切换至 "中华医学电子期刊资源库"
高级检索
中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 391 -401. doi: 10.3877/cma.j.issn.1674-134X.2025.04.001

临床论著

Salter骨盆截骨联合股骨近端截骨治疗儿童髋关节发育不良
何淳诺1,2,3, 田志敏1,2, 张浩强1,2,†(), 李焕玺1,2, 庄凯鹏1, 乔永杰1, 周胜虎1, 甄平1   
  1. 1730000　兰州，解放军联勤保障部队第九四〇医院关节外科
    2730000　兰州，甘肃中医药大学第一临床医学院
    3529700　鹤山市人民医院骨外科
  • 收稿日期:2024-09-13 出版日期:2025-08-01
  • 通信作者: 张浩强
  • 基金资助:
    兰州市人才创新创业项目(2023-2-28); 第九四〇医院院内科研基金项目(2023YXKY014); 甘肃中医药大学与第九四〇医院校院协同创新项目(HXLH-XTCX14)

Salter pelvic osteotomy combined with proximal femoral osteotomy in treatment of children hip dysplasia

Chunnuo He1,2,3, Zhimin Tian1,2, Haoqiang Zhang1,2,†(), Huanxi Li1,2, Kaipeng Zhuang1, Yongjie Qiao1, Shenghu Zhou1, Ping Zhen1   

  1. 1Department of Joint Surgery, the 940th Hospital of PLA Joint Logistics Support Force, Lanzhou 730000, China
    2The First Clinical College of Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China
    3Department of Orthopedic Surgery, Heshan People’s Hospital, Heshan 529700, China
  • Received:2024-09-13 Published:2025-08-01
  • Corresponding author: Haoqiang Zhang
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

何淳诺, 田志敏, 张浩强, 李焕玺, 庄凯鹏, 乔永杰, 周胜虎, 甄平. Salter骨盆截骨联合股骨近端截骨治疗儿童髋关节发育不良[J/OL]. 中华关节外科杂志(电子版), 2025, 19(04): 391-401.

Chunnuo He, Zhimin Tian, Haoqiang Zhang, Huanxi Li, Kaipeng Zhuang, Yongjie Qiao, Shenghu Zhou, Ping Zhen. Salter pelvic osteotomy combined with proximal femoral osteotomy in treatment of children hip dysplasia[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(04): 391-401.

目的

总结行Salter骨盆截骨联合股骨近端截骨术治疗发育性髋关节发育不良（DDH）患儿的临床疗效及经验，并分析年龄、髋臼指数、脱位程度的差异对临床疗效的影响。

方法

纳入自2010年1月至2020年12月在解放军联勤保障部队第九四〇医院确诊为DDH、且在关节外科行Salter骨盆截骨联合股骨近端截骨术治疗的患儿，排除脑瘫、关节紊乱、脊髓疾病以及临床资料不全等。回顾性分析患儿的临床资料，包括：术前、术后1 d和3、6个月，以及术后1、2、3年复查时所拍骨盆正位X线片中的髋臼指数（AI）、中心边缘角（CE角），术后末次随访时依据Severin放射学标准和Mckay髋关节功能评分评价治疗效果，统计手术相关并发症。按不同的年龄、脱位程度（IHDI分型）、髋臼指数（AI）分组，采用Spearman相关系数检验对比分析临床疗效差异。

结果

共纳入DDH患儿70例（88髋），其中男性23例，女性47例，接受Salter截骨术时平均月龄为（36±15）个月。末次随访时Severin标准评价优79髋、良9髋，Mckay评分优51髋、良21髋、中13髋、差3髋。术后并发症共发生其中6例6髋，其中外伤致内固定取出术后股骨干骨折3例3髋，股骨头坏死1例1髋，关节僵硬伴活动受限2例2髋。年龄≤3岁患儿组Severin标准评价为优55髋，Mckay评分为优43髋、良12髋；年龄>3岁患儿组Severin标准评价优24髋、良9髋，Mckay评分为优8髋、良9髋、中13髋、差3髋；患儿年龄与末次随访时Severin和Mckay分级负相关（R=-0.469、-0.681，均为P<0.01）。IHDI Ⅲ型患儿组Severin标准评价优59髋，Mckay评分为优44髋、良15髋；IHDI Ⅳ型患儿组Severin标准评价为优20髋、良9髋，Mckay评分为优7髋、良6髋、中13髋、差3髋；患儿IHDI分型与末次随访时Severin和Mckay分级负相关（R=-0.481、-0.591，均为P<0.01）。AI≤35°患儿组Severin标准评价为优47髋，Mckay评分优37髋、良10髋；AI>35°患儿组Severin标准评价为优32髋、良9髋，Mckay评分为优14髋、良11髋、中13髋、差3髋；患儿AI与末次随访时Severin和Mckay分级的负相关（R=-0.361、-0.515，均为P<0.01）。

