改良salter骨盆截骨术治疗小儿先天性髋关节脱位

• 作 者: 贾明锁 赵满霞 田乃宜 阿不来提 吴水清
• 机 构: 中国人民解放军第十一医院骨科,尹犁州友谊医院,中国人民解放军第十一医院骨科,中国人民解放军第十一医院骨科,中国人民解放军第十一医院骨科 835000,835000,835000,835000
• 出 处: 新疆医学
• 发表日期: 1997年01期
• 关键词: 骨盆截骨术 salter 内固定 关节囊 髋臼指数 髋人字石膏 手术适应证 上棘 负重活动 楔形截骨

自1961年Salter提出骨盆截骨术的原理和方法以来,已为国内外学者广泛支持和采用,只要严格掌握手术适应证和禁忌证,正确掌握手术操作,多数患儿均能获得满意效果。但实践中发现,由于原术式内固定不甚牢固等因素,术后骨盆发生变形影响其功能,故而有需要改良之处。我院1986年9月～1993年12月采用改良式Salter骨盆截骨术治疗小儿先天性髋关节脱位84例96个髋关节,效果满意,现报告如下:

Since 1961, Salter put forward the principle and method of pelvic osteotomy, it has been widely supported and adopted by domestic and foreign scholars. As long as strict indications and contraindications of operation and proper operation of operation are obtained, most children can obtain satisfactory results. However, it has been found in practice that due to the unsteady internal fixation and other factors, postoperative pelvic deformation affects its function, so there is a need for improvement. Our hospital from September 1986 to December 1993 using modified Salter pelvic osteotomy in children with congenital dislocation of the hip in 84 cases of 96 hips, the results are satisfactory, are as follows: