CAJ | 학술논문

先天性髋关节脱臼病理变化比较复杂,有些病例术后发生半脱位.其原因有多种,在同一病例中可有两种以上原因,如髂腰肌短缩、股骨颈过短及头臼不对称等.作者根据术后发生半脱位的不同原因提出了处理方法.
선천성관관절탈구병리변화비교복잡,유사병례술후발생반탈위.기원인유다충,재동일병례중가유량충이상원인,여가요기단축、고골경과단급두구불대칭등.작자근거술후발생반탈위적불동원인제출료처리방법.
In the open reduction of the congenital dislocation of hip,one of the common errors in the operative technique is failure to reduce the femoral head into the depth of the true acetabulum completely and concentrically.This error has occurred in 16 out of 275 hips treated by means of various procedures in our hospital since 1980.The causes of this error may be:1.the femoral head being poorly embedded in the acetabulum due to a tenotomy of the iliopsoas;2.shortening of the femoral neck;3.incongruity of the head and the acetabulum;4.incomplete excision of the reflected labium and poor capsulorrhaphy,and etc.According fo the different pathological changes procedures adopted appropriatly will acheieve satisfactory results.