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介绍7～14岁大龄儿童先天性髋关节脱位的远期随访效果,随访时间为3～15年,平均6年10个月,结果 Pemberton 术临床功能及 X 线形态优良率为82.5%及75%,骨盆旋转截骨术为63%及55%,Zahradnick 术为78.5%及72.5%,Shanz 术为75%及73%。认为 Pemberton 术是大龄儿童先天性髋关节脱位首选术式。Shanz 术只要截骨平面平坐骨结节,截骨后外展角度为45°,截骨后股骨轴线正好通过髋臼窝,效果好。
The long-term follow-up results of congenital dislocation of the hip from 7 to 14 years old were introduced. The follow-up time ranged from 3 to 15 years with an average of 6 years and 10 months. The results showed that the excellent and good clinical and radiographic features of Pemberton were 82.5% and 75% 63% and 55% for pelvic revascularization, 78.5% and 72.5% for Zahradnick, and 75% and 73% for Shanz. That Pemberton surgery is the preferred method of congenital dislocation of the hip in older children. Shanz surgery as long as osteotomy flat ischial tuberosity, osteotomy after abduction angle of 45 °, the femoral axis after osteotomy just through the acetabular fossa, the effect is good.