结论

Salter骨盆截骨术联合股骨近端截骨术治疗DDH可显著改善患儿髋关节形态和功能，提高患儿生活质量，相关并发症少。其中，≤3岁、IHDI Ⅲ型、AI≤35°的患儿能够获得更好的髋关节形态和功能。

关键词: 发育性髋关节发育不良, 矫形外科手术, 截骨术, 儿童, 治疗结果
Objective

To summarize the clinical efficacy and experience of Salter pelvic osteotomy combined with proximal femoral osteotomy in the treatment of children with developmental dysplasia of the hip (DDH), and to analyze the effects of the differences in age, acetabular index, and the degree of subluxation on the clinical efficacy.

Methods

Children diagnosed with DDH who underwent Salter pelvic osteotomy combined with proximal femoral osteotomy in the Department of Joint Surgery of the 940th Hospital of PLA Joint Logistics Support Force from January 2010 to December 2020 were enrolled, and the patients with cerebral palsy, joint disorders or spinal cord diseases and incomplete data were excluded. A retrospective study of the clinical data was carried out to analyze acetabular index (AI) and center-edge angle (CE angle) in the orthopantomograms of the pelvis taken at before operation, one day, three and six months, as well as one, two, and three years of follow-up. The treatment effect was evaluated according to the Severin radiological criteria and the Mckay hip functionality score at the final follow-up after the operation, and the surgery-related complications were counted. The patients were then divided into groups according to different ages, degrees of dislocation (IHDI typing), and acetabular indices (AI), and differences in clinical efficacy were comparatively analyzed using the Spearman correlation coefficient test.

Results

A total of 70 children (88 hips) with DDH were enrolled, including 23 males and 47 females, with average age of (36±15) months at the time of Salter osteotomy. At the final follow-up, 79 hips were excellent and nine hips were good according to Severin criteria; while in Mckay score, 51 hips were excellent, 21 hips were good, 13 hips were moderate, and three hips were poor. Postoperative complications occurred in six cases and six hips, including three cases and three hips of femoral stem fracture, one case and one hip of femoral head necrosis, and two cases and two hips of joint stiffness with limitation of movement after internal fixation removal. Severin standard evaluation of children≤three years old group was excellent in 55 hips, Mckay score was excellent in 43 hips, good in 12 hips. Severin standard evaluation of children>three years old was excellent in 24 hips, good in nine hips; Mckay scores were excellent in eight hips, good in nine hips, moderate in 13 hips, poor in three hips. The patient age was negatively corelated to Severin grades and Mckay scores at the last follow-up (R=-0.469, -0.681, both P<0.01). According to the IHDI subgroups, children with IHDI type Ⅲ had 59 excellent hips for Severin’s criteria, while 44 excellent hips and 15 good hips according to Mckay score. Children with IHDI type Ⅳ had 20 excellent hips and nine good hips by Severin’s criteria, while seven excellent hips, six good hips, 13 moderate hips and three poor hips according to Mckay’s score. IHDI stages were negatively correlated to Severin grades and Mckay scores at the last follow-up (R=-0.481, -0.591, both P<0.01). In the children with AI≤35°, Severin’s criteria was excellent in 47 hips, Mckay’s score was excellent in 37 hips, good in 10 hips. Severin’s criteria in the children with AI>35° were evaluated as excellent in 32 hips, good in nine hips, while according to Mckay’s scores 14 hips were excellent, 11 hips were good, 13 hips were moderate and three hips were poor ( R=-0.361, -0.515, both P<0.01).

Conclusions

Salter pelvic osteotomy combined with proximal femoral osteotomy for the treatment of DDH can significantly improve the morphology and function of the hip joint, improve the quality of life of the children, and have fewer related complications. Among them, children≤3Years old, IHDI type Ⅲ, and AI≤35°obtained better hip joint morphology and function.

