Pous J G, Dimeglio A, Daoud A
Rev Chir Orthop Reparatrice Appar Mot. 1979 Sep;65(6):327-32.
The authors analyse the results that they have obtained in the treatment of C.D.H. either by conservative or surgical methods. The prevention of osteochondritis remains the main worry. However traction leads to long-lasting immobilization and sometimes it is not sufficient. The authors think that osteochondritis may be related to hyper-pressure on the femoral head or to lesions of the vascular pedicle and that in some cases shortening of the femur or tenotomies may allow a decrease of the plaster cast period. The indications on capculotomy, rotation osteotomy, salter osteotomy are discussed. It is concluded that the periods of traction and plaster cast immobilization should be lessened as much as possible.
作者分析了他们采用保守或手术方法治疗先天性髋关节脱位所取得的结果。预防骨软骨炎仍然是主要的担忧。然而，牵引会导致长期固定，有时还不够。作者认为骨软骨炎可能与股骨头的高压或血管蒂损伤有关，在某些情况下，股骨缩短或肌腱切断术可能会缩短石膏固定期。文中讨论了髋臼切开术、旋转截骨术、索尔特截骨术的适应证。得出的结论是，应尽可能缩短牵引和石膏固定的时间。
