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目的:探讨大龄儿童先天性髋脱位(CDH)的临床治疗。方法:采用髂骨、耻骨和股骨上端同时截骨旋转固定进行治疗。结果:12例全部得到随访,按MCRay功能评定标准:其中优8髋,良4髋,可2髋,优良率为86%。X线片评定标准,优11例,良3例,优良率为100%。结论:三处联合截骨是治疗大年龄儿童CDH的较好方法,具有操作简便、易掌握、临床效果好、并发症少等优点。
Objective: To investigate the clinical treatment of congenital hip dislocation (CDH) in older children. Methods: The iliac, pubis and femur upper osteotomy rotation fixation for treatment. Results: All 12 patients were followed up. According to the MCRay functional assessment criteria, 8 were good, 4 were good and 2 were fair. The excellent and good rate was 86%. X-ray evaluation criteria, excellent in 11 cases, good in 3 cases, excellent rate was 100%. Conclusion: The three combined osteotomy is a better method for the treatment of CDH in children with large ages. It has the advantages of simple operation, easy to grasp, good clinical effect and few complications.