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相關文獻
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題 名 | Surgical Results and Complications of Developmental Dysplasia of the Hip-- One Stage Open Reduction and Salter's Osteotomy for Patients between 1 and 3 Years Old=先天性髖關節脫位的手術結果及併發症--開放復位合併Salter's切骨術施行於1到3歲的兒童 |
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作 者 | 張嘉獻; 高軒楷; 楊文一; 施俊雄; | 書刊名 | 長庚醫誌 |
卷 期 | 34:1 2011.01-02[民100.01-02] |
頁 次 | 頁84-92 |
分類號 | 417.626 |
關鍵詞 | 髖關節發育不良; Salter切骨術; 股骨頭壞死; Developmental dysplasia of the hip; Salter's osteotomy; Osteonecrosis; |
語 文 | 英文(English) |
中文摘要 | Salter 63 1~3 Salter McKay’s Severin’s % 92% X 14 85% 53% (p < 0.05) Salter |
英文摘要 | Background: Reports of the efficacy of Salter’s osteotomy have often been based on groups of patients with complex disease conditions and treatment. The purposes of this study were to document the results of patients with well-defined conditions, focusing on the onset and sequelae of osteonecrosis. Methods: The study participants consisted of 63 patients with unilateral hip dislocation who had undergone one-stage open reduction and Salter’s innominate osteotomy between the ages of 1 and 3 years. The results were evaluated clinically by McKay’s classification and radiologically by the modified Severin’s classification. Early signs of osteonecrosis were identified by neck widening, epiphysis fragmentation, and presence of a metaphyseal growth disturbance line in the first year after the operation. Results: After a follow-up of 10 years on average, good clinical and radiographic results were noted in 89% and 92% of the patients, respectively. Osteonecrosis occurred in 30 hips, of which 14 subsequently developed femoral head deformity. Residual dysplasia was noted in 5 hips, mostly resulting from late-onset coxa valga. Eighty-five percent of the hips without osteonecrosis and 53% of the hips with osteonecrosis (p < 0.05) were classified as Severin class 1. No pre-operative factors were found to be associated with the occurrence of osteonecrosis. Conclusion: One-stage open reduction and Salter’s osteotomy was an effective treatment for developmental dysplasia of the hip after walking age. However, parents must be informed of the two major complications, osteonecrosis and residual dysplasia, that can lead to long-term morbidity. |
本系統中英文摘要資訊取自各篇刊載內容。