90°角钢板在发育性髋关节脱位股骨近端截骨中的应用  

Application of 90° steel plates in treatment of developmental hip dysplasia after proximal femur osteotomy

作　　者：王浩[1] 李浩宇[1] 许瑞江[1] 李文超[1] 丑小冰[1] 鲍兴[1] 

机构地区：[1]解放军总医院小儿外科,北京100853

出　　处：《军医进修学院学报》2012年第10期1006-1007,1010,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨90°角钢板在发育性髋关节脱位股骨近端截骨中的应用效果。方法选自2004年1月-2011年12月我科发育性髋关节脱位患者共62例85髋,采用股骨近端截骨90°角钢板内固定矫正股骨近端畸形。结果对随诊资料完整的40例共55髋进行回顾性总结,术后随诊7-96个月,平均随诊39.9个月,本组55个髋关节股骨近端截骨均在术后6周达到骨性愈合标准,其中52个髋关节股骨近端畸形纠正结果满意。术中股骨头前倾角纠正15°-40°,平均25°;颈干角纠正20°-40°,平均30°。结论 90°角钢板固定是矫正发育性髋关节脱位股骨近端畸形的有效固定方法。Objective To study the clinical outcome of 90° steel plates in treatment of developmental hip dysplasia after proximal femur osteotomy.Methods Sixty-two children with developmental hip dysplasia involving 85 hips who underwent internal fixation with 90° steel plates after proximal femur osteotomy for proximal femur deformity.Results Fifty-five hips in 40 children with complete follow-up data were retrospectively analyzed.The patients were followed up for 7-96 months（mean 39.9 months） after operation.Bony union was achieved in these 55 hips 6 weeks after operation with satisfactory outcomes achieved in 52.The anteverted femur angle was 25°（range 15°-40°） and the neck-shaft angle was 30°（range 20°-40°）.Conclusion Fixation of proximal femur deformity with 90° steel plates is an effective procedure for children with developmental hip dysplasia.

关 键 词：发育性髋关节脱位 内固定 截骨术 

分 类 号：R726.847.5[医药卫生—儿科]