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| 发育性髋关节发育不良术后残余髋臼发育不良的原因与治疗对策 |
| Reasons and management of residual acetabular dysplasia after operation of developmental dysplasia of hip |
| 投稿时间：2020-06-28 |
| DOI：10.3969/j.issn.1000-0399.2020.12.005 |
| 中文关键词: 发育性髋关节发育不良 髋臼发育不良 骨盆截骨 |
| 英文关键词: Developmental dysplasia of hip Acetabular dysplasia Pelvic osteotomy |
| 基金项目:安徽省自然科学基金青年项目（项目编号：1408085QH153） |
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| 中文摘要: |
| 目的 探讨发育性髋关节发育不良（DDH）术后残余髋臼发育不良（RAD）的原因与治疗对策。方法 选择2012年1月至2016年1月在安徽省儿童医院手术治疗后出现RAD的15例DDH患儿，回顾性分析RAD的影响因素及治疗对策，并对术后髋关节功能及影像学进行评估。结果 15例患儿平均随访（34.93±10.63）个月，再次手术后患儿髋臼指数低于术前，差异有统计学意义（P<0.05），末次随访McKay髋关节功能优良率为60.00%，Severin影像学优良率为73.33%。结论 DDH术后髋臼残余畸形通过再次手术治疗骨盆截骨，临床可以取得比较满意的效果。 |
| 英文摘要: |
| Objective To explore the reasons and management of residual acetabular dysplasia(RAD) in children with developmental dysplasia of the hip(DDH) treated by open reduction and pelvic osteotomy. Methods A retrospective analysis was conducted on 15 patients who underwent secondary procedures for RAD after the primary operations for DDH in our hospital between January 2012 to January 2016, then the risk factors and management of RAD after pelvic osteotomy were analyzed. And postoperative hip joint function and imaging were evaluated as well. Results Altogether 15 cases were followed up with an average of (34.9±10.63) months in secondary procedures. After the second surgery, the acetabula index(AI) was significantly improved compared with AI of preoperative(P<0.05). At the time of last follow-up, the McKay hip joint function was 60.00% and the Severin imaging was 73.33%. Conclusion Taking on secondary procedures by pelvic osteotomy mayobtain satisfactory results on residual acetabular dysplasia. |
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