CAJ | 학술논문

目的:为了增强治疗小儿先天性髋脱位造盖术造盖的支撑力及抗压强度.方法:将传统的翻转造盖术扁放骨片和碎骨块改为立放3枚三角形骨块,在传统插入造盖上方加1枚立式骨块,取名"强力造盖术".若真臼宽度够,只是髋臼指数大,应选用强力翻转造盖术;若假臼明显形成,将真臼顶挤压变窄,则应选用强力插入造盖术.结果:近5年来应用强力造盖术治疗小儿先天性髋脱位243例,315髋次,只发现1例1髋插入造盖折断.结论:基本上解决了造盖折断和吸收问题.因此,由原来多选用骨盆截骨术,改为现在多选用造盖术.
목적:위료증강치료소인선천성관탈위조개술조개적지탱력급항압강도.방법:장전통적번전조개술편방골편화쇄골괴개위립방3매삼각형골괴,재전통삽입조개상방가1매입식골괴,취명"강력조개술".약진구관도구,지시관구지수대,응선용강력번전조개술;약가구명현형성,장진구정제압변착,칙응선용강력삽입조개술.결과:근5년래응용강력조개술치료소인선천성관탈위243례,315관차,지발현1례1관삽입조개절단.결론:기본상해결료조개절단화흡수문제.인차,유원래다선용골분절골술,개위현재다선용조개술.
Objective:To enhance the shelf supporting forces and intensity of resistence in shelf operation on congenital hip dislocation.Methods:The flat piece and fragments of bone were changed into three pieces of vertical triangle bone and added a vertical bone segment.The reinforced reversion shelf method should be adopted in acetabulum with enough width but a large acetabular index.If the false acetabulum was formed and narrowed the true acetabulum,the inserting shelf operation should be chosen to widen the true acetabulum.Results:The operation was adopted in 243 cases(315 hips),only one had fracture of the inserting shelf.Conclusions;The authors prefer the shelf operation to the used innominate osteotomy to treat the CDH.The problems of fracture and absorption of the shelf have been solved basically.