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针对年轻患者髋关节僵硬的关节牵张术。

Arthrodiastasis for stiff hips in young patients.

作者信息

Cañadell J, Gonzales F, Barrios R H, Amillo S

机构信息

Department of Orthopaedic Surgery and Traumatology, University Clinic, School of Medicine, University of Navarra, Pamplona, Spain.

出版信息

Int Orthop. 1993;17(4):254-8. doi: 10.1007/BF00194191.

DOI:10.1007/BF00194191
PMID:8407045
Abstract

Joint distraction (arthrodiastasis) with a unilateral fixator was used to treat 9 patients with stiffness of the hip which had followed Perthes' disease (3), epiphysiolysis (2), congenital dysplasia (2), tuberculosis (1) and idiopathic chondrolysis (1). Their average age was 14 years, and they all had pain, limp and shortening of the leg. Distraction of 0.5 to 1 cm was maintained for an average of 94 days. The average range of movement subsequently was 65 degrees compared with 20 degrees before. The articular space was widened by an average of 2.8 mm, and only 3 patients had pain on follow up.

摘要

采用单侧固定器进行关节牵张(关节扩张术)治疗9例髋关节僵硬患者,这些患者的病因分别为佩特兹病(3例)、骨骺分离(2例)、先天性发育不良(2例)、结核(1例)和特发性软骨溶解(1例)。他们的平均年龄为14岁,均有疼痛、跛行和腿部缩短症状。平均牵张0.5至1厘米,持续94天。随后的平均活动范围为65度,而之前为20度。关节间隙平均增宽2.8毫米,随访时仅有3例患者疼痛。

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