Sun Qingzeng,Shi Yingchun..Longterm results of singlestage surgical treatment with Salter innominate osteotomy in developmental dysplasia of both hips.[J].Journal of Clinical Pediatric Surgery,2018,17(02):126-130.
双侧同期Ｓａｌｔｅｒ骨盆截骨术治疗发育性双侧髋关节脱位的远期疗效观察
- Title:
- Longterm results of singlestage surgical treatment with Salter innominate osteotomy in developmental dysplasia of both hips.
- Keywords:
- Hip Joint/GD; Dislocations; Pelvis; Osteotomy; Treatment Outcome
- 文献标志码:
- A
- 摘要:
-
目的 探讨双侧Ｓａｌｔｅｒ骨盆截骨术治疗发育性髋关节脱位的安全性和远期疗效。 方
法 随访双侧同时行Ｓａｌｔｅｒ骨盆截骨术的发育性双侧髋关节脱位患儿共１７例，３４髋作为观察组，另选
取同时期进行分次Ｓａｌｔｅｒ骨盆截骨术的双侧髋关节脱位患儿１８例，３６髋作为对照组。比较两组术后关节
功能、髋臼Ｘ线表现、并发症发生率。并测量比较髋臼指数及中小边缘角。 结果 平均随访９年６个
月，观察组和对照组最后一次随访Ｓｈａｒｐ角分别为３８．４°±８．２３°和３７．２°±９．０３°；中心边缘角分别为
２６．７°±８．２３°和２６．２°±９．０３°。按Ｍｃｋａｙ髋关节功能评价标准，观察组术后优良率为９１．１８％，对照组
为８８．８９％；按Ｓｅｖｅｒｉｎ标准评定Ｘ线表现，观察组术后优良率为８８．２４％，对照组为９４．４５％；股骨头坏
死率病例组为１１．７６％，对照组为１３．８９％；髋关节功能不良发生率在病例组及对照组分别为８．８２％和
８．３３％。两组各项差异无统计学意义（Ｐ＞０．０５）。 结论 双侧同时行Ｓａｌｔｅｒ骨盆截骨与分次Ｓａｌｔｅｒ骨
盆截骨远期疗效相似，双侧Ｓａｌｔｅｒ骨盆截骨治疗发育性双侧髋关节脱位安全有效。
- Abstract:
- ObjectiveTo evaluate the longterm efficacy of bilateral Salter osteotomies for developmental dysplasia of bilateral hips.MethodsThis study retrospectively compared the clinical and radiological outcomes of patients with bilateral developmental dysplasia of the hip who underwent either a singlestage operation with Salter innominate osteotomy or a twostage procedure comprising consecutive operations.Extensive preand postoperative clinical,surgical and radiological examinations were undertaken.Results17 cases(34 hips,study cases) with developmental dysplasia of bilateral hips were observed,who were treated with bilateral Salter ostotomies,another 18 patients(36 hips) underwent consecutive operations were served as controls.The mean followup was 9.5(8.1-10.4) years.There were no significance between two groups in acetabular index or centreedge angle correction.The excellent to good rate for Severin classification and modified McKay criteria were88.24%、91.18% respectively in study cases,while 94.45%,88.89％in control group.The incidence of avascular necrosis of the femoral head were 11.76％and 13.89% respectively in study cases and control cases.Differences in main variables were not found to be significantly different between two groups.ConclusionBilateral Salter osteotomies can provide satisfied effect similar to consecutive Salter osteotomy,and bilateral dysplasia treated with onestage Salter osteotomies could be safe and effective.
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