Pelvic osteotomy for the treatment of congenital dislocation of the hip in older.docVIP

 PAGE \* MERGEFORMAT 7 Pelvic osteotomy for the treatment of congenital dislocation of the hip in older Study: Liu Ying Zhu Xiaodong Wang Liming Yin Gang Liu Yongtao [Keywords:] of congenital dislocation of the hip pelvis Congenital dislocation of the hip in order to effect early diagnosis and early treatment is better, 3 years of age in children of non-surgical treatment of choice, but there is still a large number of cases required surgical failure of closed reduction with open reduction. More than 3 years of age and patients with soft tissue around the hip joint pathology change increased, closing the entire complex is more difficult to succeed, should surgery. so far no ideal method for the treatment of older children. hospital used since 1993 to improve older Pemberton osteotomy for congenital dislocation of the hip in 23 cases, results were satisfactory. 1 Clinical data 1.1 General Information The group of 5 males and 18 females, aged 8.2 to 13.5 years, mean 9.5 years of age. Left hip in 10 cases, the right hip in 17 cases. Preoperative acetabular index of 30 ° ~ 60 °, an average of 44.4 °, 17 patients with a preoperative inline adductor and iliopsoas only point cut peel, and then 2 weeks continuous skeletal traction, and other Preoperative skin traction for 2 weeks to go under the acetabular femoral head level, 20 cases under the rotor rotation / rotation shortening osteotomy .17 cases of intraoperative iliopsoas only part of the cut point, preoperative 3 patients (aged 11,10,9 and 1 case) walking pain. 1.2 surgical procedures Continuous epidural anesthesia or general anesthesia, supine, elevate hips. By Smith Peterson incision along the rectus femoris and tensor fascia lata and entered space, do not cut off the rectus femoris starting point, not to expose lateral femoral cutaneous nerves attached to the subperiosteal dissection of the gluteal muscle in the iliac crest and the tensor fascia lata, external iliac plate exposure, the