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先天性髋关节脱位不同手术的适应证及疗效(作者译)

[Indication and efficiency of different operations in congenital hip dislocation (author's transl)].

作者信息

Tönnis D

出版信息

Z Orthop Ihre Grenzgeb. 1977 Oct;115(5):726-37.

PMID:930246
Abstract

The efficiency of different operations for congenital hip dysplasia is discussed here. Up to the age of 6 years Salters osteotomy and the acetabuloplasty of Lance in a modified form will achieve similar results. In cases with an acetabular index higher than 35 degrees acetabuloplasty is more effective. After our own experience acetabuloplasty can be used in all age groups where there is no congruency between acetabulum and femoral head. In congruent cases Salters osteotomy can be used up to 14 years combined with varus-osteotomy if dysplasia is of moderate degree. Chiaris osteotomy should be reserved for extreme cases, where other methods will not succeed.

摘要

本文讨论了不同手术治疗先天性髋关节发育不良的疗效。6岁以下,改良式的萨尔特截骨术和兰斯髋臼成形术可取得相似的效果。髋臼指数高于35度时,髋臼成形术更有效。根据我们自己的经验,髋臼成形术可用于髋臼与股骨头不相称的所有年龄组。在相称的病例中,对于中度发育不良,萨尔特截骨术可用于14岁以下儿童,可结合内翻截骨术。恰里截骨术应保留用于其他方法均无效的极端病例。

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