摘要介绍了先天性髋脱位术中不采用股骨旋转截骨术的优点.先天性髋脱位合并股骨颈前倾角增大,勿需做股骨旋转截骨术,过大的前倾角在以后生长发育中,可逐渐矫正.本组前倾角大于45°未做股骨旋转截骨术的39髋患儿,由于术中做好紧缩关节囊和髂骨截骨后旋转方向,术后经平均2年5个月随访,无一例脱位,前倾角除一髋外,均恢复至45°以下.

abstractsThis paper discussed the advantages of CDH reduction without rotational osteotomy of the femur. The authors believe that the rotational osteotomy is not necessary. The femoral anteversion will correct itself as the patient develops and grows up. In our group of patients, there are 39 hips with an anteversion over 45°didn't receive the rotatonal osteotomy, but a perfect suture of the capsule and a proper innominate osteotomy had been emphasized. No one had redislocation in the follow up average 2 years and 5 months, and all had the femoral anteversion returned to normal except one. The complications and disadvantages of the rotational osteotomy are also discussed in this paper.