论文部分内容阅读
目的 回顾性分析槽状髋臼扩大术在儿童患者中的应用 ,以丰富髋关节发育不良及大龄发育髋关节半脱位的治疗手段。方法 对 1995年 7月~ 2 0 0 0年 7月收治的发育性关节发育不良、髋关节半脱位、legg perthes病、扁平髋的患儿 45例 ,使用槽状髋臼扩大术治疗。介绍槽状髋臼扩大术的手术技巧 ,探讨其适应证、禁忌证及近期效果。结果 槽状髋臼扩大术使用交叉网状植骨方式 ,便于塑造臼形 ,术后患儿可得到一个圆滑、结构合理的髋臼 ,它适用于结构稳定、髋臼指数在 40°以内的髋臼发育不良、大龄发育性髋关节脱位、Legg perthes病、扁平髋等患儿的治疗。 结论 槽状髋臼扩大术是一种有效扩大髋臼包容面积 ,使髋关节更加稳定 ,符合解剖结构“搁板”式造盖手术 ,方法简单、安全、有效
Objective To retrospectively analyze the application of slotted acetabular augmentation in pediatric patients in order to enrich the treatment of hip dysplasia and advanced subluxation of the hip. Methods From July 1995 to July 2000, 45 children with developmental dysplasia, hip subluxation, legg pertes disease and flat hip were treated with tibial acetabulum enlargement. Introduce slotted acetabular augmentation surgery skills, to explore its indications, contraindications and the recent results. Results The tibial acetabular augmentation using crossed mesh bone grafting, easy to shape mortar, postoperative children can get a sleek, well-structured acetabular, it is suitable for stable structure, acetabular index within 40 ° of the hip Mortar dysplasia, advanced dislocation of the hip, Leggperthes disease, flat hip and other children’s treatment. Conclusions Slotted acetabular augmentation is an effective way to enlarge the acetabular area and make the hip more stable. It is in line with anatomical “shelf” type of capping surgery. The method is simple, safe and effective