髋臼上缘骨膜下植骨治疗髋臼发育不良所致小儿先天性髋脱位

9Subperiosteum Autograft of Acetabular Roof for Congenital Dislocation of the Hip in Children

目的 观察髋臼上缘骨膜下植骨治疗小儿先天性髋脱位 -髋臼发育不良的临床疗效。方法 自1986- 0 1～ 1995- 0 9,对 6例髋臼发育不良致髋关节脱位患者 ,入院后行切开复位 ,髋臼上缘骨膜下植骨 ,术后随访 5年 5个月～ 9年 1个月 (平均 :6年 10个月 ) ,分别对髋关节功能及解剖学形态作出评价。结果 临床髋关节功能 :优 5髋 ,良 2髋 ,优良率 10 0 % ;解剖学形态 :优 6髋 ,良 1髋 ,优良率 10 0 %。结论 髋臼上缘骨膜下植骨治疗髋臼发育不良致小儿先天性髋脱位 ,疗效满意。

Objective To observe the curative effect with subperiosteun autograft of acetabular roof for congenital dislocation of the hip in children. Methods seven hips of 6 patients with congenital dislocation of hip were treated with open reduction and subperiosteun autograft ofacetabular roof from 1986 to 1995. The follow-up period varied from 4.2 to 7.5 years (means 6 years and 10 months). The results were evaluated with the anatomic morphology and the function of the hip. Results The result was excellent in five cases, good in 2 cases according to the function of hip. Excellent in 6 cases, good in 1 case according to the anatomic morphology. The excellent and good function was found in 100%. Conclusion The curative effect with subperiosteun autograft of acetabular roof for congenital dislocation of the hip in children might be a satisfied method.