Salter骨盆截骨术治疗小儿先天性髋关节脱位

Salter's Innominate Osteotomy in the Treatment of Congenital Dislocation of the Hip

目的 :总结手术治疗小儿先天性髋关节脱位 7例 (8个髋 )。方法 :应用Salter骨盆截骨术治疗。术前间断手法牵引 ,术中行关节囊“L”形切开 ,重叠缝合 ,术后改良Batchlor位石膏外固定。结果 :术后半年内优良率 7/ 8,半年以上优良率8/ 8。结论 :术前间断手法牵引 ,术中行关节囊“L”形切开 ,重叠缝合 ,术后改良Batchlor位石膏外固定为本组与Salter原法不同之处。

Objective:To review the results of the surgical treatment in 7 patients(8 hips)with congenital dislocation of the hips.Methods:Salters innominate osteotomy was performed with preoperative intermittent manual traction,L_shaped incision and overlapped sutures of the joint capsule during the operation,and the modified Batchlors plaster of Paris as an extermal fixation.Results:After 8 months to 2 years and 5 monthss follow_up,the excellent and good rate was 7/8 within the half a year postoperatively,whereas the rate reached to 8/8 thereafter.Conclusion:It is different from the classic Salters osteotomy in the following aspects:preoperative intermittent manual traction,L_shaped incision and overlapped sutures of the joint capsule during the operation,and the modified Batchlors plaster of Paris as an external fixation after the operation.