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先天性髋关节脱位是小儿骨科最常见的疾病之一。Salter手术是治疗该疾病的有效方法,已被国内外广泛采用。我院自1983年~1995年1月采用改良Salter骨盆截骨术治疗先天性髋关节脱位184例,其中140例得到随访,效果满意。但11.4%病例术后发生并发症,本文仅此并发症提出分析讨论如下:1 临床资料 本组男27例,女113例。年龄最小1岁2个月,最大13岁。随访时间最短1年,最长6年10个月,平均1年9个月。 术前准备:术前行股骨髁上牵引。牵引重量0.5~1kg/岁。在骨牵引过程中,视病情适当调整重量。最多不超过8kg。
Congenital dislocation of the hip is one of the most common diseases of pediatric orthopedics. Salter surgery is an effective method to treat this disease and has been widely adopted both at home and abroad. In our hospital from 1983 to January 1995 using modified Salter pelvic osteotomy for the treatment of congenital dislocation of the hip in 184 cases, of which 140 were followed up with satisfactory results. However, complications occurred in 11.4% of cases. This article only analyzes the following complications: 1 Clinical data The group of 27 males and 113 females. The youngest 1 year and 2 months, maximum 13 years old. The shortest follow-up time of 1 year, up to 6 years and 10 months, an average of 1 year and 9 months. Preoperative preparation: Preoperative supracondylar femoral traction. Traction weight 0.5 ~ 1kg / year. In the process of bone traction, depending on the condition properly adjust the weight. Up to no more than 8kg.