阶段性闭合复位法治疗难复性先天性髋脱位

A Phased Close Reduction for Congenital Dislocation of the Hip with Difficulty in Reduction

本文介绍一种治疗难复性先天性髋脱位的新方法,即采用阶段性闭合复位法。在第一阶段中,将先天性髋脱位患儿置入热塑料板外展支架中固定,每天做关节功能操。当脱位髋关节囊外挛缩软组织松弛后,再进行第二阶段的治疗。在第二阶段中,清醒状态下将脱位髋进行手法闭合复位。复位成功后,继续支架固定,并继续双髋关节功能操锻炼。这一方法使原来一次性复位失败需改为手术切开复位的患者重新获得了闭合复位的机会。采用本方法治疗25个髋,其中20个髋获得成功。

A new method of a phased close reduction for CDH with difficulty in reduction was introduced in this article. In the first phase, patients with CDH were put into the plexiglass frame and the hip was exercised everyday. When the contracted soft structures about the hip were loosen, the second phase was carryed out, in which the dislocated femoral head was manipulated into acetabulum, and then the hip joint was fixed by the plexiglass. This method makes it possible that the patients with difficulty in reduction get treatment of close reduction. In this group of 25 dislocated hip treated by this method, 20 hips got satisfactory effects.