先天性髋关节脱位早期手术复位及术后功能治疗对髋臼发育的影响。

K Szepesi, B Bíró, K Fazekas, G Szücs, G Váczi
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引用次数: 0

摘要

作者在1981 - 1983年间对29例患者的30髋进行了保守治疗失败后的早期手术复位。手术时患者年龄6-18个月。切除复位障碍后,保留角膜缘,将包膜紧密闭合以防止再脱位。这种方法使治疗后不需要石膏固定和使用Pavlik背带和外展夹板即可恢复功能成为可能。术后髋臼发育加快,髋臼顶发育达到平均1年,健康,关节活动自由。手术年龄越小,关节发育越快。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The effect of early surgical reposition of congenital hip dislocation and functional postoperative treatment on the development of the acetabulum].

Authors performed early operative reduction from anterior exposure after unsuccessful conservative treatment on 30 hips of 29 patients in 1981 through 1983. The age of the patients was 6-18 months at the time of the operation. After the excision of the obstacle of the reduction with preservation of the limbus the capsule was closed tight so that it could prevent redislocation. This way it became possible to make functional after treatment without plaster fixation and using Pavlik's harness and abduction splint. It was found that the postoperative development of the acetabulum was accelerated and the development of the acetabular roof reached in average during one year the healthy one and the articular movements were free. The development of the joint was the quicker the younger the age was in which the operation was performed.

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