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目的探讨应用改良Salter骨盆截骨联合股骨旋转、短缩截骨术治疗小儿发育性髋关节脱位(DDH)的疗效。方法回顾性分析本院2001年2月-2011年8月收治的28例(31髋)DDH患儿,采用Salter截骨选择性联合应用股骨旋转、短缩截骨术治疗的临床资料。结果术后患儿均获随访,随访时间22～43个月,平均27个月。术后功能评定根据Mckay临床评定标准,其中优10例,良13例,可4例,差1例,优良率82%;Severin X线评定标准:优11例,良15例,可1例,差1例,优良率92.8%。结论改良Salter骨盆截骨联合股骨旋转、短缩截骨术治疗小儿DDH可获得较满意的疗效,是治疗DDH可靠的方法之一。
Objective To investigate the effect of modified Salter pelvic osteotomy combined with femoral rotation and shortening osteotomy for the treatment of pediatric developmental hip dislocation (DDH). Methods 28 patients (31 hips) with DDH admitted to our hospital from February 2001 to August 2011 were retrospectively analyzed. The clinical data of Salter osteotomy combined with selective femoral rotation and shortening osteotomy were retrospectively analyzed. Results All patients were followed up for 22-43 months with an average of 27 months. Postoperative functional assessment according to Mckay clinical evaluation criteria, including excellent in 10 cases, good in 13 cases, fair in 4 cases, poor in 1 case, good rate of 82%; Severin X-ray assessment criteria: excellent in 11 cases, good in 15 cases, fair in 1 case, In 1 case, the excellent and good rate was 92.8%. Conclusion Improved Salter pelvic osteotomy combined with femoral rotation and shortening osteotomy in children with DDH can be more satisfactory results, is one of the reliable methods for the treatment of DDH.