Key words: Developmental dysplasia of the hip, Orthopedic procedures, Osteotomy, Child, Treatment outcome
图1 髋臼指数的测量方法连接注：髂骨最下端和髋臼最外侧边缘的连线（蓝色线）与H线（红色线）的夹角
Figure 1 Measurement of the acetabular indexNote: angle between the line connecting the lowermost tip of the ilium and the outermost rim of the acetabulum (blue line) and the H line (red line)
图2 CEA（中心边缘角）的测量方法注：过股骨头中心的垂线（红色线）与股骨头中心和髋臼外缘连线（蓝色线）的夹角
Figure 2 Measurement of CEA (central edge angle)Note: the angle between the vertical line across the center of the femoral head (red line) and the line connecting the center of the femoral head and the outer rim of the acetabulum (blue line)
图3 股骨头中心的定位方法注：分别沿股骨颈内侧皮质和外侧皮质绘制两条平行切线（橙色线、绿色线）；取两切线间距的中垂线作为股骨颈解剖轴线（红色线）；将该轴线向近端延伸，其与股骨近端骺板（蓝色线）的交点即定义为股骨头几何中心
Figure 3 Locating the center of the femoral headNote: draw two parallel tangent lines along the medial and lateral cortex of the femoral neck (orange and green lines); take the mid-pituitary line between the two tangent lines as the anatomical axis of the femoral neck (red line); extend this axis proximally, and its intersection with the proximal epiphyseal plate of the femur (blue line) is defined as the geometric center of the femoral head
表1 患儿手术前后AI和CEA的比较[n=88，°，（±s）]
Table 1 Comparative analysis of AI and CEA before and after surgery in children[n=88，°，（±s）]
组别Groups AI CEA
术前Before operation 36.0±6.2 -
术后1 d One day after operation 20.1±6.7 32.6±9.2
术后3个月Three months after operation 19.6±6.5 33.9±8.8
术后6个月Six months after operation 17.7±5.5 34.3±8.5
术后1年One year after operation 15.6±4.7 36.1±8.4
术后2年Two years after operation 13.7±3.9 36.3±8.2
术后3年Three years after operation 12.8±3.8 36.5±8.2
t值 53.23a、62.86b、64.69c、65.05d -
P值 <0.001abcd -
图4 双侧Salter骨盆截骨联合股骨近端截骨术前后双侧髋关节X线正位片。图A为术前X线片示双侧髋关节发育不良；图B为左髋术后1 d，示左髋矫形良好、关节内固定位置良好；图C为左髋关节术后3个月，右髋关节术后1 d，示双髋矫形满意、内固定位置良好无移位；图D为左髋术后6个月，右髋关节术后3个月，示双侧位置良好；图E为左髋术后1年，右髋关节术后9个月，示双侧位置良好；图F为左髋术后2年，右髋关节术后21个月，示双髋矫形满意、内固定位置佳、骨质愈合良好；图G为左髋术后3年、右髋术后2年9个月，示双髋矫形满意、内固定已取出
Figure 4 Antero-posterior X ray images of bilateral hips before and after bilateral Salter pelvic osteotomy combined with proximal femoral osteotomy. A is image before operation, showing bilateral hip dysplasia; B is one day after the left hip operation, showing good orthopedics of the left hip and good position of internal fixation; C is image at one day after the right hip operation and three months after the left hip operation, showing that the orthopedics of both hips were satisfactory, and the positions of internal fixations were good without displacement; D is image at the six months after the left hip operation and three months after the right hip operation, showing good internal fixation positions of both sides; E is image at one year the left hip operation and nine months after the right hip operation, showing good internal fixation positions of both sides; F is image at two years after left hip surgery and 21 months after right hip joint surgery, showing that both hips were satisfactorily corrected, the positions of internal fixations were good, and the bone healing was good; G is image at three years after left hip surgery, two years and nine months after right hip surgery, showing that both hips were in satisfactory positions, and internal fixatiors had been taken out
