摘要
自１９８７年９月至１９９３年２月我院收治先天性髋脱位患儿２８例，４５髋。其中闭合复位治疗２１例，３４髋，包括７例１３髋曾经院外闭合复位不成功者，均在直视下进行内收肌、髂腰肌松解，以轻柔的手法复位，使复位获得成功。对高脱位患髋采用加大髋关节屈曲位的蛙式石膏固定，避免了股骨头缺血坏死发生。７例１１髋为来院前闭合复位造成股骨头缺血坏死者，以及伴有髋关节半脱位者，进行补救治疗，取得了髋关节解剖复位。
From 1987 to 1993, 45 congenital dislocated hips in 28 patients were treated with a close reduction, in which, 7 cases, 11 hips. treated by open reduction. For treating high dislocation of the hips. we released the adductor longus muscle and iliopsoas muscle by open operation and applied limited immobilization frog cast in hyperflexion position. As a result, avascular necroses of the femoral head were avoided. Furthermore, the patients who were complicated with avascular necroses of the femoral head and subluxation of the hips at admission achieved anatomical reduction and revascularization.
出处
《中国矫形外科杂志》
CAS
CSCD
1998年第4期300-301,共2页
Orthopedic Journal of China
