骨盆三联截骨术加股骨近端截骨治疗大龄儿童发育性髋关节发育不良32例疗效观察  

Efficacy observation on triple pelvic osteotomy plus proximal femoral osteotomy for treating 32 cases of older children developmental hip dysplasia

作　　者：邓学海[1] 刘传康[1] 李明[1] 罗聪[1] 曹豫江[1] 瞿向阳[1] 

机构地区：[1]重庆医科大学儿童医院骨一科/儿童发育疾病研究省部共建教育部重点实验室/儿科学重庆市重点实验室/重庆市发育重大疾病诊治与预防国际科技合作基地,400014

出　　处：《重庆医学》2012年第13期1285-1287,共3页Chongqing medicine

摘　　要：目的探讨应用骨盆三联截骨术加股骨近端粗隆下短缩旋转内翻截骨锁定加压接骨板(LCP)内固定治疗大龄儿童发育性髋关节发育不良(DDH)的疗效。方法观察2007年2月至2010年5月该科运用骨盆三联截骨术加股骨近端粗隆下短缩旋转内翻截骨LCP内固定治疗大龄儿童DDH 32例(34髋)的疗效。结果术后按Mckay髋关节功能评价标准,优20髋,良10髋,可4髋,差0髋,优良率为88.2%。结论该联合术式治疗大龄儿童DDH疗效可靠,能使股骨头获得良好的覆盖,LCP固定坚强、稳定,股骨颈矫正角度满意,有利于髋关节功能的恢复,适用于大龄儿童髋臼发育不良或半脱位的治疗。Objective To assess the efficacy of triple pelvic osteotomy and proximal femoral shortening varus rotational osteotomy lock compress plate（LCP）fixation for treating the developmental dysplasia of the hip（DDH）in old children.Methods The effects of 34 hips in 32 old children cases of DDH treated by triple pelvic osteotomy and proximal femoral shortening varus rotational osteotomy LCP fixation in our department from February 2007 to May 2010 were observed.Results The clinical assessment was performed according to Mckay′s classification,the results were excellent in 20 hips,good in 10 hips,fair in 4 hips and poor in 0 hip.The total excellent and good rate was 88.2%.Conclusion This combined surgical mode is reliable and effective for treating developmental dysplasia of the hip in old children,the femoral head can get a good coverage,LCP to fix proximal femur is strong and stable,the recovery of joint function is satisfied,which deserves the best choice for old children with DDH.

关 键 词：骨盆 儿童(6~14岁) 发育性髋关节发育不良 

分 类 号：R726.8[医药卫生—儿科]