目的　评价倒V形外展截骨术治疗先天性髋内翻的临床应用价值。方法　 2 7例先天性髋内翻的患儿 ,年龄 3～ 1 4岁 ,均采用倒V形外展截骨术治疗 ,并对临床效果及X线片进行评价。结果　本组共有 2 2例 (2 8髋 )获得随访 ,平均随访 5 .4年 ,参考史氏标准 ,临床评价优良率为 82 .1 % ;术后及最后随访时的NS角、HE角和ATD值均较术前有显著性变化 (P <0 .0 1 )。结论　倒V形外展截骨术操作简单 ,内固定牢固 ,矫正充分 ,临床效果好 ,不易复发 ,是治疗先天性髋内翻较满意的方法 Objective To evaluate the clinical value of inverted V - shaped abduction osteotomy in the treatment of congenital. Methods Twenty-seven children with congenital coxa vara, aged from 3 to 14 years old, were treated with inverted V-shaped abduction osteotomy. The clinical effects and X-ray films were evaluated. Results A total of 22 patients (28 knees) were followed up for an average of 5.4 years. According to Shi’s criteria, the excellent and good rate of clinical evaluation was 82.1%. The NS and HE angles at the postoperative and final follow-up ATD values ​​were significantly changed compared with preoperative (P <0. 01). Conclusion The inverted V-shaped abduction osteotomy is simple, the internal fixation is firm, the correction is sufficient, the clinical effect is good and the recurrence is not easy, which is a satisfactory method for the treatment of congenital cholestasis