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目的探讨双侧Salter骨盆截骨术治疗发育性髋关节脱位的近期疗效和安全性。方法发育性双侧髋关节脱位48例(96髋)双侧同时行Salter骨盆截骨术,分析患者术后关节功能、髋臼X线片表现及并发症发生率。结果随访2~5a,依据Mckay髋关节功能评定标准,术后治疗优良率为96.88%;按Severin标准评定X线表现,术后优良率为94.79%;术后股骨头坏死率4.17%,髋关节功能不良发生率3.13%。结论双侧Salter骨盆截骨治疗发育性双侧髋关节脱位安全有效,但远期疗效有待进一步观察。
Objective To investigate the short-term curative effect and safety of bilateral Salter pelvic osteotomy for the development of dislocated hip. Methods Forty-eight patients (96 hips) with developmental bilateral hip dislocation were treated with Salter pelvic osteotomy on both sides. The joint function, acetabular X-ray findings and the incidence of complications were analyzed. Results The follow-up ranged from 2 to 5 years. According to Mckay’s criterion of hip function, the excellent and good rate of postoperative treatment was 96.88%. According to the Severin criteria, the X-ray performance was excellent, the postoperative excellent rate was 94.79%, the postoperative necrosis rate of femoral head was 4.17% The incidence of dysfunction was 3.13%. Conclusions Bilateral Salter pelvic osteotomy is safe and effective in the treatment of developmental bilateral hip dislocation, but the long-term curative effect remains to be further observed.