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通过长期随访,评价Borden截骨术的应用价值。经Borden截骨术治疗14岁以下11例(14髓)先天性髓内翻,并进行了12年以上的随访。结果:功能和X线片皆正常5例(6髋);短颈、大粗隆高位3例(3髋);术后5年恢复正常,后因合并类风湿症服用肾上腺皮质激素致股骨头坏死后遗扁平髋1例(2髋);术前即有股骨头坏死,后遗扁平髋1例(2髋);复发1例(1髋)。正确应用Borden截骨术,可以使先天性髋内翻恢复接近正常的解剖形态和功能,但如果术中操作不当或术前合并有其他病变将影响疗效。
Through long-term follow-up, evaluate the application value of Borden osteotomy. Borden osteotomy was performed on 11 cases (14 medulla) of congenital tuberosity under the age of 14 years and followed up for more than 12 years. Results: The function and X-ray were normal in 5 cases (6 hips); short neck, greater trochanter high in 3 cases (3 hips); returned to normal 5 years after the operation, due to combined rheumatoid adrenal corticosteroid induced femoral head One case (2 hips) was left flat necrosis after necrosis; one case had osteonecrosis of the femoral head before operation and one case had posterior flat hip (2 hips); One case (1 hips) recurred. Proper application of Borden osteotomy can restore congenital coxal trochanter to normal anatomy and function, but if the intraoperative improper operation or preoperative combination of other lesions will affect the efficacy.