Acetablasty and Reconstruction of the Round Ligament of the Femoral Head

Acetabuloplasty and reconstruction of the femoral head ligament for the treatment of hip joint deformity. Curing disease: Indication The acetabular angioplasty and reconstruction of the femoral head ligament are suitable for paralyzed hip dislocation, acetabular stenosis, and flat femoral head. Contraindications Incision and exposure The Smith-Petersen incision was modified on the anterior aspect of the hip. The hip joint was exposed, from the outside of the femoral trochanter down to the middle of the thigh, and a pedicle of 14 cm × 2 cm was placed on the lower edge of the large trochanter. 2. Acetabular formation Cut the sac of the switch and perform osteotomy on the joint capsule. The curved osteotomy line is 0.5cm away from the acetabular rim, and the upper 2/3 is cut in an arc. The curved hip joint is used to form the acetabulum. The outer bone is turned down, and the formed bone defect is embedded and repaired with a bone piece taken from the tibia. 3. Reconstruction of the femoral head hanging round ligament A 4 mm diameter Sterling needle was used to drill a hole in the center of the femoral head at the lower edge of the large trochanter, and the truss strip of the large trochanter base was sewed into a tubular shape, and a perforated probe was inserted through the bone hole of the large trochanteric base. Pulled out from the center of the femoral head. Then, in front of the center of the acetabulum, use a bone drill to drill a hole. The bone hole inside the humerus is placed in the probe, and the reconstructed round ligament is pulled out from the hole to reset the femoral head and tighten the round ligament with the acetabulum. The upper edge of the bone and muscle attached to the Li and then sutured, or drilled in the anterior iliac spine into a sacral suture fixation. 4. Suture incision Insulate the incision with isotonic saline, completely stop bleeding, suture the joint capsule and surrounding tissue, suture the incision according to the level, and indwell the drainage strip or drainage tube. Surgical procedure Incision and exposure The Smith-Petersen incision was modified on the anterior aspect of the hip. The hip joint was exposed, from the outside of the femoral trochanter down to the middle of the thigh, and a pedicle of 14 cm × 2 cm was placed on the lower edge of the large trochanter. 2. Acetabular formation Cut the sac of the switch and perform osteotomy on the joint capsule. The curved osteotomy line is 0.5cm away from the acetabular rim, and the upper 2/3 is cut in an arc. The curved hip joint is used to form the acetabulum. The outer bone is turned down, and the formed bone defect is embedded and repaired with a bone piece taken from the tibia. 3. Reconstruction of the femoral head hanging round ligament A 4 mm diameter Sterling needle was used to drill a hole in the center of the femoral head at the lower edge of the large trochanter, and the truss strip of the large trochanter base was sewed into a tubular shape, and a perforated probe was inserted through the bone hole of the large trochanteric base. Pulled out from the center of the femoral head. Then, in front of the center of the acetabulum, use a bone drill to drill a hole. The bone hole inside the humerus is placed in the probe, and the reconstructed round ligament is pulled out from the hole to reset the femoral head and tighten the round ligament with the acetabulum. The upper edge of the bone and muscle attached to the suture is fixed or fixed in the anterior inferior iliac spine into a sacral suture (Fig. 3.25.4.3.3-3~3.25.4.3.3-6). 4. Suture incision Insulate the incision with isotonic saline, completely stop bleeding, suture the joint capsule and surrounding tissue, suture the incision according to the level, and indwell the drainage strip or drainage tube.

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