Choi In Ho, Yoo Won Joon, Cho Tae-Joon, Chung Chin Youb
Department of Orthopedic Surgery, Seoul National University Hospital, 28 Yongon-dong, Chongno-gu, Seoul 110-744, Korea.
Orthop Clin North Am. 2006 Apr;37(2):173-83, vi. doi: 10.1016/j.ocl.2005.09.005.
The long-term effects of initial treatment for infantile septic arthritis of the hip differ and depend on patient age, infecting organism, and timing and adequacy of surgical and pharmacologic treatment. Appropriate and timely reconstructive operations benefit hip growth and development by providing the best possible hip joint mechanics at skeletal maturity. Any surgical treatment for severe sequelae, however, must be regarded as a measure that temporarily improves clinical function and delays the more definitive procedures that are reserved for adult patients. This article summarizes the surgical modalities currently available to reduce and stabilize a damaged femoral head and neck and to reconstruct femoral-acetabular articulation.
婴儿髋关节化脓性关节炎初始治疗的长期效果各异，取决于患者年龄、感染病原体以及手术和药物治疗的时机与充分性。恰当且及时的重建手术通过在骨骼成熟时提供尽可能最佳的髋关节力学条件，有利于髋关节的生长发育。然而，针对严重后遗症的任何手术治疗都必须被视为一种暂时改善临床功能并推迟为成年患者保留的更确定性手术的措施。本文总结了目前可用于复位和稳定受损股骨头及颈部以及重建股骨 - 髋臼关节的手术方式。
