Hein G, Hein W
Beitr Orthop Traumatol. 1989 Jul;36(7):313-7.
The early diagnosis and treatment of congenital dislocation of the hip cannot prevent the manifestation of luxation in every case. The following operative treatment should include not only the open reposition, but also all deformities of the upper femur and the acetabulum. This combined procedure is already possible in the infancy starting from the 6th month. The correction of increased antetorsion and CCD-angle alone respectively the increased acetabular angle is not indicated. The spontaneous normalization of the not operated part of the hip can be find only in a minimal part of cases. The stabilization of bone defect in the acetabuloplastic by Dega is performed by allogenic deep frozen cortico-cancellous bone grafts successfully.
先天性髋关节脱位的早期诊断和治疗并不能在所有病例中防止脱位的表现。以下手术治疗不仅应包括切开复位，还应包括股骨上段和髋臼的所有畸形。这种联合手术从6个月起的婴儿期就已经可行。单独矫正增加的前倾角和颈干角或增加的髋臼角是不合适的。仅在极少数病例中可发现未手术髋关节部分的自发正常化。通过异体深冻皮质松质骨移植成功地实现了Dega髋臼成形术中骨缺损的稳定。
