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[儿童先天性髋关节脱位采用德吉(Degi)法手术治疗的早期结果]

[Early results of surgical treatment for congenital dislocation of the hip by the Degi method in young children].

作者信息

Pucher A, Piskorski Z

机构信息

Kliniki Ortopedycznej Instytutu Ortopedii i Rehabilitacji Akademii Medycznej w Poznaniu.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1992;57(1-3):199-203.

PMID:1369959
Abstract

The early results of surgical treatment of congenital dislocation of the hip by complex Dega method in children aged from 18 to 30 months has been presented. The reduction of the hip after all the obstacles and the elements of dysplasia has been removed was very stable. Derotation osteotomy of the femur in the hips of less than 50 degrees anteversion was not necessary. Avascular necrosis after surgical treatment alone was not observed, however its presence after previous conservative management worsened the results after the operation.

摘要

本文介绍了采用复杂德加(Dega)方法对18至30个月大儿童先天性髋关节脱位进行手术治疗的早期结果。在消除所有障碍和发育异常因素后,髋关节复位非常稳定。对于前倾角小于50度的髋关节,无需进行股骨旋转截骨术。单独手术治疗后未观察到缺血性坏死,然而,先前保守治疗后出现缺血性坏死会使术后结果恶化。

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