Wölfel R, Walther M, Hennig F F, Schneider C, Richter R H, Beck H
Unfallchirurgische Abteilung, Chirurgischen Universitätsklinik Erlangen-Nürnberg.
Zentralbl Chir. 1994;119(9):608-11.
Between 1968 and 1990, 26 patients (medium age 24.2 years) with a traumatic hip dislocation without fracture were treated at the Dept. of Trauma Surgery of the University Erlangen-Nuremberg. Only 26.9% of the patients had no further injuries beside the hip dislocation. An early closed reduction was carried out whenever possible. In 96.0% of the cases, radiological acceptable results have been achieved with the closed reduction. In 4.0% an open reduction became necessary. After a period of three to four weeks of extension, the patients had been mobilized to nonweight bearing status. Stress on the injured leg was increased progressively, that full weight bearing capacity was achieved after three months. It was possible to examine 12 of the 26 patients. Good and very good results based on the Merle d'Aubigné score and on the Thompson and Epstein score were obtained in 11 of the 12 patients. The complication seen most often was posttraumatic coxarthritis of the hip. We have not seen any necroses of the head of femur in our patients to date. All our results indicate, that the immediate and careful reposition under anaesthesia seems to be the most important factor in preventing a necrosis of the head of femur.
1968年至1990年间，埃尔朗根-纽伦堡大学创伤外科收治了26例（平均年龄24.2岁）无骨折的创伤性髋关节脱位患者。仅26.9%的患者除髋关节脱位外无其他损伤。只要有可能，均尽早进行闭合复位。96.0%的病例通过闭合复位获得了放射学上可接受的结果。4.0%的病例需要进行切开复位。在进行三到四周的牵引后，患者开始活动，处于非负重状态。逐渐增加受伤腿部的负重，三个月后达到完全负重能力。对26例患者中的12例进行了检查。12例患者中有11例根据Merle d'Aubigné评分以及Thompson和Epstein评分获得了良好和非常好的结果。最常见的并发症是创伤后髋关节关节炎。迄今为止，我们的患者中未发现股骨头坏死。我们所有的结果表明，在麻醉下立即进行仔细复位似乎是预防股骨头坏死的最重要因素。
