治疗先天性髋脱位的强力造盖术及其应用的选择  

The Application of Reinforced Shelf Operation on Congenital Hip Dislocation in Children

作　　者：孙丹舟[1] 唐成林[1] 赵宝林[1] 季晓风[1] 孙冰 

机构地区：[1]白求恩医科大学第三临床学院骨科,长春130021

出　　处：《中华小儿外科杂志》1997年第5期298-300,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的:为了增强治疗小儿先天性髋脱位造盖术造盖的支撑力及抗压强度。方法:将传统的翻转造盖术扁放骨片和碎骨块改为立放3枚三角形骨块,在传统插入造盖上方加1枚立式骨块,取名"强力造盖术"。若真臼宽度够,只是髋臼指数大,应选用强力翻转造盖术;若假臼明显形成,将真臼顶挤压变窄,则应选用强力插入造盖术。结果:近5年来应用强力造盖术治疗小儿先天性髋脱位243例,315髋次,只发现1例1髋插入造盖折断。结论:基本上解决了造盖折断和吸收问题。因此,由原来多选用骨盆截骨术,改为现在多选用造盖术。Objective:To enhance the shelf supporting forces and intensity of resistence in shelf operation on congenital hip dislocation.Methods:The flat piece and fragments of bone were changed into three pieces of vertical triangle bone and added a vertical bone segment.The rein- forced reversion shelf method should be adopted in acetabulum with enough width but a large acetabular index.If the false acetabulum was formed and narrowed the true acetabulum,the in- serting shelf operation should he chosen to widen the true acetabulum.Results:The operation was adopted in 243 cases(315 hips),only one had fracture of the inserting shelf.Conclusions: The authors prefer the shelf operation to the used innominate osteotomy to treat the CDH.The problems of fracture and absorption of the shelf have been solved basically.

关 键 词：髋脱位 先天性 造盖术 儿童 

分 类 号：R726.821.7[医药卫生—儿科]