发育性髋关节脱位Steell三联截骨手术后的综合康复

The comprehensive rehabilitation training of the developmental dysplasia of the hip children after Steell osteotomy

研究大龄发育性髋关节脱位(DDH)的儿童,行Steell三联截骨手术后,髋关节功能的恢复与综合康复的方法和疗效。方法:5例平均年龄为7.4±1.5岁的DDH的患儿,行Steell三联截骨手术治疗,术后不同时期进行相应的康复训练,如助力训练、CPM训练及物理治疗等。分别在治疗前后测定患侧髋关节各个方向活动的最大角度。结果康复治疗前平均髋关节功能受损为55.2%,治疗后为10%。结论:Steell三联截骨术是治疗大龄DDH的一种有效的手术方法,术后早期、合理的综和康复训练是保证手术效果、恢复髋关节功能最有效的方法,但不同的患儿应根据临床体征等条件合理制定康复计划,防止髋关节再脱位和股骨头缺血性坏死的发生。

Objective:To study the comprehensive rehabilitation methods and the curative effect of the recovery of the hip joint function,after elder developmental dysplasia of the hip(DDH) children received the Steel Osteotomy.Method:5 elder DDH children, after receiving the Steell osteotomy,were given corresponding rehabilitation training at different period.In order to confirm the injury and recovery situation of the hip function, the range of motion (ROM) of the hip was measured before and after the rehabilitation training. Result:After the rehabilitation training, the injuried of hip function were significantly decreased from 55.2% to 10%. Conclusion: Child who is older than 6,DDH will be more difficult to be treated. Steell osteotomy is one of the surgeries that can cure the elder DDH children.The effect of the surgery can be ensured by the early and reasonable rehabilitation training.And this is the most effective way to recover the function of the hip.And we must be careful to avoid the hip joint redislocation or avascular necrosis of the femoral head during the training.