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山东大学学报（医学版） ›› 2014, Vol. 52 ›› Issue (10): 100-102.doi: 10.6040/j.issn.1671-7554.0.2014.208

• 临床医学 • 上一篇    下一篇

髋臼周围截骨术治疗成人髋关节发育不良的疗效

鞠盛涛, 贾堂宏, 宁斌   

  1. 山东大学附属济南市中心医院骨科, 山东 济南 250013
  • 收稿日期:2014-04-16 修回日期:2014-09-18 出版日期:2014-10-10 发布日期:2014-10-10
  • 通讯作者: 贾堂宏。E-mail：jiatanghong@hotmail.com E-mail:jiatanghong@hotmail.com

Efficacy of periacetabular osteotomy for the treatment of developmental dysplasia of hip

JU Shengtao, JIA Tanghong, NING Bin   

  1. Department of Orthopaedics, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, Shandong, China
  • Received:2014-04-16 Revised:2014-09-18 Online:2014-10-10 Published:2014-10-10

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摘要： 目的 探讨髋臼周围截骨术治疗成人髋关节发育不良的早期疗效。方法 对19例22髋成人髋关节发育不良患者行髋臼周围截骨术治疗，测量并比较术前和术后X线影像CE角、臼顶倾斜角，髋Harris评分等指标，平均随访28个月。结果 19例（22髋）随访12～78个月（平均28个月），术后均获骨性愈合，症状体征得到改善。术前CE角（9.47±2.03）°，术后（23.98±2.75）°；术前AC角（24.26±1.61）°，术后（14.41±1.39）°；术前Harris评分（76.1±8.64）分，术后（87.88±6.54）分。结论 髋臼周围截骨术是治疗成人髋关节发育不良的有效方法，正确的手术操作和积极的术后康复可获得较为理想的治疗结果。

关键词: 保髋治疗, 疗效, 骨关节炎, 成人髋关节发育不良, 髋臼周围截骨术

Abstract: Objective To investigate the early therapeutic effect of periacetabular osteotomy to treat developmental dysplasia of hip (DDH). Methods A total of 22 hips in 19 DDH patients were treated with periacetabular osteotomy. All patients were then followed up for an average of 28 months. The preoperative and postoperative CE angle, AC angle, and Harris score were measured and compared. Results All patients were healed. The main clinical symptoms and signs were significantly improved. The Harris score was 76.1±8.64 preoperatively and 87.88±6.54 postoperatively (P<0.05). AC angle decreased from preoperative (24.26±1.61)° to postoperative (14.41±1.39)°(P<0.05), while CE angle increased from preoperative (9.47±2.03)° to postoperative (23.98±2.75)°(P<0.05). Conclusion Periacetabular osteotomy is an effective surgical method for developmental dysplasia of hip. Correct surgical operation and active postoperative rehabilitation can achieve satisfactory outcomes.

Key words: Hip-sparing treatment, Periacetabular osteotomy, Developmental dysplasia of the hip, Osteoarthritis, Efficacy

中图分类号: 

  • R687.3
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