临床小儿外科杂志2018，Vol.17Issue(2)：126-130,5.DOI:10.3969/j.issn.1671-6353.2018.02.010
双侧同期Salter骨盆截骨术治疗发育性双侧髋关节脱位的远期疗效观察
Long-term results of single-stage surgical treatment with Salter innominate osteotomy in developmental dysplasia of both hips
孙庆增 1史迎春1
作者信息
- 1. 徐州市儿童医院矫形外科 江苏省徐州市,221000
- 折叠
摘要
Abstract
Objective To evaluate the long-term efficacy of bilateral Salter osteotomies for developmen-tal dysplasia of bilateral hips.Methods This study retrospectively compared the clinical and radiological out-comes of patients with bilateral developmental dysplasia of the hip who underwent either a single -stage operation with Salter innominate osteotomy or a two-stage procedure comprising consecutive operations.Extensive pre-and postoperative clinical,surgical and radiological examinations were undertaken.Results 17 cases(34 hips, study cases)with developmental dysplasia of bilateral hips were observed,who were treated with bilateral Salter ostotomies,another 18 patients(36 hips)underwent consecutive operations were served as controls.The mean follow-up was 9.5(8.1-10.4)years.There were no significance between two groups in acetabular index or centre-edge angle correction.The excellent to good rate for Severin classification and modified McKay criteria were88.24%、91.18%respectively in study cases,while 94.45%,88.89%in control group.The incidence of avascular necrosis of the femoral head were 11.76%and 13.89%respectively in study cases and control cases. Differences in main variables were not found to be significantly different between two groups.Conclusion Bi-lateral Salter osteotomies can provide satisfied effect similar to consecutive Salter osteotomy,and bilateral dys-plasia treated with one-stage Salter osteotomies could be safe and effective.关键词
髋关节/生长和发育/脱位/骨盆/截骨术/治疗结果Key words
Hip Joint/GD/Dislocations/Pelvis/Osteotomy/Treatment Outcome引用本文复制引用
孙庆增,史迎春..双侧同期Salter骨盆截骨术治疗发育性双侧髋关节脱位的远期疗效观察[J].临床小儿外科杂志,2018,17(2):126-130,5.
