[索姆维尔-珀蒂手术治疗典型先天性髋关节脱位的结果]

[The results of the Sommerville-Petit procedure in the treatment of the typical congenital hip dislocation].

作者信息

Goţia D G, Pandeli C, Apostol D, Botez C, Alagha R, Straticiuc S, Paiu C, Munteanu V, Olaru V, Savu Anca, Vlad Al

机构信息

Universitatea de Medicină şi Farmacie "Gr.T. Popa" Iaşi, Facultatea de Medicină, Clinica de Chirurgie şi Ortopedie Pediatrică.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2006 Jan-Mar;110(1):128-31.

PMID:19292091

Abstract

The studied group from the Pediatric Surgery and Orthopedics Clinic, Iaşi, consisted of 87 cases, which means that a total of 118 hips were treated between September 1998-September 2004. In 116 cases, the extension was performed with trans-femoral Kirschner wire, in a period of 3-7 weeks. After 7-14 days of extension, the authors performed adductor and sometimes psoas tenotomy. The stable orthopedic reduction was obtained in 34 hips, while the 15 cases with inadequate results required open reduction. This method, performed from the beginning after a period of extension, was applied to 69 cases. In 13 patients the iterative open reduction was required. None of the cases associated femoral diaphysis shortening resection.

摘要

来自雅西儿科手术与骨科诊所的研究组由87例病例组成，这意味着在1998年9月至2004年9月期间共治疗了118个髋关节。在116例病例中，采用经股骨克氏针进行牵引，牵引时间为3至7周。牵引7至14天后，作者进行内收肌切断术，有时还进行腰大肌切断术。34个髋关节获得了稳定的骨科复位，而15例效果不佳的病例需要切开复位。这种方法在牵引一段时间后从一开始就实施，应用于69例病例。13例患者需要反复切开复位。所有病例均未伴有股骨干缩短切除术。