手法复位改良蛙式石膏固定治疗小儿先天性髋脱位的远期随访  

Long-term investigation of closed reduction of congenital hip dislocation in children with modified frogleg cast

作　　者：包勤济[1] 包尚恕 

机构地区：[1]山西医学院第二附属医院骨科,太原030001

出　　处：《中华外科杂志》1996年第4期212-214,共3页Chinese Journal of Surgery

摘　　要：1978～1983年,作者用手法复位改良蛙式石膏固定治疗小儿先天性髋脱位62例。对其中3岁以内的38例(48个髋关节)进行了12～16年的随访。复位成功者47个髋关节,成功率为97.9%。此法证明先天性髋脱位在手法复位后用既固定又活动的改良蛙式石膏固定治疗使发育不良的髋关常通过自我塑型改造恢复了正常的髋关节解剖结构和功能。From 1978 to 1983, closed reduction and fixation with frog-leg cast were used to treat congenital hip dislocation in children in our hospital. Sixty-two patients with such hip dislocation were treated by these methods . Among them 38 patients under 3 years of age were followed up for 12 to 16 years (mean 13 years). Encouraging results were obtained and the reduction rate was 97.9%. This treatment revealed that after closed reduction the fixation and the slight movement of the femoral head in the cast under the fixation are a self-remould action that may promote the growth of the acetabulum and the femoral head resulting in normal development of the hip.

关 键 词：髋脱位 先天性 髋关节 石膏 固定术 手法复位 

分 类 号：R726.847[医药卫生—儿科]