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目的：评价先天性髋关节脱位髋臼造顶术的疗效。方法：为１５９例（２０４髋）先天性髋关节脱位的患儿进行了髋关节切开复位、股骨上端短缩截骨、髋臼造顶术。患儿年龄１．５～１３岁，平均７．５岁。结果：随访３年５０例（６６髋），随访１０年以上２９例（３７髋）。按Ｍｃｋａｙ临床评定标准，３年随访组优良率为８７．８％，随访１０年组为８５．０％。按Ｓｅｖｅｒｉｎ的Ｘ线评定标准，随访３年及１０年组均为７３．０％。结论：通过临床、Ｘ线资料观察发现先天性髋关节脱位的诸多病理改变中，髋臼顶部（也称上部）由正常弧形改变为斜坡尤为重要，髋臼上部弧形截骨加髋臼造顶的联合手术，可使复位后的髋关节更加稳定。
Objective: To evaluate the efficacy of acetabular topography in congenital dislocation of the hip. METHODS: Totally 159 children (204 hips) with congenital dislocation of the hip were treated with open reduction and reduction of the hip joint, shortened osteotomy at the upper end of the femur, and acetabular osteotomy. Children aged 1.5 to 13 years, an average of 7.5 years old. Results: Fifty cases (66 hips) were followed up for 3 years and 29 cases (37 hips) were followed up for more than 10 years. According to the Mckay clinical evaluation criteria, the excellent and good rates were 87.8% in the 3-year follow-up group and 85.0% in the 10-year follow-up group. According to Severin’s X-ray assessment criteria, 73.0% were followed up for 3 years and 10 years. CONCLUSION: It is very important to change the top of the acetabulum (also referred to as the upper part) from the normal arc to the slope through many clinical and X-ray findings. Among the many pathological changes of congenital dislocation of the hip, acetabular upper arc osteotomy plus acetabulum Top joint surgery, can make the hip after reset more stable.