Salter骨盆截骨术后骨关节炎发生的病理基础  

Pathological bases of Osteoarthritis after Salter Osteotomy

作　　者：马瑞雪[1] 吉士俊[1] 周永德[1] 刘卫东[1] 

机构地区：[1]中国医科大学第二临床学院小儿骨科

出　　处：《中华骨科杂志》1998年第5期298-300,共3页Chinese Journal of Orthopaedics

基　　金：卫生部临床重点学科建设项目

摘　　要：目的：观察小儿Ｓａｌｔｅｒ骨盆截骨术后髋关节形态学的变化，探讨骨关节炎发生的病理基础。方法：对发育性髋脱位手法复位后失败的６０例，７２髋进行了Ｓａｌｔｅｒ骨盆截骨术。经过平均７．４年的追踪观察，采用系列Ｘ线片观察髋关节形态学的变化，如股骨头的发育，髋臼形态和髋臼硬化带的形态等。结果：７２髋中有６０％出现股骨头增大的改变，５０％髋臼内凹凸不平，髋臼硬化带为外三角形者占３６％。结论：股骨头增大，髋臼的改变成为Ｓａｌｔｅｒ骨盆截骨术后骨关节炎发生的潜在病理基础。bjective: To observe the morphological changes of the hip and investigate the pathological bases of osteoarthritis after Salter osteotomy.Materials: 72 hips of 60 patients under 3 years underwent Slater osteotomy for developmental dislocation of the hip were followed- up for an average of 7.4 years. A retrospective review study of X- ray images, including the development of the femoral head, the morphology of the acetabulum and scerotic acetabular roof, was carried out.Results: 60% of the hips had the enlarged femoral head, 59% had rug surface of acetabulum and 36% had scerotic triangle shaped acetabular roof .Conclusions:Those changes may be the earlier pathological bases of osteoarthritis.

关 键 词：SALTER骨盆截骨术 病理基础 骨关节炎 术后 股骨头 髋臼 改变 发生 发育 形态学 

分 类 号：R684.3[医药卫生—骨科学] R681[医药卫生—外科学]