肩顶复位法治疗髋关节后脱位

Manipulative reduction of shoulder lift for the treatment of posterior dislocation of hip joint

目的:观察肩顶复位法治疗髋关节后脱位的临床疗效。方法:2001年7月至2010年6月,14例髋关节后脱位,男12例,女2例;年龄18～57岁,平均34.6岁;病程2h～3d,平均1.1d。采用肩顶复位法整复,复位后配以牵引、练功及中药等治疗。根据Harris功能评分系统评价疗效。结果:14例均一次复位成功并获随访,时间8～24个月,平均16个月。Harris功能总分为(97.14±4.90)分,其中髋部疼痛、关节活动度、日常功能活动、畸形分别为(42.86±1.88)、(4.71±0.47)、(45.57±9.26)、(4.00±0.00)分;优12例,良2例。均未出现股骨头缺血性坏死等并发症。结论:肩顶复位法可单人操作,有效整复髋关节后脱位,为患髋康复奠定良好基础。

Objective ： To observe the effects of shoulder lift reduction for treatment of posterior dislocation of hip joint. Methods：From July 2001 to June 2010,14 cases of posterior dislocation of hip joint were treated with shoulder lift reduction involving 12 males and 2 females with an average age of 34.6 years ranging from 18 to 57 years. After recduction ,all patients were assisted with the traction, exercise and traditional Chinese medicine. The mean duration between injured and treatment was 1.1 days （2 hours to 3 days）. According to Harris scoring system the hip joint function were evaluated. Results：All pa- tients were followed-up for 8 to 24 months （means 16 months）. Fourteen cases were reset well in first without any complication. The Harris score was （97.14±4.90） in total,involving hip pain （42.86±1.88）, articular activity （4.71±0.47）,daily activity （45.57±9.26）, deformity （4.00±0.00）, the clinical outcome was excellent in 12 cases, good in 2. There were not complications such as avascular necrosis of the femoral head, and so on. Conclusion ： The shoulder lift reduction can be used by one person, and the treatment of posterior dislocation of hip joint is effective. It established a good foundation for the rehabilitation of trouble hip.