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先天性髋关节脱位的晚期治疗结果。

Results in the late treatment of congenital dislocation of the hip.

作者信息

Dal Monte A, Andrisano A, Capanna R, Soncini G

出版信息

Ital J Orthop Traumatol. 1982 Mar;8(1):5-15.

PMID:7174284
Abstract

The results obtained in the treatment of seventeen cases of long established (more than six years) congenital dislocation of the hip are reported. They were followed up for one to five years after operation. The writers consider osteotomy to correct leg length discrepancy to be unnecessary. Triradial osteotomy of the pelvis ensures optimal epiphyseal coverage and permits moderate lengthening of the limb. In the writers' experience, osteochondrosis is not related to the type of osteotomy, nor to operations to produce leg lengthening; it can be avoided by the use of prolonged post-operative traction.

摘要

本文报告了17例长期存在(超过6年)的先天性髋关节脱位的治疗结果。术后对这些病例进行了1至5年的随访。作者认为,矫正肢体长度差异的截骨术并无必要。骨盆的三放射状截骨术可确保最佳的骨骺覆盖,并允许肢体适度延长。根据作者的经验,骨软骨病与截骨术的类型无关,也与肢体延长手术无关;通过术后长时间牵引可避免其发生。

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