Ohsako H, Sakou T, Matsunaga S
Department of Orthopaedic Surgery, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
J Orthop Sci. 1998;3(6):304-9. doi: 10.1007/s007760050057.
In this study, we clinically and radiographically evaluated open reduction with shortening of the femur in children more than 1 year old with refractory congenital dislocation of the hip. In 19 children (aged 1-4 years), 22 joints were operated on. The patients were followed-up for an average of 8.7 years (range, 2-13 years). Functional results were satisfactory in all joints, and differences in limb length were not significant. Radiographically, good results (grades I and II) were obtained in 16 of the 22 joints, according to Severin's criteria. This surgical procedure may be indispensable for treating refractory congenital dislocation of the hip in children over 1 year old.
在本研究中，我们对1岁以上患有难治性先天性髋关节脱位的儿童进行了股骨缩短切开复位术，并进行了临床和影像学评估。19名儿童（年龄1至4岁）共22个关节接受了手术。患者平均随访8.7年（范围2至13年）。所有关节的功能结果均令人满意，肢体长度差异不显著。根据Severin标准，22个关节中的16个在影像学上获得了良好结果（I级和II级）。对于治疗1岁以上儿童难治性先天性髋关节脱位，这种手术方法可能是必不可少的。
