Tumer Y, Ward W T, Grudziak J
Ankara Medical Faculty Hospital, Turkey.
J Pediatr Orthop. 1997 Mar-Apr;17(2):176-80. doi: 10.1097/00004694-199703000-00008.
Fifty-six developmentally dislocated hips occurring in 37 children with an average age of 11.2 months (range, 2-25) underwent medial open reduction without preliminary traction by Ferguson's approach. Follow-up averaged 8.1 years (range, 3-17). Ninety-eight percent of hips were rated either excellent or good at final follow-up (Severin I or II). Eleven (19%) hips required secondary bony reconstructive procedures. Five (8.9%) hips demonstrated evidence of avascular necrosis. The authors conclude that medial open reduction is a safe and effective surgical treatment for developmental dislocation of the hip in the child younger than 2 years.
37名平均年龄为11.2个月（范围为2 - 25个月）的儿童共出现56例发育性髋关节脱位，采用弗格森入路进行内侧切开复位，未进行初步牵引。随访平均8.1年（范围为3 - 17年）。在末次随访时，98%的髋关节评定为优或良（塞韦林I级或II级）。11例（19%）髋关节需要二期骨重建手术。5例（8.9%）髋关节有股骨头缺血性坏死的证据。作者得出结论，内侧切开复位对于2岁以下儿童发育性髋关节脱位是一种安全有效的手术治疗方法。
