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创伤性髋关节后脱位的长期结果

The long-term results of traumatic posterior dislocation of the hip.

作者信息

Upadhyay S S, Moulton A

出版信息

J Bone Joint Surg Br. 1981;63B(4):548-51. doi: 10.1302/0301-620X.63B4.7298682.

Abstract

Out of a total of 91 patients with traumatic posterior dislocation of the hip treated between 1936 and 1974 in the Mansfield area, 81 patients were reviewed. The average follow-up period was 12.5 years, although there was a large number of cases with a follow-up of more than 15 years and a smaller number with a follow-up of 30 years. The overall results were surprisingly poor despite early reduction of the dislocation in the majority of cases. We found that 15 years after simple dislocation 24 per cent of the cases had a poor result by both clinical and radiological criteria, but in the more severe grades of initial injury the results became worse, with 73.3 per cent of the patients graded as fair and poor, and only 26.7 per cent graded excellent or good.

摘要

1936年至1974年间,曼斯菲尔德地区共治疗了91例创伤性髋关节后脱位患者,其中81例接受了复查。平均随访期为12.5年,不过有大量病例的随访时间超过了15年,还有少数病例的随访时间为30年。尽管大多数病例脱位得到了早期复位,但总体结果却出奇地差。我们发现,单纯脱位15年后,根据临床和放射学标准,24%的病例结果较差,但在初始损伤较严重的等级中,结果更差,73.3%的患者评定为一般和较差,只有26.7%评定为优秀或良好。

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