CAJ | 학술논문

本文报告采用髋臼成形、金属顶盖、股骨上端斜形截骨术治疗学龄期儿童髋关节脱位、半脱位、髋臼发育不良及股骨头增大50例(64个髋关节).术后随诊平均4年6个月,优良率80%.金属顶盖的作用在于增加股骨头复位后的稳定性,促进髋臼上缘软骨发育,恢复髋臼与股骨头同心圆关系.
본문보고채용관구성형、금속정개、고골상단사형절골술치료학령기인동관관절탈위、반탈위、관구발육불량급고골두증대50례(64개관관절).술후수진평균4년6개월,우량솔80%.금속정개적작용재우증가고골두복위후적은정성,촉진관구상연연골발육,회복관구여고골두동심원관계.
In 1978-1986,40 school-agars (64 hips) aged 10.5 years on average with CDH were treated with metal shelf acetabuloplasty.An 1-8 years (average 4.5 yrs) follow-up showed 80% cases obtained satisfactory results The overall rate of femoral head necrosis was 20%.The metal shelf acetabuloplasty indicated,the patient's age must be over 6 years,acetabular dysplasia with an index over 38 and the level of the dislocated head 4 cm higher than normal.This procedure has such.advantages as:1.protecting and promoting.the growth of the acetabular cartilage;2.stabilizing the femoral head in the aeetabulum;3.aiding early training of the activity of the hip and avoiding necrosis of the femoral head.