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目的：应用带臀上血管蒂髂骨块转位髋臼造顶治疗学龄儿童先天性髋脱位。方法：采用髋后侧切口，真臼适度扩大，股骨粗隆下短缩截骨，游离带臀上动静脉深上支血管蒂髂骨块转位髋臼造顶，治疗１２ 例学龄儿童先天性髋关节脱位。结果：经１ ～１０ 年随访无１ 例再脱位。结论：该方法能有效防止术后再脱位，降低股骨头坏死率。
OBJECTIVE: To treat the congenital hip dislocation in school-age children by acetabular reconstruction of ilium with gluteal upper vessel graft. Methods: The posterior lateral hip incision was made, the moderate acetabulum was expanded, the femoral trochanter was shortened, the free upper gluteal artery and superior vena cava was transplanted with acetabulum, and 12 cases of congenital Dislocation of the hip. Results: After 1 to 10 years of follow-up no further dislocation. Conclusion: This method can effectively prevent postoperative dislocation and reduce the rate of femoral head necrosis.