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学龄儿童双侧先天性髋关节脱位的手术治疗及术后功能锻炼
Objective To discuss different methods of operation for congenital dislocation of double hips in school-age children. Method 25 patients (50 hips) were operated with Salter, self-acetabuloplasty and combined operation. Result 22 patients with 44 hips were followed up for 2 to 18 years (an average of 9.5 years) with 86.4% reporting excellent and good results. Conclusion Acetabuloplasty and shelf can effectively increase the width of acetabulaum resulting in a better coverage of the femoral head. So acetabuloplasty and shelf operation is highly recommended because of its wider range of indication and good results. Joint function can regain best after early, continuous, passive and active functional exercise.
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先天性髋关节脱臼手术后并发症的防治
手术治疗先天性髋关节脱臼的病例,术后发生再脱臼、关节僵直等并发症的发生率,各医院报导不一,差别较大.防止并发症的要点是手术必须根据其病理变化,彻底矫正.