Salter骨盆截骨术治疗小儿先天性髋关节脱位

目的：总结手术治疗小儿先天性髋关节脱位7例（8个髋）。方法：应用Salter骨盆截骨术治疗。术前间断手法牵引，术中行关节囊“L”形切开，重叠缝合，术后改良Batchlor位石膏外固定。结果：术后半年内优良率7／8，半年以上优良率8／8。结论：术前间断手法牵引，术中行关节囊“L”形切开，重叠缝合，术后改良Batchlor位石膏外固定为本组与Salter原法不同之处。

Salter

Objective:To review the results of the surgical treatment in 7patients(8 hips)with congenital dislocation of the hips.Methods:Salters innominate osteotomy was performed with preoperative intermittent manual traction,L-shaped incision and overlapped sutures of the joint capsule during the operation,and the modified Batchlors plaster of Paris as an extermal fixation.Results:After 8 months to 2 years and 5 monthss follow-up,the excellent and good rate was 7/8 within the half a year postoperatively,whereas the rate reached to 8/8 thereafter.Conclusion:It is different from the classic Salters osteotomy in the following aspects:preoperative intermittent manual traction,L-shaped incision and overlapped sutures of the joint capsule during the operation,and the modified Batchlors plaster of Paris as an external fixation after the operation.