CAJ | 학술논문

治疗小儿髋脱位常用的固定方法不能在制动后调整复位后的位置,不易解决不完全复位的问题.针对这个问题作者制作出一种轻便动力复位固定装置,它具备牵引、复位、固定三种功能,并把三者综合为一体,在一个程序中完成,打破了牵引必须卧床,固定仅是单纯制动的老框框.用它牵引不影响患儿坐卧、翻身爬行、扶持站立等自主活动,逐渐自动复位,节省了人力、物力及时间,免除了部分手术,减轻了惠儿痛苦,临床应用52例66个髋,疗效满意(复位率95.4%).
치료소인관탈위상용적고정방법불능재제동후조정복위후적위치,불역해결불완전복위적문제.침대저개문제작자제작출일충경편동력복위고정장치,타구비견인、복위、고정삼충공능,병파삼자종합위일체,재일개정서중완성,타파료견인필수와상,고정부시단순제동적로광광.용타견인불영향환인좌와、번신파행、부지참립등자주활동,축점자동복위,절성료인력、물력급시간,면제료부분수술,감경료혜인통고,림상응용52례66개관,료효만의(복위솔95.4%).
The congenital dislocation of the hip in children is usually treated with immobilization of frog-leg cast after manipulated reduction. Recently the modified frog-leg cast has been used more and more, because it becomes partial immobilization for the hip and more comfortable for the patient. But it can not regulate the position of the femoral head in the aceta-bulum. Thus we have designed a device which consists of regulation rod and screw traction. The congenital dislocation and subluxation of the hip can be gradually reduced by the use of this device with elastic screw traction and then the femoral head may be concentrically seated within the acetabulum. With the application of this device we have so far treated 52 patients (66 hips) with congenital dislocation of the hip. Their age is 1 (6/12) -(2/12) years old, the success rate comes up to 95 .4% . The results are encouraging. However, the incidence of cbsed reduction of the hip has been markedly raised. While the open reduction obviously decreased. Nowadays those patients who suffer from such diseases can be treated in ambulance. We have made some improvements on the procedure of reduction and saved time and money as well as recurrence.