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1979～1989年,我院对3周岁以下先天性髋脱位患儿,采用手法复位、改良蛙形石膏固定法治疗44例,取得满意效果。本组44例,62个髋关节。男7例,女37例。先行手法复位治疗,后做患儿腰部及双侧髋关节石膏蛙形固定。膝关节以下不做固定即改良蛙形石膏固定。对Ⅱ～Ⅲ度脱位者,全麻下切断内收肌肌腱后固定。固定时间:6～12个月的患儿(10例)平均固定5个月,12个月至24个月的患儿(27例)平均固定6.2个月,大于24个月的患儿(7例)平均固定7.2个月。本组病例均作了随访,随访时间最短2年。本组治疗成功58个关节,失败3例4个关节。
From 1979 to 1989, our hospital for children under 3 years of age with congenital dislocation of the hip, using manual reduction, modified frog plaster treatment of 44 cases, and achieved satisfactory results. The group of 44 patients, 62 hips. 7 males and 37 females. Resetting the first approach to treatment, after doing the waist and bilateral hip gypsum frog-shaped fixation. The following knee is not fixed to improve the fixed frog plaster. For Ⅱ ~ Ⅲ degree dislocation, under general anesthesia cut off adductor tendon after fixation. Fixed time: 6 to 12 months in children (10 cases) were fixed for an average of 5 months, 12 months to 24 months in children (27 cases) an average of 6.2 months, more than 24 months of children (7 Example) An average of 7.2 months. The patients were followed up for a minimum of 2 years. This group of 58 successful treatment of joints, failure in 3 cases 4 joints.