联合手术及功能训练治疗大龄先天性髋关节脱位

Combined surgical treatments for congenital dislocation of the hip in the elder

目的探讨减少大龄先天性髋关节脱位手术并发症的手术方法。方法对 36例(38个髋关节)大龄先天性髋关节脱位患者采用综合措施进行治疗。结果随访平均 5年7个月 (6个月～ 10年3个月 )。根据 Mckay临床评定标准，优 11例，良 18例(20个髋关节)，可 5例，差 2例，优良率 81.6％ (31/38).结论大龄先天性髋关节脱位单一方法的手术治疗并发症多，联合手术、早期功能锻炼可获得较满意的治疗效果。

Objective In order to investigate the methods of the surgical treatment for the congenital dislocation of the hip in the elder . Methods Thirty six elders who had the congenital dislocation of the hip were treated with combined surgical treatments.Results Thirty－six patients(thirty－eight hips)were followed up with an average span of five years and seven months(six months to ten years and three months).The results of eleven patients were excellent and eighteen patients(twenty hips)were good modorate,5cases and 2cases according to Mckay’s clinical criteria.The excellent and good rate was 81.6％ (31/38). Conclusion The rate of complications of single surgical treatment for the congenital dislocation of the hip was high. However the combined surgical treatments for this disease could get better results.