婴幼儿化脓性髋关节炎后遗症的处理  

The management of sequelae of pyogenic arthritis of the hip in children

作　　者：郭敏[1] 林振福[1] 王汉林[1] 张国川 

机构地区：[1]河北医学院附属第三医院小儿骨科

出　　处：《中华骨科杂志》1994年第8期466-469,共4页Chinese Journal of Orthopaedics

摘　　要：本文报告１０例婴幼儿化脓性髋关节炎后遗症的治疗，年龄２～１１岁，大多数为新生儿时期发病，严重者股骨头战坏死吸收致头颈缺如，患肢短缩畸形。对１０例不同术式治疗病例经２～８年平均３．７年随访，作者认为股骨牵引下移同时行髋臼成形术，以大转子代替股骨头负重，股骨不短缩，髋关节功能好，而且大转子骨骺随着生长进一步生长发育，临床效果较其它术式满意。AbstractThe results of the treatment of sequelae of pyogenicarthritis of the hip in 10 children were reported. The ageranged fuom 2 to 11 years. The hipe were infected in mostof the cases since the neonatal period.In the severe cases,the femoral head and the neck were destroyed and the af-fected limb shortened.In the radiographs,complete dislo-cation of the hip was seen in 9 cases,1 case had thefemoral neck in the acetabulum;3 cases had remains ofthe epiphysis of the femoral head;complete disappearanceof the head and the neck in 3 cases. Open reduction wasdone in 2 cases ;1 case had rotation cateotomy of the fe-mur following opon reduction; subtrochanteric adductionosteotomy and acetabuloplasty in 2 case;Chiari polvic os-teotomy and para-articular soft tissue release in 1 cases,Baker’s oporation in 2 cases and 1 case had conservativetreatment.The follow-up peried extended from 2 to 8years with an averase of 3.7 years. Best results were seenin the 2 cases undergone acetabuloplasty. Generally,thehip function was satisfactory and a progressive develop-ment of the epiphsis of the greater troachanter was seen.

关 键 词：髋关节 关节炎 后遗症 婴儿 幼儿 

分 类 号：R726.843[医药卫生—儿科]