Staheli髋臼延伸术治疗学龄儿童先天性髋脱位

Slotted acetabular augmentation of Staheli for congenital dislocation of the hip in schoolager

  • 摘要: 目的: 探讨Staheli髋臼延伸术对学龄儿童先天性髋脱位的治疗效果。方法: 采用Staheli髋臼延伸术治疗学龄儿童先天性髋脱位11例11个髋,均为女性;左髋7例,右髋4例。术前股骨头脱位高度平均1.2cm,髋臼指数平均39.7°。手术年龄平均9.3岁。结果: 根据McKay的临床评定标准,8个髋关节为优,2个为良,1个为可。X线片结果显示CE角平均36°,根据Severin的评定标准,7个髋关节为优,3个为良,1个为可。结论: Staheli髋臼延伸术是治疗学龄儿童先天性髋脱位的有效方法之一。

     

    Abstract: Objective: To describe the procedure and assess the results of schoolager with congenital dislocation of the hip treated by slotted acetabular augmentation of Staheli. Methods: Eleven patients with 11 hips were treated by slotted acetabular augmentation of Staheli (Slotted acetabular augmentation of Staheli plus open reduction with or without derotation osteotomy and femoral shortening) from 1994.1 to 2003.1. All patients were female. The left hip was 7 and the right 4. The average acetabular index was 39.7°(35°-45°). The average height of dislocated femoral head was 1.2 cm with a range of 1.0 cm to 2.0 cm. The average age at the time of surgery was 9.3 years, with a range of 6 to 12 years. Results: Accoding to Mckay’ criteria, 8 cases got excellent clinical results,2 good results and 1 fair result. Xay showed that the average CE angle was 36°(30°-40°).Accoding to Severin’ criteria, 7 hips got excellent results, 3 good results and 1 fair result. Conclusion: Slotted acetabular augmentation of Staheli is one of the effective operative methods for schoolager with congenital dislocation of the hip.

     

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