发育性髋关节发育不良股骨侧截骨方式的研究

Study on osteotomy methods of femoral side for developmental dysplasia of hip

在关节外科领域,对于高脱位的发育性髋关节发育不良(DDH)患者而言,股骨截骨是对高脱位DDH患者行关节置换手术的有效辅助技术,包括大转子截骨和转子下截骨方式,后者又可以分为横形、斜形、V形及阶梯形截骨。然而关于股骨截骨方式的选择大多依靠术者的临床经验,并未形成共识,与其相关的术后并发症脱位、截骨不愈合等也时有发生。本文就其截骨方式的研究现状展开综述,探讨其各自的优缺点,以对临床治疗提供建议与指导。

In joint surgery,femoral osteotomy is an effective auxiliary technique for the joint replacement for developmental dysplasia of the hip(DDH)patients with high dislocation.Femoral osteotomy includes greater trochanter osteotomy and subtrochanteric osteotomy which can be divided into transverse,oblique,chevron and step-cut types.However,the choice of femoral osteotomy mostly depends on the clinical experience of the surgeon,and no consensus has been reached.The related postoperative complications such as dislocation and non-union of osteotomy also occur from time to time.This article reviewed the research status of osteotomy methods,discussed their advantages and disadvantages,in order to provide suggestions and guidance for clinical treatment.