Merk H, Mahlfeld K, Wissel H, Kayser R
Orthopädische Klinik, Heinrich-Heine-Universität Düsseldorf.
Klin Padiatr. 1999 Jan-Feb;211(1):18-21. doi: 10.1055/s-2008-1043756.
A real congenital dislocation of the hip joint is very rare. Because of the severeness of the disease an immediate diagnosis and begin of treatment is required.
Between 1984 and 1995 clinical and sonographic screening examinations at 4177 newborns were performed at our hospital.
We analyzed our patients retrospectively and found out all cases of congenital dislocation of the hip joint. All these cases were classified and the results of treatment were determined. The clinical success of our strategy of treatment was described.
Among the 4177 observed newborns 39 cases of congenital dislocation of the hip joint in 27 children were found. We diagnosed the hip type IIIa, IIIb and IV according to Graf in 28.2 and 9 cases respectively. After 12 month a complete healing rate of 95 percent was exhibited with the functional management strategy. Five percent of the affected joints showed a residual dysplasia. The rate of residual dysplasias was 2.5%.
The good prognosis after our early treatment strategy severe congenital dislocation of the hip joint underlines the use of earliest therapy together with a hip screening program.
真正的先天性髋关节脱位非常罕见。由于该疾病的严重性，需要立即诊断并开始治疗。
1984年至1995年间，我院对4177名新生儿进行了临床和超声筛查检查。
我们对患者进行回顾性分析，找出所有先天性髋关节脱位病例。对所有这些病例进行分类，并确定治疗结果。描述了我们治疗策略的临床成功率。
在4177名观察到的新生儿中，发现27名儿童有39例先天性髋关节脱位。我们根据Graf分别诊断出28例IIIa型、2例IIIb型和9例IV型髋关节。采用功能管理策略治疗12个月后，完全愈合率为95%。5%的患关节显示有残余发育不良。残余发育不良率为2.5%。
我们早期治疗策略治疗严重先天性髋关节脱位后的良好预后强调了尽早治疗与髋关节筛查计划相结合的应用。
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