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发育性髋关节脱位非手术治疗后的股骨头缺血性坏死。36例患者随访17至26年的预后情况。

Avascular necrosis after nonoperative treatment of developmental hip dislocation. Prognosis in 36 patients followed 17-26 years.

作者信息

Kruczynski J

机构信息

Department of Orthopedics, Academy of Medicine, Poznan, Poland.

出版信息

Acta Orthop Scand. 1995 Jun;66(3):239-44. doi: 10.3109/17453679508995532.

DOI:10.3109/17453679508995532
PMID:7604705
Abstract

36 children (61 hips) who had nonoperative treatment of developmental hip dislocation with the Frejka pillow and developed avascular necrosis were followed-up for an average of 20 (17-26) years. The radiographic pattern of necrosis was classified into 5 types. At final follow-up after completion of growth, the radiographic outcome was excellent in 11 hips, good in 21, fair in 19, and poor in 10 hips. There was a close correlation between the pattern of necrosis and the outcome: all the poor results were observed in cases with changes also involving the metaphysis.

摘要

36名采用Frejka枕非手术治疗发育性髋关节脱位并发生股骨头缺血性坏死的儿童(61髋),平均随访20(17 - 26)年。坏死的影像学表现分为5型。在生长发育完成后的最终随访中,11髋的影像学结果为优,21髋为良,19髋为中,10髋为差。坏死类型与结果之间存在密切相关性:所有差的结果均见于同时累及干骺端的病例。

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1
Avascular necrosis after nonoperative treatment of developmental hip dislocation. Prognosis in 36 patients followed 17-26 years.发育性髋关节脱位非手术治疗后的股骨头缺血性坏死。36例患者随访17至26年的预后情况。
Acta Orthop Scand. 1995 Jun;66(3):239-44. doi: 10.3109/17453679508995532.
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Natural history of type III growth disturbance after treatment of developmental dislocation of the hip.发育性髋关节脱位治疗后III型生长紊乱的自然病史。
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