图5 左侧Salter骨盆截骨联合股骨近端截骨术前后双侧髋关节X线正位片。图A为术前X线片示左侧髋关节发育不良；图B为左髋术后1 d，示左髋矫形良好、关节内固定位置良好；图C~E分别为术后3、6、12个月影像，示左侧髋关节位置满意、内固定位置良好无移位；图F为左髋术后2年，示左髋矫形满意、内固定已取出；图G为左髋术后3年，示截骨处愈合良好，无其他并发症
Figure 5 Antero-posterior X ray images of bilateral hips before and after left Salter pelvic osteotomy combined with proximal femoral osteotomy images. A is image before operation, showing left hip dysplasia; B is one day after the left hip operation showing good correction of left hip and good position of internal fixation; C to E were images at three, six, and 12 months after surgery, showing satisfactory position of the left hip joint, and good position of the internal fixation with no displacement; F was image at two years after left hip surgery, showing that the left hip was in satisfactory position and the internal fixation had been taken out; G is image at three years after left hip surgery, showing that left hip healed well without other complications.
[1]
严广斌. 发育性髋关节发育不良[J/CD]. 中华关节外科杂志（电子版）, 2008, 2（4）: 473.
[2]
Buonsenso D, Curatola A, Lazzareschi I, et al. Developmental dysplasia of the hip: real world data from a retrospective analysis to evaluate the effectiveness of universal screening [J]. J Ultrasound, 2021, 24（4）: 403-410.
[3]
O’Beirne JG, Chlapoutakis K, Alshryda S, et al. International interdisciplinary consensus meeting on the evaluation of developmental dysplasia of the hip[J]. Ultraschall Med, 2019, 40（4）: 454-464.
[4]
Chen M, Cai R, Zhang A, et al. The diagnostic value of artificial intelligence-assisted imaging for developmental dysplasia of the hip: a systematic review and meta-analysis[J/OL]. J Orthop Surg Res, 2024, 19（1）: 522. DOI:10.1186/s13018-024-05003-4.
[5]
Li Y, Hu W, Xun F, et al. Risk factors associated with unsatisfactory hip function in children with late-diagnosed developmental dislocation of the hip treated by open reduction[J]. Orthop Traumatol Surg Res, 2020, 106（7）: 1373-1381.
[6]
Sioutis S, Kolovos S, Papakonstantinou ME, et al. Developmental dysplasia of the hip: areview[J]. J Long Term Eff Med Implants, 2022, 32（3）: 39-56.
[7]
Wenger D, Samuelsson H, Düppe H, et al. Early treatment with the von Rosen splint for neonatal instability of the hip is safe regarding avascular necrosis of the femoral head: 229 consecutive children observed for 6.5 years[J]. Acta Orthop, 2016, 87（2）: 169-175.
[8]
Ran L, Chen H, Pan Y, et al. Comparison between the Pavlik harness and the Tübingen hip flexion splint for the early treatment of developmental dysplasia of the hip[J]. J Pediatr Orthop B, 2020, 29（5）: 424-430.
[9]
Nair A, Yatsonsky D, Liu J. Comparison of outcomes of different Graf grades of developmental dysplasia of the hip in infants treated with Tubingen splint versus Pavlik harness-A systematic review[J]. J Orthop, 2024, 49: 68-74.
[10]
Ucpunar H, Sevencan A, Erbas A, et al. Effect of the Pavlik harness used in the treatment of developmental dysplasia of the hip on unaided sitting and independent walking age[J]. J Child Orthop, 2024, 18（1）: 79-84.
