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目的 :介绍棚架式髋臼造盖术治疗青少年髋臼发育不良。方法 :手术是在髋臼或假臼上缘 ,以髂骨嵴为轴掀起髂骨外板 ,在关节囊与掀起的骨板间嵌入一骨块 ,从而融合成一稳定的外加臼盖。结果 :在 1 987年 9月～ 1 996年 3月间应用该术式治疗青少年髋臼发育不良 1 9例、2 3髋 ,平均年龄 1 6 8岁 ,术后平均随访时间 3 5年 ,疗效评定采用周永德评定标准 ,优良率占 83 %。结论 :该术式设计合理 ,手术简单、确实 ,形成的臼盖不会被吸收。
Objective: To introduce scaffold acetabular capsulotomy for adolescent acetabular dysplasia. METHODS: Surgery was performed on the upper edge of the acetabulum or the acetabulum with the iliac crest being lifted off the iliac crest. A bone was embedded between the capsular plate and the lifted lamina to fuse into a stable extracapsular cap. Results: Between September 1987 and March 1996, the procedure was used to treat adolescent acetabular dysplasia in 19 cases, 23 hips with a mean age of 1868 and an average follow-up of 35 years after operation. Assessment using Zhou Yongde assessment criteria, excellent rate of 83%. Conclusion: The surgical design is reasonable, the operation is simple, indeed, the formation of the acetabular cap will not be absorbed.