人体位固定治疗先天性髋脱位

目的 探讨上儿先天怀髋脱位闭合复位后不同固定方式的治疗经验。方法 对１９８２～１９９０年采用闭合复位治疗的３９３例患儿（５８９个髋）做平均１２年的随访。结果 ５８９个髋,１８５个发生股骨头坏死,占３１．４％,其中蛙式位支架固定９８个髋,４５个发生,占４５．９％;人体位支架固定４６８个髋,１３６个发生,占２９．１％;人体位石膏裤固定２３个髋,４个发生,占１７．４％。结论 人体位固定能有效地减少股骨头

Postural fixation after closed reduction of congenital hip dislocation in children

Objective To explore the effects on different posture fixation after closed reduction in congenital dislocation of hip (CDH). Methods From 1982 to 1990, 393 children with CDH (589 hips) received closed reduction in which 98 hips were fixed on frog position brace, 468 hips treated with human position brace; and 23 with human position spica. Results The follow up outcomes with an average of 12 years showed that 185 hips ( 31.4% ) complicated with avascular necrosis (AVN) of the femoral head. Of which, 45 hips ( 45.9% ) were fixed on frog brace; 136 hips ( 29.1% ) on human posture brace and 4 hips ( 17.4% ) on human posture plaster spica. Conclusion Human posture fixation after closed reduction of CDH can effectively decrease the incidence of AVN of the femoral head.