摘要
本文介绍了先天性髋脱位术中不采用股骨旋转截骨术的优点,作者认为先天性髋脱位合并股骨颈前倾角增大,勿需做股骨旋转截骨术,过大的前倾角在以后生长发育中,可以逐渐矫正。本组前倾角大于45°,未做股骨旋转截骨术的39个髋患儿,由于术中做好紧缩关节囊和髋骨截骨后旋转方向,术后经平均2年6月的随访,无一例脱位,前倾角除1髋外,均恢复至45°以下,对于超过60°以上的前倾角,经过扩大加深髋臼,紧缩缝合关节囊,髋骨旋转截骨后仍有脱位表现者,也可考虑做股骨旋转截骨术。
AbstractFrom January 1978 to January 1986,212 cases ofcongenital dislocation of the hip were treated withpelvic osteotomy;among them 59cases undergone ro-tational osteotomy for the correction of the anteversionangle and followup study in 41 cases revealed limita-tion of hip motion in 13 cases,external rotational gaitin 4 cases,posterior upper dislocation in one cases, The anteversion angle of the 41 cases were 45°~60°in25 cases,61° ~ 70° in 14 cases an 71°~ 80° in 2 cases. in another group of 204 cases treated from February1986 to December 1990, 52 cases had anteversion an-gle of more than 45°,They were treated with pelvicosteotomy without rotational osteotomy of the femur39 cases had followup for an average of 2 years an 6months,and the results revealed no disturbance of thegait and recovery of the anteversion angle to differentdegrees. The authors emphasized tight suture of thejoint capsule during peivic osteotomy and belleved thatrotational osteotomy is unnecessary for the correctionof the anteversion of the femoral head in congenitaldislocation of the hip.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第2期69-71,共3页
Chinese Journal of Orthopaedics