闭合复位治疗婴幼儿发育性髋脱位的疗效观察 |
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引用本文: | 边臻,郭源,田伟. 闭合复位治疗婴幼儿发育性髋脱位的疗效观察[J]. 中华外科杂志, 2007, 47(1): 1017-1019. DOI: 10.3760/cma.j.issn.0529-5815.2009.13.017 |
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作者姓名: | 边臻 郭源 田伟 |
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作者单位: | 北京大学第四临床医学院北京积水潭医院小儿骨科,100035; |
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摘 要: | Objectives To retrospectively review the results of closed reduction for developmental dysplasia of the hip (DDH), and analyze the causative for the dissatisfactory results of radiolagieal. Methods From 1997 to 2005 the results of closed reduction for DDH in 60 children (77 hips) over 4.5 years period were retrospectively reviewed. Radiological final results of the patients were evaluated with Severin classification. The causative factors made from medical records and radiographs were used to make statistical analysis. Results Seventy-three percent of the patients (56/77) had satisfactory results according to Severin classification. Twenty-one hips classed as SeverinⅢ-Ⅴ. Seventeen of the 21 hips had a reconstructive procedure. Avaseular necrosis was observed in 29 hips (38%). The most important parameters affecting the result were age at reduction (P < 0. 05) and avascular necrosis (P < 0.05).Conclusions In order to achieve better clinical and radioiogical results, the infants suffering from the DDH should be treated in the early stage. The postoperative avascular necrosis usually leads to poor prohnosis.
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关 键 词: | 髋脱位,先天性 治疗,临床研究性 闭合复位 |
Treatment of developmental dysplasia of the hip in children: results of dosed reduction and immobilization in hip spica cast |
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Keywords: | Hip dislocation congenitalTherapies investigationalClosed reduction |
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