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目的:分析青海地区先天性髋关节发育不良的手术治疗效果。方法:收集青海省交通医院骨科采用切开复位,股骨近端短缩旋转截骨抑或同时Salter髂骨截骨手术治疗儿童先天性髋关节发育不良20例24髋,术后髋人字石膏固定,6周拆除石膏康复训练。结果:20例患儿中男性3例,女性17例,年龄(3～14)岁,术后随访(18～40)个月,平均25个月。按周氏先天性髋关节发育不良的疗效评价标准评价2,0例24髋中优17髋、良6髋、差1髋。结论:切开复位,股骨近端短缩旋转截骨抑或同时Salter髂骨截骨治疗青海高原地区儿童先天性髋关节发育不良疗效满意。股骨近端恰当短缩旋转截骨,适度关节囊紧缩缝合,正确的Salter髂骨截骨是手术成功的关键。
Objective: To analyze the surgical treatment of congenital hip dysplasia in Qinghai. Methods: Twenty patients (24 hips) with congenital hip dysplasia in children underwent open reduction, proximal femoral shortening revolving osteotomy or salter iliac osteotomy in Qinghai Provincial Department of Transportation. 6 weeks removal of plaster rehabilitation training. Results: Among the 20 children, 3 were males and 17 were females, ranging in age from 3 to 14 years. The patients were followed up for 18 to 40 months with an average of 25 months. According to Zhou’s congenital hip dysplasia evaluation criteria evaluation 2,0 cases of 24 hips in the excellent 17 hips, good 6 hips and poor 1 hip. Conclusion: Open reduction, proximal femoral shortening rotation osteotomy or Salter ilium osteotomy in children with congenital hip dysplasia in Qinghai Plateau satisfactory results. Proximal proximal femur rotation osteotomy, moderate joint capsule contraction suture, the correct Salter iliac osteotomy is the key to the success of the operation.