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目的探讨应用二联或三联截骨即Salter骨盆截骨加坐骨耻骨支截骨加股骨转子下旋转截骨术治疗儿童发育性髋关节脱位。方法采用Salter骨盆截骨加坐骨耻骨支截骨加股骨转子下旋转截骨钢板内固定术。对18例22髋进行了联合手术,分析治疗结果。结果所有病例均在术后得到随访,按Mckay临床评价标准,优16髋,良4髋,中1髋,差1髋。结论该联合术式应用于18月龄～12岁之间的发育性髋脱位患者,能获得再发育的良好的稳定的髋关节功能。
Objective To study the development of pediatric developmental dislocation of the hip using double or triple osteotomy, ie, Salter pelvic osteotomy combined with the pubic symphysis of the femur and femoral trochanter osteotomy. Methods Salter pelvic osteotomy plus sciatica pubis branch osteotomy plus femoral trochanter revolving osteotomy plate fixation. 18 cases of 22 hips were combined surgery, analysis of treatment results. Results All cases were followed up after operation. According to the Mckay clinical evaluation criteria, 16 were excellent, 4 were good, 1 was middle, and 1 was poor. Conclusions This combined surgical procedure is applicable to patients with developmental dislocation of the hip between the ages of 18 months and 12 years old and can obtain good and stable hip function that is re-developed.