Minhas Muhammad Saeed
Department of Orthopaedics, Jinnah Postgraduate Medical Centre, Karachi.
J Pak Med Assoc. 2010 Dec;60(12):1019-22.
To evaluate clinical features, treatment and relationship to the time period between dislocation, reduction and early complications of traumatic dislocation of hip in children.
Case series conducted at Jinnah Post Graduate Medical Centre Karachi from July 2005 to August 2009. Children with traumatic hip dislocation up to fifteen years of age who presented in last four years were included in this study. Their clinical information, etiology, associated injuries, duration, method of reduction and early complications are evaluated through emergency room proforma and indoor record. Follow up of patient was updated in outpatient department.
We had eight patients, six boys and two girls. Youngest 2.4 years and eldest was 12 years with mean age of 6.2 +/- 3.8 years. All presented with posterior hip dislocation. Etiology was road traffic accident in two and history of fall in remaining six patients. Average duration of time between dislocation and reduction was 19 hours range 3-72 hours. Dislocated hips were reduced under General Anaesthesia in two patients and under sedation analgesia in six patients. No complications were noted in eight cases with mean 18.75 +/- 13.23 months follows up.
Traumatic hip dislocation in children is not rare. Slight trauma causes dislocation in younger age and immediate closed reduction and Immobilization reduces complications.
评估儿童创伤性髋关节脱位的临床特征、治疗方法以及脱位、复位与早期并发症之间的时间关系。
于2005年7月至2009年8月在卡拉奇真纳研究生医学中心开展病例系列研究。本研究纳入了过去四年中就诊的15岁以下创伤性髋关节脱位儿童。通过急诊表格和住院记录评估他们的临床信息、病因、相关损伤、病程、复位方法和早期并发症。在门诊部对患者进行随访更新。
我们共纳入8例患者，其中6例男孩，2例女孩。年龄最小2.4岁，最大12岁，平均年龄6.2 +/- 3.8岁。所有患者均为髋关节后脱位。病因方面，2例为道路交通事故，其余6例为跌倒史。脱位与复位之间的平均时间为19小时，范围为3 - 72小时。2例患者在全身麻醉下进行髋关节复位，6例在镇静镇痛下复位。8例患者平均随访18.75 +/- 13.23个月，均未出现并发症。
儿童创伤性髋关节脱位并不罕见。轻微创伤在年幼时即可导致脱位，早期闭合复位和固定可减少并发症。
