Salter骨盆截骨术治疗儿童发育性髋关节脱位的应用

Salter Osteotomy for Developmental Dislocation of Hip Joint in Children

目的总结Salter骨盆截骨术治疗儿童发育性髋关节脱位的应用。方法2008年8月~2012年8月,我科对6例8髋发育性髋关节脱位,常规行患肢骨牵引2w,采用Salter骨盆截骨术垣关节囊清理紧缩缝合术,加做股骨转子下短缩旋转截骨术8髋。结果随访6个月~4年,平均随访24个月,临床随访采用Mckay髋关节功能评定标准和X线随访采用Severin标准。按Mckay标准评定髋关节功能,术后优良率达97%;按Severin标准评定X线表现,术后优良率达95.15%。结论Salter骨盆截骨术为早期手术治疗儿童发育性髋关节脱位的首选术式,早诊断、早治疗,临床疗效满意。

Objective To summarize the application of Salter pelvic osteotomy for the treatment of developmental dislocation of the hip in children.Methods 2008 August to 2012 August,6 hips in 8 patients in our department of developmental dislocation of the hip,underwent limb skeletal traction for 2 weeks,the Salter pelvic osteotomy and joint capsule cleaning tightening suture,combined with subtrochanteric osteotomy in 8 hips.Results Fol owed up for 6 months to 4 years,mean fol ow-up of 24 months,clinical fol ow-up by Mckay criteria for hip joint function and X-ray were performed according to the Severin standard.According to Mckay criteria of hip joint function after operation,the excellent and good rate was 97%;performance according to Severin standard X-ray after operation,the excellent and good rate was 95.15%.Conclusion Salter pelvic osteotomy is the preferred surgical dislocation of the hip operation in treatment of early child development,early diagnosis and early treatment,the clinical ef ect is satisfactory.