Dimeglio A, Pous J G, Brahimi L, Daoud A, Cheriet M
Rev Chir Orthop Reparatrice Appar Mot. 1983;69(8):613-22.
Fifty dislocated hips after the age of 5 were treated between 1975 and 1980. The surgical procedures performed combined tenotomy of the iliopsoas and adductor muscles, shortening of the femur, capsulorraphy and a pelvic osteotomy usually for re-orientation (Salter procedure) and rarely for widening of the acetabulum (Chiari procedure). It is thought that tenotomies and femoral shortening were more efficient than pre-operative traction which produced osteoporosis. However post-operative traction was used. In some cases plaster cast immobilisation was not used. The advantages of this technique were an acceleration of the surgical programme, better articular stability and early mobilisation. Osteochondritis and post operative stiffness were rare. The average range of movement included 90 degrees of flexion and lumbar balance was the most significantly improved factor. This type of surgical procedure aims to slow the development of coxarthrosis but it cannot diminish the risk. The limit of age for such treatment appears to be 10 years. After that, the indications need to be assessed carefully.
1975年至1980年间，对50例5岁以上的髋关节脱位患者进行了治疗。所施行的外科手术包括髂腰肌和内收肌切断术、股骨缩短术、关节囊缝合术以及骨盆截骨术，通常用于重新定位（索尔特手术），很少用于扩大髋臼（恰里手术）。人们认为，切断术和股骨缩短术比术前牵引更有效，术前牵引会导致骨质疏松。然而，术后仍使用了牵引。在某些情况下，未使用石膏固定。该技术的优点是加快了手术进程，提高了关节稳定性并能早期活动。骨软骨炎和术后僵硬很少见。平均活动范围包括90度屈曲，腰椎平衡是改善最显著的因素。这种手术旨在减缓髋关节炎的发展，但不能降低风险。这种治疗的年龄限制似乎是10岁。在此之后，需要仔细评估适应症。
