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目的探讨Dega截骨术治疗发育性髋关节脱位的治疗效果。方法采用Dega截骨术治疗发育性髋关节脱位36例40个髋,女29例,男7例;左髋16例,右髋16例,双髋4例。术前股骨头脱位高度平均2．0cm,髋臼指数平均38．5°。手术年龄平均5．3岁。结果术后随诊时间平均2年,根据McKay的临床评定标准,32个髋关节为优,6个为良,1个为可,1个为差。X线片结果显示CE角平均26°,2个髋关节出现Ⅰ型股骨头缺血性坏死。根据Severin的评定标准,29个髋关节为优,7个为良,4个为可。结论Dega截骨术是治疗发育性髋关节脱位的有效术式之一。
Objective To investigate the therapeutic effect of Dega osteotomy on the development of dislocated hip. Methods Dega osteotomy was performed in 36 patients with developmental dislocation of the hip, 40 hips and 29 females, including 7 males, 16 left hips, 16 right hips and 4 double hips. Preoperative femoral head dislocation height average 2.0cm, acetabular index average 38.5 °. The average age of surgery is 5.3 years old. Results The average follow-up time was 2 years. According to McKay’s clinical evaluation criteria, 32 hip joints were excellent, 6 were good, 1 was fair and 1 was poor. X-ray results showed an average CE angle of 26 °, two hip joint type Ⅰ avascular necrosis. According to Severin’s assessment criteria, 29 hip joints were excellent, 7 were good and 4 were acceptable. Conclusion Dega osteotomy is one of the effective surgical procedures for the treatment of dislocated hip.