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髋关节发育不良与脱位的保守及手术治疗

[Conservative and surgical treatment of hip dysplasia and dislocation].

作者信息

Grill F

出版信息

Padiatr Padol. 1985;20(1):39-47.

PMID:3975060
Abstract

Almost in any case of hip dislocation and dysplasia, diagnosed within the first 3 months of live conservative treatment is successful. Very instable hips have to be treated with plasters. Because of the danger of necrosis of the femoral epiphysis the Lorenz position of hip plasters is no more longer accepted. The only way to avoid this complication is to use the human position (110 Grad flexion, 60 Grad abduction) for hip spikas. Surgical methods are necessary in cases of late diagnosis, or of neglected conservative therapy.

摘要

几乎在任何髋关节脱位和发育不良的病例中,若在出生后的前3个月内确诊,保守治疗都会成功。极不稳定的髋关节必须用石膏治疗。由于存在股骨骨骺坏死的风险,髋关节石膏的洛伦兹位已不再被接受。避免这种并发症的唯一方法是在髋人字石膏固定时采用人体位(屈曲110度,外展60度)。对于诊断较晚或保守治疗被忽视的病例,手术方法是必要的。

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