摘要
为进一步提高大龄疑难先天性髋脱位的治疗效果，降低术后严重并发症的发生率，我们总结了过去１０年间经手术治疗的２３８例３１７髋７岁以上学龄儿童及青少年先天性髋脱位，采用Ｍｃｋａｙ临床评定标准评价髋关节功能，优良率为７６．６％，术后股骨头缺血性坏死为１５．１％，髋关节运动受限为１７．７％。重点讨论了年龄因素、局部解剖畸形和病理改变特点与手术的选择，以及作者对预防和减少术后股骨头缺血性坏死和髋关节运动障碍的体会。
In order to improve clinical results of the elder children with congenital dislocation of hip,to decrease the incidence of severe complications after operation,238 cases(317 hips)of elder children and adolescences more than seven years old that have been operated in recent ten years were reviewed.Clinical results were determined according to Mckays Criteria.Excellent and good rate was 76.6 percent.Avascular necrosis occurred in 48 hips and stiffness of the hip occurred in 56 hips.Selection for operative method and decreased tendency for avascular necrosis and stiffness of the hip are discussed in this paper
出处
《中国矫形外科杂志》
CAS
CSCD
1997年第1期8-10,共3页
Orthopedic Journal of China
关键词
学龄儿童
先天性脱位
髋脱位
治疗
外科手术
Elder children and adolescence,Congenital dislocation of the hip,Surgical treatment.
