Kuner E H, Elsässer B, Schlickewei W
Abteilung Unfallchirurgie, Chir. Univ. Klinik, Freiburg.
Langenbecks Arch Chir. 1988;Suppl 2:211-6.
Traumatic dislocations of the hip, while very infrequent injuries, must be treated with the utmost urgency. The later the adjustment is made, the sooner aseptic necrosis of the femoral head and periarticular ossification have to be reckoned with; these may lead to dysfunction. The results of 40 cases are reported, one-half of which was treated with two-week extension and a long period of non-weight bearing, the other half without extension, early mobilisation and partial weight bearing up the 11th week. The results in each group are equally good. Thus, we endorse Lorenz Böhler's proposal to follow the immediate repositioning with a short inpatient treatment and early mobilisation, increasing to full-weight bearing after one week and certifying working capability after 3 to 4 weeks.
髋关节创伤性脱位虽然是非常罕见的损伤，但必须极其紧急地进行治疗。复位越晚，就越要尽早考虑股骨头无菌性坏死和关节周围骨化；这些可能会导致功能障碍。报告了40例病例的结果，其中一半采用两周牵引和长时间不负重治疗，另一半不进行牵引，早期活动并在第11周前部分负重。每组的结果同样良好。因此，我们赞同洛伦兹·伯勒的建议，即立即复位后进行短期住院治疗和早期活动，一周后增加至完全负重，并在3至4周后证明具备工作能力。
