开槽髋臼增强术联合切开复位治疗大龄儿童发育性髋关节发育不良
Slotted acetabular augmentation with concurrent open reduction for developmental dysplasia of the hip in older children.
作者信息
Xu Rui Jiang, Li Wen Chao, Ma Cheng Xuan
机构信息
Department of Pediatric Orthopaedic Surgery, Chinese PLA General Hospital, Beijing, China.
出版信息
J Pediatr Orthop. 2010 Sep;30(6):554-7. doi: 10.1097/BPO.0b013e3181e9e15a.
BACKGROUND
The slotted acetabular augmentation procedure can never achieve a concentric and congruous reduction of the femoral head. The aim of this study was to review the results of the slotted acetabular augmentation procedure performed at the time of open reduction for developmental dysplasia of the hip in older children.
METHODS
Twenty-two patients with 27 hips underwent open reduction with concurrent slotted acetabular augmentation. The average age at the time of surgery was 8.5 years. The average follow-up was 8.3 years.
RESULTS
Using modified McKay clinical criteria, 16 hips were classified as excellent, 8 hips as good, and 3 hips as fair. Using modified Severin radiographic criteria, 15 hips gave excellent results and 12 hips gave good results.
CONCLUSIONS
Slotted acetabular augmentation with concurrent open reduction can be an effective procedure for developmental dysplasia of the hip in older children.
LEVEL OF EVIDENCE
The study of therapeutic studies investigating the results of the treatment is level II.
背景
开槽髋臼增强术永远无法实现股骨头的同心和一致复位。本研究的目的是回顾大龄儿童发育性髋关节发育不良切开复位时行开槽髋臼增强术的结果。
方法
22例患者的27个髋关节接受了切开复位并同期开槽髋臼增强术。手术时的平均年龄为8.5岁。平均随访时间为8.3年。
结果
采用改良的麦凯临床标准，16个髋关节评定为优，8个髋关节为良，3个髋关节为中。采用改良的塞韦林放射学标准，15个髋关节结果为优，12个髋关节为良。
结论
同期切开复位的开槽髋臼增强术对于大龄儿童发育性髋关节发育不良可能是一种有效的手术方法。
证据级别
本治疗性研究对治疗结果的研究为II级。
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