功能性疗法治疗先天性髋脱位

CLINICAL OBSERVATION OF TREATMINT IN CONGENITAL DISLOCATION OF HIP WITH TRACTIVE REDUCTION AND LIMITARY RETENTION

１９８３年～１９９５年，采用牵引复位有限制动的功能性方法治疗４岁以下小儿先天性髋脱位４３５例６０６髋。随访２～１１ａ，平均５５ａ。复位成功率９８％，根据周永德的评定标准，按脱位程度进行疗效评价，总优良率９２％，股骨头缺血性坏死率３９％，再脱位１０髋占１６％。作者认为牵引复位有限制动是治疗婴幼儿先天性髋脱位的有效方法，复位率和髋臼发育优良率高，股骨头缺血性坏死明显减少。

From 1983 to 1995, 435 cases (606 hips) under 4 years old childrer with congenital dislocation of hip were treated with a functional method of the tractive reduction and limitary retention. All patients were followed up for 2～11 years on average peroid 5.5 years. The treatment of 98% hips were successful. The clinical observation results of the cases were assessed according to the criteria of Zhou Yongde and the different degree of dislocation. The overall assessment of the effect of the method showed satisfactory results of 92% hips. 3.9% hips were found ischemic necrosis of femoral head and 10 hips were found redislocation. The results revealed that the method can reduce obviously the morbidity of ischemic necrosis of femoral head. There were high rate of reduction and satisfactory rate of acetabula development. The tractive reduction and limitary retention is believed to be an effective method for the treatment of CDH in the infant and young children.