摘要
30例33个髋关节采用股骨缩短及髋臼成形术一次完成治疗。结果显示股骨缩短是克服软组织挛缩,使股骨头还纳入原臼的有效方法,它并不构成永久性肢体不等长。髋臼成形术及自制髋臼成形器的配合应用,在改善髋臼指数,稳定髋关节方面远比Salter手术为好。术后常规一次手法松解可达到克服髋关节僵硬及改善髋关节功能的目的。对治疗中易发生的前倾角矫正过大,提出了防止措施。
Thirty cases (33 hips) were treated with femoral shortening and acetabuloplasty in one stage. The results showed that femoral shortening was an effective procedure to overcome soft tissue contracture and reduce the fomoral head into the acetabulum concentrically. A selfdesigned artificial acetabular roof in acetabuloplasty improved the acetabular index effectively, and made the hip joint more stable. Postoperative stiffness can be prevented by keeping the operated hip in flexed posture. Overcorrection of anteversion, a common technical error, and preventive measures, are discussed.
出处
《中华小儿外科杂志》
CSCD
1994年第1期30-32,共3页
Chinese Journal of Pediatric Surgery
关键词
髋脱位
先天性
髋臼成形术
儿童
Hip dyslocation, congenital
Manipulation, orthopedic
Acetabuloplasty