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小儿先天性髋脱位术后再脱位原因分析与处理

Analysis and Treatment of the Redislocation after Operations for Congenital Dislocation of Hip in Children.

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【作者】 唐成林任晓阳孙丹舟

【Author】 Tang Chenglin, Ren Xiaoyang, Sun Danzhou. Department of Orthopedics Surgery, The 3rd Teaching Hospital, Bethune University of Medical Sciences, Changchun 130021.

【机构】 白求恩医科大学第三临床学院

【摘要】 为预防和治疗小儿先天性髋脱位术后再脱位。对1972年末~1995年3月间55例(58髋)小儿先天性髋脱位术后再脱位的病例进行随访,随访时间最长14年,最短1.5年,平均6.9年。结果发现2例(4髋)为双侧再脱位,1例为单侧3次脱位,余均为单侧再脱位。其中半脱位14例(16髋),占27.6%,全脱位41例(42髋),占72.4%。再脱位的发生率3.75%。术式选择不当、手术操作不妥、术后处理失误及功能练习错误是引起该病的常见原因,也是要我们预防该病发生的关键环节。一经发现再脱位,应及早处理,方法要确切、简单、实用

【Abstract】 In order to prevent and treat the redislocation after operation of congenital dislocation of hip in children, 55 cases (58 hips) treated from the end of 1972 to March 1995 were followed up. The followingup time varies from 14 years to 1.5 years, averaging 6.9 years. Two cases (4 hips) were bilateral redislocation, one case was unilateral three times dislocation, others were unilateral redislocation. Among them, the subluxation were 14 cases (16 hips 27.6%) the complete dislocation were 41 cases (42 hips 72.4%). Incidence of the redislocation was 3.75%. The unsuitable selection of operation methods, incorrect performance of operation, errors of treatment after operation and errors of function exercise are the common reasons that arising the redislocation and they are also the key links we prevent it. Once discovering it, we should treat it as early as possible and treatment methods should be exact, simple and practical.

  • 【文献出处】 中国矫形外科杂志 ,THE ORTHOPEDIC JOURNAL OF CHINA , 编辑部邮箱 ,1998年04期
  • 【分类号】R682.17
  • 【被引频次】34
  • 【下载频次】75
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