Oni O O, Orhewere F A, Keswani H
Injury. 1984 Jan;15(4):219-23. doi: 10.1016/0020-1383(84)90001-9.
Old unreduced traumatic dislocations of the hip present great difficulties in management, especially in countries where implants for reconstructive surgery are not readily available. Eleven patients were initially treated with continuous skeletal traction of 10-30 kg for a period of 3 weeks. All of five type I dislocations, were reduced by this method even though there had been 3 weeks-6 months delay before treatment. By contrast, traction was not successful in three Type II and three Type III dislocations even after extensive surgical mobilization of the head and neck of femur because they were so much more serious injuries. Acceptable results were achieved in these cases after arthrodesis or excision arthroplasty and excellent results comparable to those achieved by implants followed by temporary transfixion of the hip joint. From our experience of these results, we believe that the traditional pessimism about the effects of old, unreduced traumatic dislocation of the hip is not justified.
陈旧性未复位创伤性髋关节脱位的治疗存在很大困难，尤其是在那些难以获得重建手术植入物的国家。11例患者最初接受了10 - 30kg的持续骨骼牵引，为期3周。所有5例I型脱位，即使在治疗前有3周 - 6个月的延迟，通过这种方法也得以复位。相比之下，3例II型和3例III型脱位即使在对股骨头颈进行广泛手术松动后，牵引也未成功，因为这些损伤更为严重。在这些病例中，通过关节融合术或切除关节成形术取得了可接受的结果，并且与植入物治疗后再进行髋关节临时固定所取得的结果相当，效果良好。基于我们对这些结果的经验，我们认为传统上对陈旧性未复位创伤性髋关节脱位影响的悲观态度是没有道理的。
