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[使用弗雷卡枕治疗后髋关节残留先天性发育不良伴脱位的手术治疗]

[Surgical treatment of residual congenital dysplasia with dislocation of the hip joint after treatment with the Frejka pillow].

作者信息

Lempicki A, Wierusz-Kozłowska M

机构信息

Kliniki Ortopedii Instytutu Ortopedii i Rehabilitacji AM w Poznaniu.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1990;55(1):37-42.

PMID:1369921
Abstract

The characteristics of patients and the radiological condition of hip joints that required surgery because of residual dysplasia in the course of growth after treatment by the Frejka pillow have been presented. That treatment was employed in 4 per cent of the treated hips. The operations consisted in inspection of the joint, transiliac osteotomy after Dega with subtrochanteric osteotomy with detorsion of the femur, of the same type of operation without opening of the joint, performance of only transiliac osteotomy or only subtrochanteric osteotomy. Because late evaluation at over 10 years of life revealed 5 per cent of hips with poor rebuilding that should be treated surgically, it has been determined that the total number of cases requiring surgery after treatment by the Frejka pillow is 9 per cent.

摘要

本文介绍了使用弗雷卡枕治疗后,因生长过程中残留发育不良而需要手术治疗的患者特征及髋关节的放射学状况。接受该治疗的髋关节占治疗总数的4%。手术包括关节检查、德加术后经髂骨截骨术加股骨转子下截骨术及股骨扭转矫正术、不打开关节的同类型手术、仅行经髂骨截骨术或仅行股骨转子下截骨术。由于对10岁以上患者的后期评估显示,5%的髋关节重建效果不佳,需进行手术治疗,因此确定使用弗雷卡枕治疗后需要手术的病例总数为9%。

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