Robert H, Seringe R
Rev Chir Orthop Reparatrice Appar Mot. 1982;68(7):425-39.
From approximately 2,500 cases of treated congenital dislocation of the hip, the authors have selected 82 cases with 100 hips showing disturbance of the superior epiphysis and metaphysis of the femur. These have been observed after several types of treatment - napkins in abduction, abduction harnesses, abduction splintage, closed reduction by Lorenz technique, progressive reduction by Somerville technique or open reduction. The risk factors have been analysed in 22 hips treated by progressive reduction. It is concluded that changes in the metaphysis and in the growth plate are the main cause of late abnormality. A classification of these abnormalities is proposed to aid diagnosis and for the institution of earlier treatment. In severe cases, combined pelvic and femoral osteotomy give the most satisfactory results.
在约2500例接受治疗的先天性髋关节脱位病例中，作者选取了82例，其100个股骨的骨骺和干骺端出现了紊乱。这些病例接受了几种不同类型的治疗——外展尿布、外展吊带、外展夹板固定、洛伦兹技术闭合复位、萨默维尔技术渐进性复位或切开复位。对采用渐进性复位治疗的22个股骨进行了危险因素分析。得出的结论是，干骺端和生长板的变化是晚期异常的主要原因。提出了这些异常的分类方法，以辅助诊断并便于更早地进行治疗。在严重病例中，骨盆和股骨联合截骨术能取得最满意的效果。
