Pemberton手术联合股骨近端截骨治疗先天性髋关节脱位

Combined pemberton procedure and femoral osteotomy for congenital dislocation of hip

  • 摘要: 目的 探讨儿童先天性髋关节脱位用Pemberton手术联合股骨近端截骨治疗的临床效果。方法 采用Mckay的临床评价标准和WilletX线测量方法,对笔者1997年12月-2008年5月所做的190例(212个髋)Pemberton手术进行回顾性研究。手术年龄1.5~8岁(平均4.2岁),男29例,女161例,男女比例1:5.55,左侧141例,右侧27例,双侧22例。结果 其中181例获得随诊,随诊时间1~8年,平均29.6月,优183例,良33例,差8例,优良率96.4%,髋臼指数由术前30°~45°(平均36°)减少到术后4°~15°,平均10°。结论 Pemberton手术联合股骨近端截骨疗效确定,是治疗儿童先天性髋关节脱位的理想术式之一。

     

    Abstract: Objective To explore the clinical outcome of combined surgery for congenital dislocation of hip(CDH)in children. Methods A retrospective analysis of 190 cases(212 hips)of CDH treated with pemberton procedure in combination with subtrochanteric shortening and derotation of the femur in December 1997-May 1998 was carried out,according to McKay clinical criteria for hip joint and Willett radiological measurement.Of the 190 patients(29 males and 161 females),141 had CDH in the left side,27 in the right side and 22 in the bilateral side,respectively.Their average age at operation was 4.2 years,averaged 1.5-8 years. Results Of the 190 patients,181 were followed up for 1-8 years,averaged 29.6 months.Excellent result was achieved in 183 patients and good result in 33 patients,the total effective rate was 96.4 %. Conclusion The clinical outcome of CDH treated with pemberton procedure in combination with subtrochanteric shortening and derotation of the femur is very good.Combined pemberton procedure and femoral osteotomy is one of the most ideal treatment modalities for CDH in children.

     

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