摘要
目的:探讨Pemberton关节囊周围髂骨截骨术治疗儿童发育性髋关节脱位的手术适应证及治疗经验。方法:回顾分析1999年6月以来本院采用Pemberton关节囊周围髂骨截骨术治疗的165例,192髋儿童发育性髋关节脱位病例。其中男3例,女134例。双侧23例,左侧79例,右侧67例。手术年龄18月～6岁63髋,6岁～12岁129髋。Tonnis分级,Ⅰ°12髋,Ⅱ°4髋,Ⅲ°95髋,Ⅳ°39髋。术中65髋使用同种异体皮质骨板。结果:术后随访4个月～7年,平均3年2个月。按Mckay标准评定髋关节功能,询问有无髋关节疼痛、跛行,检查髋关节活动程度以及Trendelenburg征,术后优良率达92.71%。按Severin标准评定X线表现,观察头、臼形态和相互关系及测量CE角,术后优良率达91.66%。结论:Pemberton关节囊周围髂骨截骨术手术疗效满意,为治疗儿童发育性髋关节脱位的一种重要术式。
Objective： To explore the indication and experiences of Pemberton＇s pericapsular osteotomy of the ilium in the treatment of developmental dislocation of the hip in children. Methods： From June 1999, 192 hips in 165 patients （31 male, 134 female） with developmental dislocation of the hip underwent Pemberton＇s pericapsular osteotomy of the ilium, and 79 cases underwent the operation on left hip, 67 cases on right hip, 23 cases on both hips. According to Ttinnis classification, 12 hips were graded as Ⅰ°, 46 hips asⅡ°, 95 hips as Ⅲ°, 39 hips as Ⅳ°. Results：All patients were followed up for a period from 4 months to 7 years （mean, 3 years and 2 months）, and were assessed clinically and radiologically. Clinical assessment was performed according to Mckay＇s classification. The results showed that the overall excellent or good rate was 92.71%. Radiological assessment was performed according to Severin＇s classification, and the results showed that the overall excellent or good rate was 91.66%. Conclusion： Pemberton＇s pericapsular osteotomy of the ilium is an effective method to treat developmental dislocation of the hip in children.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2006年第11期1061-1063,共3页
Journal of Nanjing Medical University(Natural Sciences)
