Lampropulos Mario, Puigdevall Miguel H, Zapozko Daniel, Malvárez Héctor R
Department of Neuro-Orthopaedic, Institute of Orthopaedics Carlos E. Ottolenghi, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
J Pediatr Orthop B. 2008 Jan;17(1):27-31. doi: 10.1097/BPB.0b013e3282f05cd8.
We describe the results obtained with an alternative method of treatment for spastic painful hip dislocations in nonambulatory patients, which consists of a proximal femoral resection with capsular interposition arthroplasty, and the addition of a hinged external fixator for postoperative articulated hip distraction to allow for an immediate upright position and the ability to sit in a wheelchair. We performed this technique in three patients (four hips) with a mean age at the time of surgery of 15 years. Postoperatively, clinical improvement was observed in all four hips, with respect to pain relief, sitting tolerance, perineal care and functional range of motion.
我们描述了一种用于非行走患者痉挛性疼痛性髋关节脱位的替代治疗方法所取得的结果，该方法包括股骨近端切除术加关节囊置入关节成形术，并增加一个铰链式外固定器用于术后髋关节关节牵张，以实现立即直立姿势和坐在轮椅上的能力。我们对三名患者（四个髋关节）实施了该技术，手术时的平均年龄为15岁。术后，在所有四个髋关节中均观察到了临床改善，包括疼痛缓解、坐位耐受、会阴护理和功能活动范围。
