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陈旧性髋关节脱位：一种不寻常的表现、治疗方法及文献综述

Neglected hip dislocation: an unusual presentation, its management and review of the literature.

作者信息

Kumar Sandeep, Dahuja Anshul, Narula M S, Garg Sangam, Kaur Rashmeet

机构信息

Gian Sagar Medical College Chandigarh Punjab, Patiala, India.

出版信息

Strategies Trauma Limb Reconstr. 2017 Nov;12(3):189-192. doi: 10.1007/s11751-017-0285-7. Epub 2017 Apr 26.

DOI:10.1007/s11751-017-0285-7
PMID:28447315
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5653596/
Abstract

Neglected traumatic posterior hip dislocation is not an uncommon condition seen in developing countries. Its treatment is fraught with great difficulties and controversies. Here we present a 31-year-old female patient presented to our hospital 2 years after sustaining an accident. She had gone through multiple treatments for her dislocated hip without any success. After arrival to our hospital, patient managed by constrained total hip replacement (THR). Her Harris hip score improved from 48 (preoperative) to 81 (postoperative). On follow-up she had a good range of movement of the hip with no pain, deformity and limb length discrepancy. Constrained THR provides promising results in neglected hip dislocation.

摘要

在发展中国家，创伤性后髋关节脱位被忽视的情况并不少见。其治疗充满了巨大困难和争议。在此，我们介绍一位31岁女性患者，她在事故发生2年后前来我院就诊。她因髋关节脱位接受了多次治疗，但均未成功。入院后，该患者接受了限制性全髋关节置换术（THR）治疗。她的Harris髋关节评分从术前的48分提高到了术后的81分。随访时，她的髋关节活动范围良好，无疼痛、畸形和肢体长度差异。限制性全髋关节置换术在治疗被忽视的髋关节脱位方面取得了令人满意的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/2f20e4029f2a/11751_2017_285_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/9db87905ad8b/11751_2017_285_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/d95a3295db3a/11751_2017_285_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/3c0b307673a8/11751_2017_285_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/2f20e4029f2a/11751_2017_285_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/9db87905ad8b/11751_2017_285_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/d95a3295db3a/11751_2017_285_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/3c0b307673a8/11751_2017_285_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb8/5653596/2f20e4029f2a/11751_2017_285_Fig4_HTML.jpg

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