Pemberton关节囊周围髂骨截骨术治疗发育性髋关节脱位的临床疗效

目的探索Pemberton关节囊周围髂骨截骨术治疗发育性髋关节脱位的临床应用价值。方法选择2008年1月～2009年1月某科就诊的25例(28髋)发育性髋关节脱位患儿,回顾分析25例(28髋)发育性髋关节脱位患儿的术后疗效,对照分析治疗前后CE角、AI角及髋臼深度。结果本组25例(28髋),参照髋关节X线分级标准评定,优良率为92.9%,参照McKay临床疗效分级标准评定,优良率为85.8%。并发症情况:髋关节骨性关节炎1例,再脱位1例,其余无严重并发症发生。对照显示,治疗前后CE角差异有统计学意义(P﹤0.05),治疗后AI角[(16.3±5.2)°]比治疗前[(51.5±10.1)°]显著小(P﹤0.05),而治疗后髋臼深度[(11.4±4.2)mm]比治疗前[(6.5±4.4)mm]显著大(P﹤0.05)。结论 Pemberton关节囊周围髂骨截骨术治疗发育性髋关节脱位疗效确切,且较为安全,值得临床中推广应用。

Clinical curative effect of pemberton joint capsule around the iliac osteotomy in treatment of developmental dislocation of the hip

OBJECTIVE To explore the clinical application of pemberton joint capsule around the iliac osteotomy in treatment of developmental dislocation of the hip.METHODS From 2008 January-2009 January,25 patients with developmental dislocation of the hip in our department were selected(28 hips).The postoperative curative effect of 25 cases(28 hips)with developmental dislocation of the hip were retrospective reviewed before and after treatment.The CE corner,AI angle and depth of acetabulum were compared.RESULTS 25 cases(28 hips)with reference to the hip joint classification standard,the excellent and good rate was 92.9%.According to McKay clinical grading standard,the excellent and good rate was 85.8%.Complications:1 cases showed hip osteoarthritis,and 1 cases showed dislocation,and no serious complication occurred.There was significant difference in CE angle before and after treatment in control group(P﹤0.05),The AI angle after treatment[(16.3 ± 5.2)°]was significant less than before treatment[(51.5 ± 10.1)° ](P﹤0.05).After treatment,the acetabular depth[(11.4 ± 4.2)mm]was significantly more than before treatment[(6.5 ± 4.4)mm](P﹤0.05).CONCLUSION The curative efficacy of pemberton joint capsule around the iliac osteotomy for developmental dislocation of the hip was favorable and relatively safe,which is worthy of clinical application.