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小儿创伤性后髋关节脱位的早期复位比治疗方法重要得多。

Early Reduction of Pediatric Traumatic Posterior Hip Dislocation Is Much More Important Than the Treatment Procedure.

作者信息

Yuksel Serdar, Albay Cem

机构信息

From the Orthopaedic and Traumatology Department, Kanuni Training and Research Hospital, Trabzon.

Orthopaedic and Traumatology Department, Horasan State Hospital, Erzurum, Turkey.

出版信息

Pediatr Emerg Care. 2019 Nov;35(11):e206-e208. doi: 10.1097/PEC.0000000000001351.

Abstract

Traumatic hip dislocations are very rare in the pediatric population, and they are real emergent cases that can occur with minimal trauma. If they are not diagnosed immediately and reduction is not performed as soon as possible, they may cause problems such as avascular necrosis and degenerative arthritis. Performing reduction within the first 6 hours is of vital importance.We aim to present the functional outcomes and radiographic results of 2 pediatric traumatic hip dislocation cases with 36 months of follow-up who were treated with abduction orthosis after the reduction. We want to emphasize the importance of reduction time in the outcome of posterior traumatic hip dislocations followed with abduction orthesis even if there is a trend and suggestion to treat these patients with spica cast with the review of the recent literature.

摘要

创伤性髋关节脱位在儿科人群中非常罕见,它们是真正的急症,可能在极小的创伤后发生。如果不能立即诊断并尽快进行复位,可能会导致诸如缺血性坏死和退行性关节炎等问题。在最初6小时内进行复位至关重要。我们旨在呈现2例小儿创伤性髋关节脱位病例的功能结局和影像学结果,这2例患者在复位后采用外展支具治疗,随访36个月。通过回顾近期文献,我们想强调即使有一种趋势和建议是用髋人字石膏治疗这些患者,但复位时间对创伤性后脱位髋关节采用外展支具治疗后的结局的重要性。

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