发育性髋关节脱位的外科修复与重建:不同置入物及不同干预方案

Surgical repair and reconstruction of developmental dislocation of the hip:Different implants and interventions

发育性髋关节脱位的治疗方法,随年龄和病理变化的不同而各异,原则是干预愈早,效果愈好。目前,治疗方式很多,适应证也各不相同,但外科修复重建作为发育性髋关节脱位的主要治疗手段,疗效已经得到了充分的肯定。具体技术实施方法的选择争议较多,但是不论选择何种方法,其目的均为尽可能使头臼达到同心复位,恢复髋关节的解剖结构,重建关节功能。文章拟对近年来发育性髋关节脱位的外科干预技术方式,不同置入物(髋关节置换及髋关节表面置换)的应用,不同年龄的治疗方案做以介绍。

Treatment for developmental dislocation of hip differs due to various age and pathological alterations. The principle of management is early diagnosis and intervention. At present, although a lot of methods have emerged and their indications vary, the surgical reconstruction has received a good result as a main method of treating the disease. It is controversial about how to select technique and method. The aim of the treatment is to achieve concentric reduction of femoral head and acetabulum to restore anatomic structure of the hip and reconstruct joint function. This paper introduced the surgical intervention for developmental dislocation of hip, application of different implants （hip replacement and surface replacement） and treatment plans for different age groups in recent years.