小儿先天性髋关节脱位近年来应用术式的演变及其评估

Development and Estimation of Recent Years' Methods of Operation for Congenital Dislocation of Hip in Children

本文介绍本院近４年来小儿先天性髋脱位治疗应用术式的演变。由２０多年来一直喜欢用骨盆截骨术演变为近１年来用得最多的是造盖术。近４年共手术４６３例，５６５髋。实践证明：比起骨盆截骨术，造盖术显得更简便，侵袭小，不需二次手术拔除内固定针。因在我国大龄髋脱位偏多，造盖术更适合我国国情。经过一些改进，可以克服造盖折断和吸收问题。

The authors introduced recent four years'methods of operation for congential dislocation of hip in children in our hospital,Pelvic osteotomy,which had been applied for twenty years,has been modified to shelf operation,which has been applied most in the recent one year.For example,167 hips were operated in l992,mong which 117 hips were operated by means of osteotomy,making up 70.1%,33 hips were operated by way of shelf operation,accounting for 19.7%,In 1994 150 hips were operated,only 29 hips were operated by means of osteotomy,amounting to 19.3%,99 hips were operated by way of shelf operation,making up 66.0%.463 cases,565 hips have been operated altogether in recent four years,Clinical practice has proved that shelf operation is easier,the injury is less serious, no needle of internal fixation need to be pulled out by operation again.Shelf operation is even more suitable to the condition of our country,because elder children with the congenital dislocation of hip were more in our coun-try.Modification of procedure wonld be helpful to conquer fracture or absorption of the shelf.