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[使用Freyka枕治疗先天性髋关节发育不良和脱位且无并发症的后期评估]

[Late assessment of the hip joint treated with the Freyka pillow without complications for congenital dysplasia and dislocation].

作者信息

Lempicki A, Wierusz-Kozłowska M, Kruczyński J

机构信息

Kliniki Ortopedycznej Instytutu Ortopedii i Rehabilitacji AM w Poznaniu.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1990;55(4-6):341-5.

PMID:1369842
Abstract

Clinical and radiological assessment of 504 hips in 389 patients of 10 to 21 years of age (13 years 10 month on average) has been carried out. The patients were treated by Freyka pillow in the childhood. Those with no reduction achieved primarily and operated on because of residual dysplasia as well as patients with severe avascular necrosis were excluded from this study. In 99% of the hips no clinical abnormality was found except for the change of rotation range--decreased external rotation. Radiographic assessment revealed 60% excellent results and 35% good ones with dominant residual feature of increased anteversion of the femoral neck. Remaining 5% were rated as fair--these were the cases that should have been operated on at a suitable time.

摘要

对389例年龄在10至21岁(平均13岁10个月)患者的504个髋关节进行了临床和放射学评估。这些患者在儿童时期接受过弗雷卡枕治疗。未复位者因残留发育不良而接受一期手术治疗,严重缺血性坏死患者被排除在本研究之外。在99%的髋关节中,除了旋转范围改变——外旋减少外,未发现临床异常。放射学评估显示,60%的结果为优,35%为良,主要残留特征是股骨颈前倾角增加。其余5%被评为一般——这些病例本应在适当的时候接受手术治疗。

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