| Pemberton手术为主多种辅助手段治疗大龄儿童先天性髋脱位 |
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Received:September 20, 2002 Revised:November 22, 2002
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| 作者 | Author | 单位 | Unit | E-Mail |
| 李福如 |
LI Furu |
山西省荣军医院骨科,山西太原030031 |
Department of Orthopaedics,Rongjun Hospital of Shanxi, Shanxi Taiyuan 030031 |
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| 王斌生 |
WANG Binsheng |
山西省荣军医院骨科,山西太原030031 |
Department of Orthopaedics,Rongjun Hospital of Shanxi, Shanxi Taiyuan 030031 |
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| 高文平 |
GAO Wenping |
山西省荣军医院骨科,山西太原030031 |
Department of Orthopaedics,Rongjun Hospital of Shanxi, Shanxi Taiyuan 030031 |
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| 周志琪 |
ZHOU Zhiqi |
山西省荣军医院骨科,山西太原030031 |
Department of Orthopaedics,Rongjun Hospital of Shanxi, Shanxi Taiyuan 030031 |
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| 梁建全 |
LIANG Jianquan |
山西省荣军医院骨科,山西太原030031 |
Department of Orthopaedics,Rongjun Hospital of Shanxi, Shanxi Taiyuan 030031 |
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| 刘玉琴 |
LIU Yuqin |
山西省荣军医院骨科,山西太原030031 |
Department of Orthopaedics,Rongjun Hospital of Shanxi, Shanxi Taiyuan 030031 |
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| 陆宸照 |
LU Chenzhao |
上海第二医科大学附属瑞金医院骨科 |
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| 期刊信息：《中国骨伤》2003年16卷，第7期，第406-408页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:应用Pemberton手术为主多种辅助手段治疗大龄儿童先天性髋脱位,从而降低术后髋关节脱位、僵硬和股骨头坏死发生率。
方法:自1989年8月-1999年8月,用Pemberton手术为主多种辅助手段治疗大龄儿童(7～14岁)先天性髋脱位46例(58髋),随访2～9年,平均5年3个月。辅助手段包括:①髂腰肌及内收肌切断,股骨髁上骨牵引;②股骨粗隆下旋转加短缩截骨;③单髋人字石膏制动;④髋关节早活动,晚负重;⑤术后被动活动髋关节加主动功能锻炼。
结果 髋关节完全复位率100%,髋关节屈曲小于90°者4髋,占6.9%,按Salter提出的股骨头坏死诊断标准46例(58髋)中,股骨头坏死6髋,占10.3%,明显降低了大龄儿童先天性髋脱位术后髋关节僵硬、股骨头坏死率。
结论:Pemberton手术为主多种辅助手段治疗大龄儿童先天性髋脱位疗效确切,优良率高。 |
| [关键词]:儿童 髋脱位,先天性 骨科手术方法 |
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| Treatment of the congenital hip dislocation of the high age children by pemberton operation and accessory methods |
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Abstract:
Objective:Pemberton operation and accessory Methods were used for the treatment of congenital hip dislocation in high age children to reduce the rate of redislocation,hip stiffness and avascular necrosis of the femoral head after operation.
Methods:Between August 1989 and August 1999,58 hips with congenital dislocation in 46 cases of high age children (7 years old to 14 years old) were treated by Pemberton operation and accessory methods,and were followed-up from 2 years to 9 years(average,5 years and 3 months).The accessory Methods include:1)cutting of iliopsoas and adductor muscles and traction of the femur.2) femoral shortening and derotational osteotomy.3) plaster fixation of hip.4) early movement of the hip joint after operation and late ambulation.5) rehabilitation of the hip joint passively and actively.
Results:The complete reduction rate of the hip was 100%.Four cases(6.9%) can only flex their hip joint below 90 degrees.According to the Salter standard of avascular necrosis of the femoral head,the necrosis occurred in 6 cases(10.3%).The rate of avascular necrosis of femoral head and hip stiffness in high age children after the treatment were reduced obviously.
Conclusion:Pemberton operation and accessory Methods were preferred in treating the congenital hip dislocation in high age children. |
| KEYWORDS:Child Hip dislocation,congenital Orthopaedics operative methods |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李福如,王斌生,高文平,周志琪,梁建全,刘玉琴,陆宸照.Pemberton手术为主多种辅助手段治疗大龄儿童先天性髋脱位[J].中国骨伤,2003,16(7):406~408 |
| 英文格式: | LI Furu,WANG Binsheng,GAO Wenping,ZHOU Zhiqi,LIANG Jianquan,LIU Yuqin,LU Chenzhao.Treatment of the congenital hip dislocation of the high age children by pemberton operation and accessory methods[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(7):406~408 |
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