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近20年来,在治疗大龄儿童发育性髋关节脱位(DDH)时,为了减少复位后再脱位和股骨头缺血性坏死等并发症,股骨缩短截骨作为手术的一部分已在大于3或4岁的儿童中广泛使用。Galpin等1989年认为2岁的婴儿也可以一期手术,如切开复位、股骨缩短加关节囊缝合,并可同时施行骨盆截骨术。本文作者对2岁以下(5～23个月)、按常规传统方法无法治疗的15个特殊患儿的20个髋施行切开复位+股骨缩短截骨术,取得了比较满意的临床效果。其中
In the past two decades, in the treatment of developmental dislocation of the hip (DDH) in older children, in order to reduce complications such as re-dislocation after repositioning and avascular necrosis of the femoral head, osteotomy of the femoral head has been carried out as part of surgery more than 3 or 4 years Children are widely used. Galpin and other 1989 that 2-year-old infants can also be a surgery, such as open reduction, femoral reduction and suture joint capsule, and the simultaneous implementation of pelvic osteotomy. The authors of this study performed 20 open reduction and femoral shortening osteotomy on 20 hips of 15 special children under 2 years of age (5-23 months) who were uncontaminated by traditional methods. Satisfactory clinical results were obtained. among them