[11]
Ma S, Zhou W, Li L, et al. Retrospective comparison of outcomes between closed and open reduction for developmental dysplasia of the hip in children aged 6-24 months[J]. Indian J Orthop, 2022, 56（9）: 1640-1646.
[12]
沈彬. 发育性髋关节发育不良的保髋和置换手术——从儿童、青少年到成人的标准化阶梯治疗[J]. 中国修复重建外科杂志, 2021, 35（12）: 1509-1512.
[13]
彭旭, 杨柳, 陈光兴, 等. 不同年龄段髋关节发育不良的治疗[J/CD]. 中华关节外科杂志（电子版）, 2008, 2（4）: 446-449.
[14]
夏永杰, 游超, 邓超, 等. 两种截骨术治疗儿童发育性髋关节脱位的疗效比较[J]. 临床骨科杂志, 2023, 26（6）: 835-841.
[15]
Jóźwiak M, Grzegorzewski A, Napiontek M, et al. The significance of the dega osteotomy[J]. J Pediatr Orthop B, 2023, 32（3）: 207-210.
[16]
Walter SG, Ossendorff R, Bornemann R, et al. Mid-term follow-up after closed reduction in developmental dysplastic hips[J]. Z Orthop Unfall, 2024, 162（1）: 52-56.
[17]
Rangasamy K, Ghosh AK, Ksheerasagar VP, et al. Medial versus anterior approach for open reduction of hip in children with DDH under two years-A meta-analysis of comparative studies[J]. J Orthop, 2024, 47: 72-79.
[18]
Aldhoon M, Almarzouq A, ALRashdan DA, et al. Salter innominate osteotomy for the management of developmental dysplasia of the hip in children: radiographic analysis[J]. Indian J Orthop, 2023, 57 （1）: 80-85.
[19]
Wada A, Sakalouski A, Nakamura T, et al. Angulated Salter osteotomy in the treatment of developmental dysplasia of the hip[J]. J Pediatr Orthop B, 2022, 31（3）: 254-259.
[20]
江君, 任爽, 刘敏. Salter骨盆截骨术对发育性髋关节脱位髋臼影响的研究[J]. 中国修复重建外科杂志, 2015,29（11）: 1332-1336.
[21]
Kotzias Neto A, Ferraz A, Bayer Foresti F, et al. Bilateral developmental dysplasia of the hip treated with open reduction and Salter osteotomy: analysis on the radiographic results[J]. Rev Bras Ortop, 2014, 49（4）: 350-358.
[22]
Dragonas CG, Kottaridou E, Vampertzis T, et al. Length of treatment and ultrasound timing in infants with developmental dysplasia of the hip[J]. Eur J Orthop Surg Traumatol, 2024, 34（2）: 1079-1086.
[23]
山枫, 朱伦庆. Salter截骨术治疗发育性髋关节脱位的临床效果[J]. 广西医学, 2018,40（7）: 736-738.
[24]
Suvorov V, Filipchuk V. Salter pelvic osteotomy for the treatment of developmental dysplasia of the hip: assessment of postoperative results and risk factors[J/OL]. Orthop Rev, 2022, 14（4）: 35335.DOI:10.52965/001c.35335.
[25]
Carroll KL, Murray KA, MacLeod LM, et al. Measurement of the center edge angle and determination of the Severin classification using digital radiography, computer-assisted measurement tools, and a Severin algorithm: intraobserver and interobserver reliability revisited[J/OL]. J Pediatr Orthop, 2011, 31（4）: e30-5. DOI:10.1097/BPO.0b013e31821adde9.
[26]
Zimri FUK, Shah SSA, Saaiq M, et al. Presentation and management of neglected developmental dysplasia of hip （DDH）: 8-years' experience with single stage triple procedure at national institute of rehabilitation medicine, Islamabad, Pakistan[J]. Pak J Med Sci, 2018, 34（3）: 682-686.
[27]
Köroğlu C, Özdemir E, Çolak M, et al. Open reduction and Salter innominate osteotomy combined with femoral osteotomy in the treatment of developmental dysplasia of the hip: Comparison of results before and after the age of 4 years[J]. Acta Orthop Traumatol Turc, 2021, 55（1）: 28-32.
[28]
