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先天性髋关节脱位的三联预防

Triple prevention of congenital dislocation of the hip.

作者信息

Klisić P, Rakić D, Pajić D

出版信息

J Pediatr Orthop. 1984 Nov;4(6):759-61. doi: 10.1097/01241398-198411000-00022.

DOI:10.1097/01241398-198411000-00022
PMID:6511907
Abstract

Triple prevention of congenital dislocation of the hip consists of (a) examining newborns so as to apply treatment as early as possible in symptomatic and suspected cases, (b) regular diapering in abduction of all presumably healthy hips by means of soft abduction pants so as to direct possible cases of dysplasia toward normal development, and (c) reexamination of these hips until the child can walk so as to discover missed cases. Primary treatment of diagnosed and suspected hip dislocations consists of immediate application of a Frejka splint and abduction exercises, followed by a radiograph at the age of 4 months. Persistence of any clinical symptom for 3 weeks requires intensification of treatment by use of the Pavlik harness.

摘要

先天性髋关节脱位的三级预防包括

(a) 检查新生儿,以便在出现症状和疑似病例时尽早进行治疗;(b) 对所有可能健康的髋关节采用软外展裤进行外展姿势的常规换尿布,以便使可能的发育异常病例朝正常发育方向发展;(c) 对这些髋关节进行复查,直至儿童能够行走,以便发现漏诊病例。已诊断和疑似髋关节脱位的初始治疗包括立即使用弗雷卡夹板并进行外展练习,随后在4个月大时进行X光检查。任何临床症状持续3周需要使用帕夫利克吊带加强治疗。

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1
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