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[目的]总结可调节支具在闭合复位治疗婴幼儿发育性髋关节脱位中的治疗经验。[方法]采用患侧内收长肌及髂腰肌腱切断闭合复位三期可调节支具固定的方法对婴幼儿发育性髋关节脱位进行治疗。[结果]本组59例(68髋)随访1年6个月~7年2个月,平均40个月,1例1髋出现半脱位,58例(67髋)复位良好,3例(3髋)出现股骨头缺血性坏死。结果,优:26~30分28例(33髋),良:21~25分21例(25髋),可:16~20分8例(8髋),差:11~15分2例(2髋)。[结论]三期可调节支具是闭合复位治疗婴幼儿发育性髋关节脱位的一种理想方法。
[Objective] To summarize the experience of adjustable brace in the treatment of infantile developmental hip dislocation with closed reduction. [Method] With the affected side of the contralateral longus muscle and the iliopsoas tendon cut closed reduction three adjustable brace fixation for the development of infant hip dislocation for treatment. [Results] 59 patients (68 hips) were followed up for 1 year and 6 months to 7 years and 2 months with an average of 40 months. One patient had subluxation in one hip, and 58 patients (67 hips) had a good reduction. Three patients (3 Hip) avascular necrosis. Results: Excellent: 26 cases (33 hips) 26 to 30 points, good: 21 to 25 points 21 cases (25 hips), 16 to 20 points 8 cases (8 hips), difference 11 to 15 points 2 cases 2 hips). [Conclusion] The three-stage adjustable brace is an ideal method of closed reduction for the development of dislocated hip in infants and young children.