- 期刊
Treatment of Congenital Dislocation of Hip
治療先天性髖關節脫臼的追蹤報告
摘要
先天性髖關節脫臼病例不多，它是一種可以治癒的疾病，如果發現得早，一般治療效果非常好，患者可以恢復正常的走路。 本篇報告就自民國66年11月至72年9月間，長庚醫院治療42病人，50例先天性髖關節脫臼，其追蹤治療超過2年者，經過不同手術;包括:1.徒手復位，2.開放復位，3.開放復位合併髖骨截骨術科(Salter 氏手術科，4.同階段施行開放復位，髖骨截骨術兼具輔助性股骨近心端截骨術，根據改良式Trevor 氏等的追蹤原則，其結果有77%得到滿意的成績。但是仍有2類主要合併症:第1類是脫臼或半脫臼，第2類是股骨頭缺血性壞死。
關鍵字
無資料並列摘要
From November 1977 to September 1983, 74 patients with 85 congenitally dislocated hips were treated in Chang Gung Memorial Hospital. 42patients with 50 hips were followed up for more than two years. 20 hips received closed reduction, 8 hips open reduction, 9 hips open reduction and Salter’s operation, as well as 17 hips open reducstion. Salter’s operation and combined with adjuvant femoral osteotomy. The averate period of follow-up is three years and five months. Clinical and radiological assessments were carried out according to a modified score system of Trevor and his associates (1975). The overall results reveled 77% good to excellent. Two major complications: one is re-dislocation or subluxation and the other is avascular necrosis of femoral head. The aim of this clinical study is to find out the outcome and complications among various methods of treatment.