Chang CH, Yang WE, Kao HK, et al. Prognostic radiographic factors in developmental dysplasia of the hip following Salter osteotomy[J]. J Pediatr Orthop B, 2015, 24（1）: 31-34.
[29]
Haidar RK, Jones RS, Vergroesen DA, et al. Simultaneous open reduction and Salter innominate osteotomy for developmental dysplasia of the hip [J]. J Bone Joint Surg Br, 1996, 78（3）: 471-476.
[30]
Bhuyan BK. Outcome of one-stage treatment of developmental dysplasia of hip in older children[J]. Indian J Orthop, 2012, 46（5）: 548-555.
[31]
李天友, 李龙, 刘帅, 等. 改良Salter骨盆截骨术治疗幼儿发育性髋关节脱位[J]. 中国矫形外科杂志, 2019,27（1）: 5-10.
[32]
许瑞江, 马承宣, 李浩宇. 发育性髋关节脱位治疗后股骨头坏死的分型探讨[J]. 中国医学影像学杂志, 2004,12（6）: 405-407.
[33]
Nandhagopal T, Tiwari V, De Cicco FL. Developmental dysplasia of the hip[M/OL]. Treasure Island （FL）：StatPearls Publishing, 2024.
[34]
Vaquero-Picado A, González-Morán G, Garay EG, et al. Developmental dysplasia of the hip: update of management[J]. EFORT Open Rev, 2019, 4（9）: 548-556.
[35]
Macnicol MF, Bertol P. The Salter innominate osteotomy: should it be combined with concurrent open reduction?[J]. J Pediatr Orthop B, 2005, 14（6）: 415-421.
[36]
Gulman B, Tuncay IC, Dabak N, et al. Salter’s innominate osteotomy in the treatment of congenital hip dislocation: a long-term review[J]. J Pediatr Orthop, 1994, 14（5）: 662-666.
[37]
Kobayashi D, Satsuma S, Kinugasa M, et al. Does Salter innominate osteotomy predispose the patient to acetabular retroversion in adulthood?[J]. Clin Orthop Relat Res, 2015, 473（5）: 1755-1762.
[38]
El-Sayed M, Ahmed T, Fathy S, et al. The effect of Dega acetabuloplasty and Salter innominate osteotomy on acetabular remodeling monitored by the acetabular index in walking DDH patients between 2 and 6 years of age: short- to middle-term follow-up[J]. J Child Orthop, 2012, 6（6）: 471-477.
[39]
Li H, Ye W, Xu L, et al. Sequential one-stage combined procedure for treating bilateral developmental hip dysplasia after walking age[J]. J Int Med Res, 2019, 47（7）: 2901-2909.
[40]
Okuzu Y, Tsukanaka M, Shimozono F, et al. Clinical outcomes of gradual reduction of late-detected developmental dysplasia of the hip using ultrasound-guided flexion abduction continuous traction: a midterm follow up study [J]. J Pediatr Orthop B, 2025, 34（1）: 51-56.
[41]
Tang Z, Li R, Lu C, et al. Risk factors for avascular necrosis of the femoral head after developmental hip dislocation reduction surgery and construction of Nomogram prediction model[J/OL]. BMC Musculoskelet Disord, 2024, 25（1）: 464. DOI:10.1186/s12891-024-07575-y.
[42]
Singh KA, Ganjwala D, Gupta P, et al. Reliability of 3 radiologic classifications for the severity of the developmental dysplasia of the hip in children older than 4 years[J]. J Pediatr Orthop, 2022, 42 （1）: 23-29.
[43]
Yilar S, Topal M. Tönnis and the novel IHDI radiographic classification systems for the developmental dysplasia of the hip （DDH）: evaluation of 406 hips with DDH[J]. Acta Orthop Belg, 2023, 89（1）: 21-27.
[44]
徐大鹏, 张爱国, 沈濬, 等. 国际髋关节发育不良学会分型评估股骨头发育延迟的髋关节发育不良儿童的可靠性[J]. 临床与病理杂志, 2017, 37（10）: 2098-2101.
[45]
余京杭, 刘双, 李连永, 等. 发育性髋关节发育不良IHDI分型与MRI病理形态的相关性[J]. 中国组织工程研究, 2017, 21（31）: 5025-5030.
[46]
