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目的 :探讨股骨截骨与髋臼成形在纠正先天性髋脱位畸形中的作用。方法 :以股骨短缩及旋转截骨为主的一期综合手术矫正先天性髋脱位的全部畸形。结果 :术后三年随访评分 :手术矫正的 30髋中 ,优 2 3髋、良 3髋、优良率86 .7% ,可 2髋 ,差 2髋。结论 :关节间的压力和髋臼的包容差是引起并发症的关键所在 ,以股骨短缩及旋转截骨为主的综合手术是大龄先天性髋脱位纠正畸形的理想手术。
Objective: To investigate the role of femoral osteotomy and acetabulum in correcting congenital hip deformity. METHODS: A total of 80 patients with congenital dislocation of the hip were treated with a comprehensive surgical procedure consisting mainly of femoral shortening and rotational osteotomy. Results: The follow-up score of three years after operation was excellent in 23 hips and good in 3 hips. The excellent and good rate was 86.7%, which could be 2 hips and 2 hips. Conclusion: The key point of complication is the pressure between joints and the tolerance of acetabulum. The comprehensive operation with femoral shortening and rotational osteotomy is the ideal surgery to correct deformity in elderly congenital hip dislocation.