摘要
目的探讨髋臼周围截骨术治疗髋臼发育不良的方法及疗效。方法对36例髋臼发育不良患者(43髋)行手术治疗,通过髋臼周围截骨、旋转髋臼向前外侧移位恢复髋臼的正确位置,并增加髋臼覆盖面。结果 36例均获随访,时间6个月～3年。术后髋痛、跛行完全消失或有明显改善,髋关节活动范围基本正常。CE角和Sharp角均基本恢复正常。结论髋臼周围截骨术可有效改善临床症状,恢复髋关节的生物力学特点,是治疗髋臼发育不良的有效方法。
Objective To discuss the method and effect of the treatment of acetabular dysplasia by periacetabular acetabular osteotomy.Methods Periacetabular osteotomy was performed to correct 36 patients(43 hips)with dysplastic acetabulum through rotating the acetabulum anterolaterally,by which the position and acetabular coverage of the femoral head was restored to nearly normal.Results 36 patients with acetabular dysplasia were all followed up for six months to three years.After operation,in the majority,the hip limp or pain with exertion disappeared,and a satisfactory range of motion had been restored.CE angle and Sharp angle were restored to nearly normal value.Conclusions Periacetabular osteotomy is effectively to improve the clinical symptoms,and restore the hip biomechanics characteristics,which is ideal for the treatment of developmental acetabular dysplasia.
出处
《临床骨科杂志》
2011年第6期657-659,共3页
Journal of Clinical Orthopaedics
关键词
髋臼发育不良
截骨术
acetabulum dysplasia
osteotomy
