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目的 :报告用莎式手术及其改进方法治疗先天性髋关节脱位 (CDH )的临床效果。方法 :1996年 1月～1999年 7月手术治疗 11男、14女共 2 5位CDH患者 ,15例作改良莎式手术 ,10例采用改进的方法 :不截断大粗隆、保留髋臼缘和关节囊、作粗隆下股骨截骨。结果 :随访 6～ 36个月 ,平均 18个月 ,按 4级分类法评定 ,用改良莎式手术治疗的 ,优 3例 ,良 8例 ,中 3例 ,差 1例 ;用改进方法治疗的 ,优 8例 ,良 2例。结论 :改进后的莎式手术具有损伤小、并发症少、疗效好的优点 ,是治疗CDH的有效方法。
OBJECTIVE: To report the clinical effect of sharps surgery and its improvement in the treatment of congenital dislocation of the hip (CDH). METHODS: From January 1996 to July 1999, a total of 25 CDH patients, 11 males and 14 females, were surgically treated. Fifteen patients underwent modified Shastrophic surgery. Ten patients underwent modified surgery without truncating the greater trochanter and preserving the acetabular margin And joint capsule, for the next subtrochanteric osteotomy. Results: The follow-up ranged from 6 to 36 months, with an average of 18 months. According to the 4-level classification method, 3 cases were excellent, 8 cases were good, 3 cases were fair and 1 case was poor. , Excellent in 8 cases, good in 2 cases. Conclusion: The improved Sa Sha operation has the advantages of less injury, fewer complications and good curative effect, which is an effective method for the treatment of CDH.