【摘要】 目的 :观察改良Salter手术及改良贝氏石膏治疗先天性髋关节脱位的疗效 .方法 :5 2例、6 1髋、1.5岁～ 7岁的先天性髋关节脱位患儿采用自行设计的改良Salter手术与改良贝氏石膏进行治疗 .改良Salter手术完全基于经典Salter手术的原理 ,故手术适应证亦相同 .结果 :4 2例、5 1髋得到随访 .随访时间 1～ 11(平均 7)a,年龄平均 11岁 .按吉士俊等先天性髋关节脱位疗效评价标准评定 ,总评分为 2 6 .75分 ,属优秀 ;按此标准评定 ,5 1髋中优 36髋 (2 8 3分 )、良 12髋 (2 2 7分 )、可 2髋(2 0分 )、差 1髋 (13分 ) ,优良髋数为 94 1%.结论 :改良Salter手术与改良贝氏石膏治疗先天性髋关节脱位 ,使许多技术环节更加稳妥可靠 ,保证了截骨、植骨、矫正角度的维持 ,避免或减少了并发症的发生 ,因而收到了明显的优良效果 ,是治疗先天性髋关节脱位效果可靠的方法之一 .更多还原

【Abstract】 AIM: To evaluate the long term therapeutic effects of modified Salter osteotomy and Batchelor plaster on congenital dislocation of the hip (CDH). METHODS: Fifty two cases (61 hips) of pediatric patients aged between 1.5 and 7 years with CDH were treated with a modified Salter osteotomy and Batchelor plaster. The modification was made based on the classical Salter operation, so it shared the same operation indications. RESULTS: Forty two cases with 51 hips (11 years old in average) were followed up ranging from 1 to 11 years (7 years in average). Total score was 26 75, ranking as excellent by JiShi juns criteria of the treatment of CDH. Of all the 51 hips, 36 were excellent, 12 were good, 2 were fair and 1 was poor, with the fine outcome rate being 94 1%. CONCLUSION: The modified Salter osteotomy and Batchelor plaster is a good method for the treatment of CDH for it facilitates the osteotomy, bone graft and proper plastic angle, and avoids or reduces complications.更多还原