改良Zahradnicek手术治疗大龄儿童发育性髋脱位临床应用研究  

Clinical Application of Treatment of Developmental Dysplasia of the Hip in Older Children with Improved Zahradnicek Operation

作　　者：刘金煜[1] 刘洋[1] 董平[1] 张楠[1] 李晓光[1] 

机构地区：[1]齐齐哈尔医学院第二附属医院,黑龙江齐齐哈尔161006

出　　处：《中国伤残医学》2012年第12期9-10,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨7～12周岁大龄儿童发育性髋脱位(DDH)治疗优化方法,减少并发症。方法:自2005～2011年应用改良Zahradnicek手术治疗大龄儿童发育性髋脱位37例、41个关节,用特制的小儿髋臼钻有限切削臼软骨,重建髋臼孤形结构,恢复其头臼同心圆关系,同时矫正前倾角至5°～10°,颈干角至120°,用专用的120°鹅颈钢板固定。结果:术后疗效评定:优22髋,为54%;良14髋,为34%;可3髋,为7%;差2髋,为5%,优良率占88%。结论:此种手术在1次手术中使股骨头、髋臼、股骨颈及股骨干恢复或接近恢复正常解剖和功能的方法,使大年龄DDH患儿获得一个功能良好、稳定无痛的关节。Objective： To discuss the best methods to treat Developmental Dysplasia of the Hip in older children anddecrease the complications. Methods： 41 joints of 37 cases congenital hip joint dislocation were underwent improved Zahradnicek operation.The reonstruction of acetabulum arch structure were made to restore the concentric relation between head and acetabulum withspecial drill meanwhile corrected anteversive angle 5~10~ and cervical shaft angle 120~ with curved steel fixed. Results： The curative assessment were 22 joints excellent,14 joints good and 5 joints bad effects.The curative ratio was 88%.Collclusion：This methods could completely or nearly restore the hip joint to normal anatomic and functional position.

关 键 词：大龄儿童 发育性髋脱位 改良Zahradnicek手术 应用研究 

分 类 号：R683[医药卫生—骨科学]