Herold H Z, Daniel D
Isr J Med Sci. 1977 Mar;13(3):283-9.
We report on a consecutive series of 68 children, between the ages of two and six years, with 97 neglected dislocated hips. The standard treatment consisted of traction, open reduction and innominate osteotomy. The results were satisfactory in most cases and the number of complications decreased significantly with improved surgical techniques. Additional operations, such as femoral varisation derotation osteotomy or Colonna arthroplasty, were performed only in exceptional cases for the treatment of complications. The treatment of neglected congenital dislocation of the hip after the patient has begun walking is a difficult orthopedic problem and and uniformly good results cannot be expected. Open reduction and innominate osteotomy appear to be the best form of treatment in the age group studied.
我们报告了连续68例年龄在2至6岁之间、患有97例被忽视的髋关节脱位的儿童。标准治疗包括牵引、切开复位和髋臼截骨术。大多数病例的结果令人满意，随着手术技术的改进，并发症的数量显著减少。仅在特殊情况下才进行额外的手术，如股骨内翻旋转截骨术或科隆纳关节成形术，以治疗并发症。在患者开始行走后治疗被忽视的先天性髋关节脱位是一个棘手的骨科问题，无法期望获得一致的良好效果。在本研究的年龄组中，切开复位和髋臼截骨术似乎是最佳的治疗方式。
