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目的观察臼窝上缘弧形造盖术治疗发育性髋关节脱位(DDH)的疗效。方法应用臼窝上缘弧形造盖术治疗DDH 548例(776个髋关节),单纯造盖510个髋关节,行股骨上端旋转或旋转加短缩截骨术者266个髋关节。结果经1～20年的随访观察,548例DDH治愈498例,治愈率为90.88%;未成功者23例,失败率为4.19%,失访27例。结论臼窝上缘弧形造盖术是一种较好的治疗DDH的方法,该术式髋臼指数改善显著,股骨头可以得到同心圆复位,复位后关节稳定,患者可以早期坐起,术后关节功能恢复良好。造盖的骨块无需内固定和二次手术拔针或取钉,手术方法简便、创伤小,且该术式适于任何年龄段的患者。
Objective To observe the curative effect of arcuate upper margin capping for the treatment of developmental dislocation of the hip (DDH). Methods 548 cases (776 hips) of DDH were treated with arcuate upper margin capping technique, 510 hips were simply made, and 266 hips were revolved or revolved and shortened osteotomy. Results After a follow-up of 1 to 20 years, 498 cases were cured by DDH in 548 cases, the cure rate was 90.88%. In 23 cases without success, the failure rate was 4.19% and 27 cases were lost to follow-up. Conclusions The superior cavernous cavernous capping technique is a good method for the treatment of DDH. The acetabulum index is improved remarkably. The femoral head can be concentric restored, and the joint can be stabilized after the reduction. The patient can sit up early, After the joint function recovered well. Cover made of bone without internal fixation and secondary surgery pull the needle or take the nail, the operation method is simple, less trauma, and the operation is suitable for patients of any age group.