髋臼旋转截骨术治疗成人髋臼发育不良

Rotational acetabular osteotomy for the treatment of congenital acetabular dysplasia in adults

关键词:  髋臼  骨切开术  骨疾病  发育性

Key words:  acetabulum  osteotomy  bone diseases  developmental

摘要:

目的:探讨治疗成人髋臼发育不良的新方法.方法:髋臼旋转截骨术治疗成人髋臼发育不良8例(8髋).平均年龄35.6岁(26～48岁).男3例,女5例.手术方法在田川髋臼旋转截骨术基础上进行部分改进.平均随访时间2.1年(15～36个月).结果:以Lack的改良Tonis标准评定,优6例,良2例;X线片显示髋臼和股骨头之间恢复了正常匹配关系.结论:髋臼旋转截骨术是治疗成人髋臼发育不良的有效办法之一.

Abstract:

To explore a new treatment of congenital acetabular dysplasia in adults. Method：Eight adult patients(eight hips) who had acetabular dysplasia were treated with rotational acetabular osteotomy. The average age of the patients was 35.5 years old (from 26 to 48). There were 3 men and 5 women. The operations were performed by modified Takawa's method. The average duration of follow-up was 25 months(from15 to 36 months). Results: According to the modified criteria of Tonis by Lack the results were good in 6 and fair in 2 patiens. The X-ray examination showed that the congruous relationship between acetabulum and the femoral head became normal. Conclusion: Rotational acetabular osteotomy is one of effective methods for the treatment of acetabular dysplasia in adult.