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目的 探讨切断内收肌及患侧髂腰肌、手法复位治疗小儿先天性髋脱位的疗效。方法 切断双侧长收肌、短收肌及患侧髂腰肌 ,术中手法复位髋关节 ,术后三期有限石膏固定。结果 76例 96髋均得到满意复位 ,除 5髋因在外院行牵引闭合复位不成功造成股骨头缺血坏死外 ,其余未发生股骨头坏死。结论 该疗法是治疗 10个月～ 3岁小儿先天性髋脱位的有效方法
Objective To investigate the effect of sever adductor and iliopsoas muscle in the treatment of congenital hip dislocation in children. Methods The long adductor muscle, the short adductor muscle and the iliopsoas muscle of the affected side were cut off, and the hip joint was resected by intraoperative procedures. Three stages of postoperative plaster fixation were performed. Results 76 cases of 96 hips were satisfied with the reduction, except 5 hips due to traction in the external hospital closed reduction failed to cause avascular necrosis of the femoral head, the rest of the femoral head necrosis did not occur. Conclusion The therapy is an effective method to treat children with congenital hip dislocation from 10 months to 3 years old