One-stage Surgery For The Treatment Of Bilateral Developmental Dislocation Of The Hip Of The Children

Objective:To analyse the clinical curative effect and safety of the one-stage surgery to treat bilateral Developmental Dislocation of the Hip of the children. Methods:August2007to December2011,20bilateral DDH cases with the one-stage surgical treatment. According to Tonnis classification with preoperative X-ray, measure acetabular index、 anteversion、centre-edge angle、Reimers index, choose surgical method. Pemberton osteotomy24hips, proximal femur osteotomy34hips, Salter osteotomy2hips,Through the postoprative X-ray and functional recovery evaluation standard to Analyse the clinical curative effect. Results:20cases follow-up20-60months, Postoprayive X-ray follow-up results according to Severin rating criteria,Excellent21hips,good7hips,normal5hips,poor7hips. Postoprative function according to McKay reference standard, Excellent10cases, good6cases, normal3cases, poor1case. Acetabular index preoprative20°-45°educe to15°-40°, Surgery blood transfusion9case,Average amount of blood transfusion in these cases for1.6U, average operation time for87min. Conclusion: The one-stage surgery to treat bilateral Developmental Dislocation of the Hip of the children is an effective and safe tretment, shorten the entire course of treatmen,help patients with early postoprative hip functional exercise and reduce the treatment cost.