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改良Salter截骨治疗先天性髋关节脱位并发症及预防
引用本文:刘强,崔智勇.改良Salter截骨治疗先天性髋关节脱位并发症及预防[J].山西医药杂志,1997,26(2):120-122.
作者姓名:刘强  崔智勇
作者单位:山西医科大学第一医院(刘强),新疆昌吉州人民医院(崔智勇)
摘    要:改良Salter骨盆截骨术治疗并随访140例先天性髋关节脱位。平均随访1年以上,常见并发症有再脱位、股骨头坏死、髋关节功能障碍,认为术前充分牵引,术中适度加深髋臼及关节囊紧缩缝合是手术的关键,强调年长儿童术前髂腰肌切断牵引的重要性

关 键 词:骨盆截骨术  髋关节脱位  并发症  预防

TREATMENT OF CONGENITAL DISLOCATION OF HIP WITH MODIFIED SALTER INNOMINATE OSTEOTOMY
Liu Qiang,Cui Zhi yong.TREATMENT OF CONGENITAL DISLOCATION OF HIP WITH MODIFIED SALTER INNOMINATE OSTEOTOMY[J].Shanxi Medical Journal,1997,26(2):120-122.
Authors:Liu Qiang  Cui Zhi yong
Abstract:Hundred and forty cases of congenital dislocation of hips were treated with modified Salter innominate osteotomy and followed up for one year and nine months.Two cases of redislocation were seen.Avascular necrosis of the femoral head occurred in 5%.In 5% of the postoperative cases,the flexion function of hips was less than 90°.Pre operative traction,enlargement and deepening of the acetabulum,as well as tightening suture of the joint capsules are the key of success.The authors emphasize the importance of section of iliopsoas muscle prior to preoperative skeletal traction in elder children.
Keywords:modified Salter innominate osteotomy  congenital dislocation of hip  complication  prevention
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