Salter髋骨截骨术治疗先天性髋关节脱位

SALTER' S INNOMINATE OSTEOTOMY FOR CONGENITAL DISLOCATION OF HIP (Report of 50 cases)

本院12年间手术治疗先天性髋关节脱位109例,将其中使用Salter法髋骨截骨术50例58个关节作疗效随访,随访50个关节(86％),随访时间为1～13年,平均7年。根据CE角和关节功能改善为疗效评定标准。优42个关节(84％),良3个关节(6％)、可1个关节。优良者90％。术后再脱位失败4个关节(7％),其原因主要是髋臼盂唇缺损。粘连5个关节,均是年龄较大,术后关节功能锻炼差,经手治治疗后,功能均恢复正常。讨论手术适应征及分析手术后再脱位原因,并再次作改良Pemberton手术,均获得满意疗效。

Among the 109 Patients operated on for congenital dislocation of the hiP in the Past 12 years, 50 Patients (58 joints ) received Sailer's innominate osteotomy. After a follow-uP for 1-13 years ( average 7 years), the results of Salter's were evaluated, according to the CE angle and the functional recovery of the joint, as excellent in 42 patients (84% ) , good in 3 ( 6% ) and fair in 1 ; i. e. the surgery was 90% successful. Redislocation occurred in 4 Patients (7% ) , mainly attributed to defective acetabular labium. Adhesion was found in 5 joints; all of them occurred in the aged patients, who failed to practise adequate functional rehabilitation. Redislocation was corrected by a secondary operation ( modified Pemberton's ) , adhesion was remedied with physiotherapy, and the outcome was good in both cases.