Mirioğlu A, Biçer ÖS, Tekin M, et al. Clinical and radiological outcomes of Salter versus Pemberton osteotomies in the management of developmental dysplasia of the hip: a retrospective comparative study[J]. Acta Orthop Traumatol Turc, 2022, 56（2）: 120-124.
[47]
Ning B, Yuan Y, Yao J, et al. Analyses of outcomes of one-stage operation for treatment of late-diagnosed developmental dislocation of the hip: 864 hips followed for 3.2 to 8.9 years[J/OL]. BMC Musculoskelet Disord, 2014, 15: 401.DOI:10.1186/1471-2474-15-401.
[48]
Wu Q, Li Y, Lin Y, et al. Risk factor analysis of femoral avascular necrosis after operation for Tönnis grade IV developmental dysplasia of the hip[J]. Int Orthop, 2024, 48（4）: 1011-1016.
[49]
Chen Q, Deng Y, Fang B. Outcome of one-stage surgical treatment of developmental dysplasia of the hip in children from 1.5 to 6 years old. A retrospective study[J]. Acta Orthop Belg, 2015, 81（3）:375-383.
[50]
Morin C, Rabay G, Morel G. Retrospective review at skeletal maturity of the factors affecting the efficacy of Salter’s innominate osteotomy in congenital dislocated, subluxed, and dysplastic hips[J]. J Pediatr Orthop, 1998, 18（2）: 246-253.
[51]
Barrett WP, Staheli LT, Chew DE. The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip[J]. J Bone Joint Surg Am, 1986, 68（1）: 79-87.
[1] 刘芳, 张展, 刘慧, 方玲, 王爱珍, 丁豆豆, 崔苗, 刘百灵, 王洁. 儿童原发性心脏肿瘤超声表现及预后的单中心回顾分析[J/OL]. 中华医学超声杂志（电子版）, 2025, 22(05): 470-476.
[2] 杨秀珍, 李丽, 徐哲明, 王晶晶, 叶菁菁. 基于排泄性尿路超声造影诊断肾内反流及与DMSA 显像的相关性分析[J/OL]. 中华医学超声杂志（电子版）, 2025, 22(04): 348-353.
[3] 谭娇艳, 袁莉, 景珅, 郭吴丹, 吴文菁. 二维剪切波弹性成像技术在评估儿童脾大中的临床应用[J/OL]. 中华医学超声杂志（电子版）, 2025, 22(03): 247-252.
[4] 刘鹏, 常彦峰, 宋晓阳, 庄凯鹏, 宋奇峰, 周胜虎. 3D打印截骨导板辅助Scarf截骨治疗中重度拇外翻畸形[J/OL]. 中华关节外科杂志(电子版), 2025, 19(03): 374-381.
[5] 张国卿, 武华红, 朱春梅. 炎症及营养指标在儿童鼻病毒重症肺炎中的预测价值研究[J/OL]. 中华危重症医学杂志(电子版), 2025, 18(03): 215-221.
[6] 刘瀚旻. 儿童发育学研究的战略思考[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(03): 251-256.
[7] 杨筱涛, 罗蓉. 功能性近红外光谱技术在儿童注意缺陷多动障碍患儿治疗评估中的临床应用进展[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(03): 278-284.
[8] 向征鸿, 施春晓, 何春梅, 王禧庆, 何磊. 全血粘弹性凝血功能监测技术对于川崎病患儿凝血功能检测的临床价值[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(03): 337-343.
[9] 徐其银, 韩尚志. 术前结合术后营养支持对直肠癌患者康复的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(05): 543-546.
[10] 吴菲, 袁媛, 何凡, 杜秋丽, 窦婷, 阮剑. 超声定位下冷循环射频消融术治疗甲状腺良性结节的疗效及预后分析[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(05): 562-565.
[11] 谢起根, 苏诚, 徐哲, 李作青. 改良Byars分期尿道成形术与传统术式治疗重型尿道下裂的队列研究[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(04): 429-435.
[12] 热夏提·热合曼, 阿尔孜古丽·喀喀尔, 阿依姆妮萨·阿卜杜热合曼, 阿布力米提·阿套拉, 库尔班江·阿布力克木, 苏力坦·乌斯曼, 安信, 加素尔·巴吐尔. 血友病患儿包皮环切术的安全性及围手术期处理[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(04): 436-440.
[13] 陈东, 贾新建, 魏强, 刘涛, 田飞, 周祥, 韩春晨. 完全腹腔镜儿童胆总管囊肿根治术临床应用[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(03): 152-156.
[14] 曾纪晓, 徐晓钢, 刘斐, 兰梦龙, 陶波圆, 梁子建, 温俐妮, 钟知足. 机器人胰十二指肠切除术治疗儿童胰胆系恶性肿瘤[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(03): 157-161.
[15] 赵文锋, 贾建业, 张弋, 夏溟, 董洋, 韩从辉, 金思彤, 李建波, 贾志刚, 刘鹏飞, 许长宝, 程跃. 体外冲击波碎石术治疗儿童上尿路结石的现况调查[J/OL]. 中华临床医师杂志(电子版), 2025, 19(04): 243-247.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号

AI
小
编
AI小编
你好！我是《中华医学电子期刊资源库》AI小编，有什么可以帮您的吗？