改良蛙式石膏固定治疗发育性髋脱位

目的总结用改良蛙式石膏固定方法治疗发育性髋脱位（DDH）的临床经验。方法采用内收肌切断、手法闭合复位、改良蛙式石膏固定方法治疗DDH患儿193例282髋,对患儿的临床资料进行回顾性分析。结果193例均获得随访,时间5年6个月～11年6个月,平均（8±3.2）年。参照周永德等发育性髋脱位疗效评价标准,239髋复位满意,远期优良率为84.8%。根据Salter评价标准,有10例发生股骨头缺血性坏死。结论改良蛙式石膏固定方法治疗DDH具有操作简单、住院时间缩短等优点,是一种有效的方法。固定后护理很重要。

Modified frog type plaster immobilization for developmental dislocation of hip

Objective To evaluate modified frog type plaster immobilization for developmental dislocation of hip（DDH） in children between 18 - 36 months old. Methods 193 children （282 hips） with DDH were treated with adductor tenotomy ,closed reduction and modified frog type plaster immobilization. All cases were given a longitudinal study follow up for a mean of 8 （5.5 - 11.5 ） years postoperatively. Radiographic analysis and clinical hip joint function were estimated in all patients. Results All cases were followed up for 5 years and 6 months to 11 years and 6 months （8 ± 3.2 years on average）. The excellent and good rate was 84. 8% according to the criteria of Zhou Yongde. 10 hips were complicated with femoral head necrosis according to Salter standard. Conclusions Modified frog type plaster immobilization is an effective way to treat children with DDH between 6 -36 months old. Postoperative care is very important.