Pemberton髋臼成形术治疗发育性髋关节脱位

目的：探讨分析Pemberton髋臼成形术在发育性髋脱位的治疗上具有哪些优势。方法：采用Pemberton髋臼成形术治疗儿童发育性髋脱位106例116髋,男19例29髋,女87例87髋。左侧46髋,右侧50髋,双侧20髋。年龄18个月～13岁,平均7岁3个月,其中18个月～6岁99髋,7～13岁17髋。116髋均采用Pemberton髋臼成形术或内收肌、髂腰肌切断加Pemberton髋臼成形术加转子下股骨短缩、旋转截骨术。95髋单纯行Pemberton髋臼成形术,余21髋行全套手术。双侧髋脱位患儿均先做一侧,1年后再做另一侧,同时将第1次手术股骨内固定钢板取除。结果：病例随访时间2～10年,平均6年。按照Mullerh和Seddon标准进行功能评定,优67髋,良34髋,可10髋,差5髋,优良率87%。结论：Pemberton髋臼成形术适用于多个年龄段的儿童发育性髋脱位患者,疗效肯定,在发育性髋脱位的治疗中占有重要地位。

Pemberton acetabuloplasty for treating the developmental dislocation of hip joint

Objective ：To study advantages of Pemberton acetabuloplasty for the treatment of developmental dislocation of hip joint. Methods：Among 106 children （116 hips） with development dislocation of hip joint treated by Pemberton acetabuloplasty, 19 patients （29 hips ）were boy, and 87 patients （87 hips ） were girl, 46 hips were left side, 50 hips were right side and 20 hips were double side,ranging in age from 18 months to 13 years,with an average of 7 years and 3 months. All the 116 hips were treated with Pemberton acetabuloplasty,or ＂complete operation＂ , which included the cutting of adductor and iliopsoas, Pemberton acetabuloplasty combined with subtrochanteric femoral shortening and rotation osteotomy. Among the hips,95 hips were treated with simple Pemberton acetabuloplasty,and the other 21 hips were treated with complete operation. All the patients with bilateral developmental dislocation of hip joint were performed the operation at one side firstly, and one year later the other side were performed and the plate fixation in the first operation were removed. Results ： All the patients were followed-up ranging from 2 to 10 years, with an average of 6 years. According to Muller and Seddon＇s evaluation criteria, 67 hips got an excellent result,34 good, 10 fair and 5 bad,the excellent and good rate was 87%. Conclusion：Pemberton acetabuloplasty is suitable for the treatment of developmental dislocation of hip joint in children at different ages, and the therapeutic effects are good.