低龄儿童双侧先天性髋脱位的手术治疗

The Operation for Bilateral Congenital Dislocation ofr Hips(CDH) in Young Children

目的：探讨低龄儿童双侧先天性髋脱位（ＣＤＨ）的手术治疗方式．方法：短纺截骨和旋转截骨术、关节囊成形术，一期治疗学龄前儿童双侧ＣＤＨ共４１例（８２髋），其中２８例（５６髋）获得随访２年以上。结果：根据周永德、吉士俊倡导的评定标准对获随访的５６髋作了疗效评定，其中优５２髋，良４髋。结论：联合术式对于双倒ＣＤＨ的治疗效果明显，双侧ＣＤＨ一期治疗是合理的。

Objective:To discuss the operation for bilateral congenital dislocation of hips(CDH) in youug children. Methods: From 1994 to 2000,fourty-one patients with bilateral CHD were treated with one-stage combined opera- tion including tenotomy of adductor.tenotomy of musculus iliopsoas, open reduction,shortening osteotomy and rota- tional osteotomy of prokimal.femur and capsuloplasty. Follow-up of 2 years more was abtained in 56 hips in 28 pa- tients. Results:52 hips were excellent and 4 hips were good according to the clinical criteria which was proposed by Zhou Yongde and Ji Shijun. The preoperative value of acetabular index was from 25°to 50°,the mean postoperative value of anterversion angle was about 10°. Concluslon:The result suggested that the one-stage combined operation for bilateral CDH in prescbool children was reasonable.