Greene W B
Department of Orthopaedic Surgery, University of Missouri, Columbia 65212, USA.
J Pediatr Orthop. 1998 Sep-Oct;18(5):643-7. doi: 10.1097/00004694-199809000-00017.
Two young children (three hips) with Down syndrome and dislocation of the hip were successfully treated by nonoperative methods by using the principle of prolonged immobilization or bracing. A 5-year, 6-month-old patient with bilateral habitual dislocation used an ambulatory abduction orthosis full-time for 6 months and then part-time for 4 months. Complete dislocation of the right hip in a 4-year, 6-month-old patient was managed by closed reduction, spica cast immobilization for 4 months, and then an ambulatory abduction orthosis for 8 months. Both patients developed stable, well-contained hips. Nonoperative management of hip dislocation in Down syndrome can be successful and avoids the complications associated with operations previously recommended for these patients.
两名患有唐氏综合征且髋关节脱位的幼儿（三个髋关节），通过采用长期固定或支具固定的原则，成功接受了非手术治疗。一名5岁6个月大的双侧习惯性脱位患者全天使用可移动外展矫形器6个月，然后部分时间使用4个月。一名4岁6个月大患者的右髋关节完全脱位，通过闭合复位、髋人字石膏固定4个月，然后使用可移动外展矫形器8个月进行治疗。两名患者的髋关节均发育稳定且包容良好。唐氏综合征患者髋关节脱位的非手术治疗可以成功，并且避免了先前推荐给这些患者的手术相关并发症。
