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儿童创伤性髋关节脱位

Traumatic hip dislocation in childhood.

作者信息

Hamilton P R, Broughton N S

机构信息

The Royal Children's Hospital, Melbourne, Australia.

出版信息

J Pediatr Orthop. 1998 Sep-Oct;18(5):691-4. doi: 10.1097/00004694-199809000-00028.

Abstract

Eighteen cases of traumatic dislocations of the hip in children under 15 years of age presenting between 1985 and 1995 were reviewed. Fifteen of the dislocations were posterior. There were two groups: a younger group dislocating with minimal trauma and an older group whose injuries involved significantly more trauma. All patients were treated by closed reduction, but two required open reduction because of intraarticular fragments preventing a full reduction. On long-term follow-up of the 16 available patients (average length of follow-up, 5 years 10 months; range, 17-132), there were no cases of avascular necrosis or early degenerative change.

摘要

回顾了1985年至1995年间出现的18例15岁以下儿童外伤性髋关节脱位病例。其中15例为后脱位。患者分为两组:一组年龄较小,脱位时创伤极小;另一组年龄较大,受伤时创伤明显更大。所有患者均接受了闭合复位治疗,但有2例因关节内碎片阻碍完全复位而需要切开复位。对16例可随访患者进行长期随访(平均随访时间为5年10个月;范围为17 - 132个月),未发现缺血性坏死或早期退变改变的病例。

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