Davey J R, Harris W H
Orthopaedic Research Laboratory, Massachusetts General Hospital, Boston 02114.
Clin Orthop Relat Res. 1988 Sep(234):110-4.
Dislocation is a recognized complication following total hip arthroplasty (THA). Immobilization of the hip has been used successfully to treat those cases due to soft-tissue laxity. In two patients who had severe instability of the hip following complex revision THA, skeletal traction through the tibia was applied in a cephalad direction for three weeks. This unique method of employing traction maintained a reduction and resulted in a stable hip at the six-month follow-up evaluation in both patients. Reverse skeletal traction is a valuable treatment option when more conventional methods of immobilization of the hip will not maintain a reduction due to soft-tissue compromise.
脱位是全髋关节置换术（THA）后一种公认的并发症。对于因软组织松弛导致的病例，髋关节固定已成功用于治疗。在2例复杂翻修全髋关节置换术后出现严重髋关节不稳定的患者中，通过胫骨向头侧方向进行了3周的骨牵引。这种独特的牵引方法维持了复位，并在6个月的随访评估中使两名患者的髋关节均保持稳定。当更传统的髋关节固定方法因软组织受损而无法维持复位时，反向骨牵引是一种有价值的治疗选择。
