hip were enrolled in this study. The therapeutic effect of 25 patients (28 hips) with developmental hip dislocation was retrospectively analyzed. The control group Analysis before and after treatment of CE angle, AI angle and acetabular depth. Results The group of 25 cases (28 hips), with reference to hip X-ray grading standards, the excellent and good rate was 92.9%, according to McKay’s clinical efficacy rating criteria, the excellent and good rate was 85.8%. Complications: hip osteoarthritis in 1 case, and then dislocation in 1 case, the rest without serious complications. The control showed that the difference of CE angle before and after treatment was statistically significant (P <0.05). The AI angle [(16.3 ± 5.2) °] was significantly smaller than that before treatment [(51.5 ± 10.1) °] The acetabular depth [(11.4 ± 4.2) mm] was significantly larger than that before treatment [(6.5 ± 4.4) mm] (P <0.05). Conclusion Pemberton periarticular capsule around the iliac osteotomy for the treatment of developmental dislocation of the hip is effective and safe, it is worth to promote the clinical application.