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目的探讨一种新的治疗小儿发育性髋脱位手术方法。方法以选择性深度扩臼术并新型髋膝活动式支架治疗12名发育性髋脱位患儿,术后随访7～9年,观察疗效及并发症出现的情况。结果选择性深度扩臼术出血量小(66±7)ml,时间短(58±6)min,复位满意。术后患儿在短期内(3周左右)均可进行髋膝功能锻炼,无一例出现髋关节僵硬、术后再脱位及患侧股骨头无菌性坏死等并发症。结论新手术方法头臼复位确切、操作简单、创伤小、疗效较好、术后并发症少,是临床可选择的另一种新术式。
Objective To explore a new surgical treatment of pediatric developmental hip dislocation. Methods A total of 12 children with developmental hip dislocation were treated with selective deep dislocation and a new type of hip and knee active stent. The patients were followed up for 7 to 9 years. The curative effect and complications were observed. Results Selective deep discectomy bleeding less (66 ± 7) ml, a short time (58 ± 6) min, satisfactory reduction. Postoperative children in the short term (about 3 weeks) can perform hip knee exercises, no case of hip stiffness, postoperative dislocation and ipsilateral femoral head aseptic necrosis and other complications. Conclusion The new surgical approach has the advantages of exact replacement of the acetabular head, simple operation, small trauma, better curative effect and less postoperative complications. It is another new surgical alternative.