小儿先天性髋关节脱位非手术治疗的疗效观察

ABSTRACT Results of Conservative Treatment of CongenitalDislocation of the Hip

本文对２７９例采用手法复位外展支架治疗的３岁以下的先天性髋关节脱位患儿进行１～７年的随访观察，其中家长自行终止戴架者７例，坚持治疗者２７２例，失败１９例，失败率为７％。探讨失败原因可能与股骨颈的前倾角及颈于角过大，髋臼窝内纤维瘢痕组织过多或盂唇肥厚内翻影响复位以及关节周围软组织严重挛缩时股骨头压力太大而产生缺血性坏死等因素有关。鉴于上述原因，对先天性髋关节脱位进行手法复位非手术治疗的适应证必须严格掌握。

AbstractTwo hundred and seventy-nine children under 3years of age,with congenital dislocation of the hipwere treated with external fixation apparatus. The fol-lowup period extended fron 1 to 7 years,272 patientshad completed the whole treatment course. Therewere 19 failures(7%),which were apparently due tolarger angles of anteversion,shallow acetabulumfilledwith cartilaginous or fibrous tissue,and the labrum in-verted. contracture of the soft tissur around the ac-etabulum results in compression of the femoral headcausing necrosis. These are the facts to be kept clearlyin mind during the treatment of congenital dislocationof the hip with conservative method.