先天性髋脱位闭合复位551例报告

Long-Term Outcome of Close Reduction in 551 Cases of Congenital Dislocation of the Hip

先天性髋脱位闭合复位５５１例，其中３９１例获随访２～１８年。通过对内收肌切断组和内收肌十髂腰肌切断组两种不同治疗方式的观察，结果发现内收肌十髂腰肌组治疗结果优良率为９０．５％，高于内收肌组；而股骨头坏死率为８．５％，低于内收肌组。强调闭合复位时选择手术方式的重要性，并对复位后髋臼的发育潜力及复位时年龄、股骨头坏死及其治疗进行了讨论。

Long term outcome of close reduction and myotomy in 551 cases of congenital dislocation of the hip was reported. 391 cases of them were followed up for 2 to 18 years. Comparing the results of those who were treated by adductor tenotomy with the results of those treated by adductor and iliopsoas tenotomy, it was found that the latter was better than the former and had a lower incidence of avascular necrosis of the hip. The indication of close reduction, the acetabulum development, and the causative factors of complications were discussed.