摘要
作者对采用双向牵引法治疗的５３例髋关节中心性脱位的患者进行了报道。髋关节中心性脱位是一种严重的损伤，作者强调，应在１周内进行复位，并采用患肢外展１５°、内旋２０°、屈髋３０°体位的双向牵引法维持，遵循早期活动关节，晚期下地负重的原则，即便骨折对合相差０．５ｃｍ，远期疗效仍然是满意的；作者还认为，影响疗效的因素与损伤的严重度无明显关系，而与治疗的时机和方法有关。
Theauthorsreported53casesofcentraldislocationofthehiptreatedbytractionintwodiferentdirections.Centraldislocationisaseriouscondition,andmustbereducedwithinoneweek.Thediseasedlowerextremityshouldbemaintainedinadoubledirectiontraction,i.e.atthepositionofabductionof15degrees,internalrotationof20degrees,andflexionofthehipin30degrees.Thepatient'shipjointsshouldbemobilizedearlywithoutbearingweightearly.Evenifthefractureendhadbeendisplacedfor0.5cm,thelongtermresultswouldstilbesatisfactory.Itwasalsofoundthattheresultsofthetreatmentwerecloselycorrelatedwiththetimeandthemethodofthetreatment,andshowednoevidentassociationwiththedegreeoftheinjury.Theaveragefolow-upperiodwas6yearsandtheexcelentratewas90.5%.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1996年第4期218-220,共3页
Chinese Journal of Orthopaedics
