获取途径

作者

Liu, Shuai Zhang, Min-Gang Li, Tian-You Zhu, Li-Chao Yao, Yang-Yang

作者单位

^bShandong Provincial Hospital, Shandong First Medical University, Shandong, Jinan, 250021, China ^aNinth People's Hospital of Wuxi CIty, Jiangsu, Wuxi, 214062, China

刊名

Orthopedic Journal of China

年份

2025

卷号

Vol.33 No.11

页码

1039-1042,1047

ISSN

1005-8478

关键词

capsuloplasty children congenital dislocation of the hip pelvic osteotomy

摘要

[Objective] To introduce the surgical techniques and preliminary clinical results of capsuloplasty combined with pelvic oste⁃ otomy for the treatment of congenital dislocation of the hip in older children. [Methods] A total of 19 older children received Colonna capsuloplasty combined with Chiari pelvic osteotomy for mismatched CDH from September 2017 to August 2021. The Bikini approach was used to expose the anterior hip capsule and protect the ascending branch of the medial femoral circumflex...更多

[Objective] To introduce the surgical techniques and preliminary clinical results of capsuloplasty combined with pelvic oste⁃ otomy for the treatment of congenital dislocation of the hip in older children. [Methods] A total of 19 older children received Colonna capsuloplasty combined with Chiari pelvic osteotomy for mismatched CDH from September 2017 to August 2021. The Bikini approach was used to expose the anterior hip capsule and protect the ascending branch of the medial femoral circumflex artery. The capsule was cut at anterior surface, inferomedial margin, superomedial margin and posterior surface successively to release the transverse ligament at the base of the acetabulum. The capsule was trimmed to enclose the femoral head, and then acetabulum was reamed step by step to match the head capsule complex. Finally, the pelvic transverse transportation was conducted as pelvic osteotomy finished to enhance coverage of the head capsule complex. [Results] All the 19 patients were followed up for an average of years. At the latest follow-up, RI was of , while the CEA was of °. At the last follow-up, all children achieved stable gait and joint motion, and had no complications, such as avascular necrosis of the femoral head and implant broken. According to the improved Severin classification the excellent and good rate was of 84.2%, while based on the McKay creatria, the excellent and good rate of 78.9%. [Conclusion] The Colonna capsuloplasty combined with Chiari pelvic osteotomy for mismatched CDH in older children does achieve satisfactory early clinical outcome.收起

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