St Clair H S, Zimbler S
Clin Orthop Relat Res. 1985 Apr(194):74-80.
In a retrospective review of 52 hips in 26 patients with arthrogryposis, 65% of all hips studied were affected by the disorder; 46.6% of the patients were independent ambulators, 33.3% required some type of bracing for ambulation, and 20% were confined to a wheelchair. Based on the results of the authors' treatment as determined by a functional hip score, the authors recommend a one-stage open reduction, varus shortening femoral derotational osteotomy for all unilateral hip dislocations and those bilateral hip dislocations that have a less severe generalized involvement. They also recommend an aggressive traction program with appropriate soft-tissue releases during the neonatal period for patients with subluxation and/or marked limitation of motion of the hip.
在一项对26例关节挛缩症患者的52个髋关节的回顾性研究中，所有研究的髋关节中有65%受到该疾病影响；46.6%的患者能够独立行走，33.3%的患者行走时需要某种类型的支具，20%的患者只能依靠轮椅。根据作者通过功能性髋关节评分确定的治疗结果，作者建议对所有单侧髋关节脱位以及那些全身受累较轻的双侧髋关节脱位进行一期切开复位、内翻短缩股骨旋转截骨术。他们还建议对髋关节半脱位和/或髋关节活动明显受限的新生儿患者在新生儿期进行积极的牵引治疗并适当松解软组织。
