摘要
目的 回顾性分析槽状髋臼扩大术在儿童患者中的应用 ,以丰富髋关节发育不良及大龄发育髋关节半脱位的治疗手段。方法 对 1995年 7月～ 2 0 0 0年 7月收治的发育性关节发育不良、髋关节半脱位、legg perthes病、扁平髋的患儿 45例 ,使用槽状髋臼扩大术治疗。介绍槽状髋臼扩大术的手术技巧 ,探讨其适应证、禁忌证及近期效果。结果 槽状髋臼扩大术使用交叉网状植骨方式 ,便于塑造臼形 ,术后患儿可得到一个圆滑、结构合理的髋臼 ,它适用于结构稳定、髋臼指数在 40°以内的髋臼发育不良、大龄发育性髋关节脱位、Legg perthes病、扁平髋等患儿的治疗。 结论 槽状髋臼扩大术是一种有效扩大髋臼包容面积 ,使髋关节更加稳定 ,符合解剖结构“搁板”式造盖手术 ,方法简单、安全。
Objective To analyze the experiences of slotted acetabular augmentation (SAA) in the treatment for children with developmental dysplasia of the hip (DDH). Methods Forty-five cases of DDH, Legg-Perthes and coax plana were treated with SAA. The acetabular index was 40°～45°, and CE angle was 35°～10° before operation. Results The follow-up outcome of 30 cases showed a stable hip with enlargement on acetabular index and improvement in the relation of caput femoris and acetabulum. The satisfactory rate was about 90%. Conclusions SAA is a safe and effective way to provide an adequate covering of the caput femoris, coincide with the anatomic shelf operation and increase the stability of the hip.
出处
《中华小儿外科杂志》
CSCD
北大核心
2002年第5期448-450,共3页
Chinese Journal of Pediatric Surgery
