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[根据个人资料探讨先天性髋关节脱位或半脱位的治疗——决定治疗过程及结果的因素]

[Treatment of congenital dislocation or subluxation of the hip taken from personal material--factors determining the course and result of treatment].

作者信息

Maj S, Gołda W

机构信息

Poradni Ortopedycznej Okregowego Szpitala Kolejowego w Katowicach.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1995;60(6):485-90.

PMID:8620769
Abstract

A series of 65 children (130 hips) treated for congenital dislocation or subluxation of the hip with Pavlik harness been retrospectively reviewed. All patients were managed by the same physician and according to previously established principles. Mean follow-up after the termination of treatment was 7.5 months. Age at the onset of treatment and initial state of the hip were recognized as two major factors influencing the course and result of treatment. It was found, that the harness treatment is best initiated in first 9 weeks after birth and even a few weeks delay may seriously affect its efficacy. A dynamic index on alfa angle changes on serial ultrasound images of the hip (Graf method) has been introduced.

摘要

对65例(130髋)采用帕夫利克吊带治疗先天性髋关节脱位或半脱位的儿童进行了回顾性研究。所有患者均由同一位医生按照先前确立的原则进行治疗。治疗结束后的平均随访时间为7.5个月。治疗开始时的年龄和髋关节的初始状态被认为是影响治疗过程和结果的两个主要因素。结果发现,吊带治疗最好在出生后的前9周开始,即使延迟几周也可能严重影响其疗效。引入了髋关节系列超声图像(格拉夫法)上阿尔法角变化的动态指数。

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Chir Narzadow Ruchu Ortop Pol. 1995;60(6):485-90.
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Bilaterally dislocated hips treated with the Pavlik harness are not at a higher risk for failure.使用帕夫利克吊带治疗双侧髋关节脱位不会增加失败风险。
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[Pavlik's method of reduction treatment of congenital hip dislocation].[帕夫利克先天性髋关节脱位复位治疗法]
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