CAJ | 학술논문

目的：回顾性分析儿童创伤性髋关节脱位的治疗情况，探讨其治疗策略。方法收集26例创伤性髋关节脱位患儿临床资料，采用手法复位或切开复位治疗，对治疗结果进行 Harris 髋关节评分，根据治疗方法和年龄大小分组评估疗效。结果得到随访的22例患儿中，12例于急诊室早期复位成功，均为低能量创伤；入院治疗10例中，5例在麻醉下行髋关节闭合复位获成功，5例行髋关节切开复位。急诊室早期复位和入院复位治疗两组病例2年后髋关节评分分别为98．5和87．8，＞8岁与＜8岁两组病例2年后髋关节评分分别为86．6和99．1。急诊室早期复位和＜8岁病例的治疗效果优于入院治疗和年龄＞8岁组。结论儿童创伤性髋关节脱位治疗要早，需尽早进行关节复位，必要时行切开复位治疗，低年龄、低能量损伤的儿童具有更好的治疗结果。
목적：회고성분석인동창상성관관절탈위적치료정황，탐토기치료책략。방법수집26례창상성관관절탈위환인림상자료，채용수법복위혹절개복위치료，대치료결과진행 Harris 관관절평분，근거치료방법화년령대소분조평고료효。결과득도수방적22례환인중，12례우급진실조기복위성공，균위저능량창상；입원치료10례중，5례재마취하행관관절폐합복위획성공，5례행관관절절개복위。급진실조기복위화입원복위치료량조병례2년후관관절평분분별위98．5화87．8，＞8세여＜8세량조병례2년후관관절평분분별위86．6화99．1。급진실조기복위화＜8세병례적치료효과우우입원치료화년령＞8세조。결론인동창상성관관절탈위치료요조，수진조진행관절복위，필요시행절개복위치료，저년령、저능량손상적인동구유경호적치료결과。
Objetive To analyze retrospectively a series of traumatic hip dislocations in children,de-scribing the therapeutic strategy. Methods Consecutively collect 26 children with traumatic hip dislocation who underwent close reduction or open reduction.The patients were grouped according to different treatments and different age,and the results were assessed according to Harris hip scores.Results The dislocation of 12 patients who underwent closed reduction in the emergency department was caused by low-energy trauma.In 10 inpatients,5 patients underwent close reduction and the other 5 patients underwent open reduction.After at least 2 years follow-up,the hip scores of emergency department patients and inpatients were 98.5 and 87.8 re-spectively.The hip scores of patients elder than 8 years and younger than 8 years were 86.6 and 99.1 respec-tively.Conclusions Urgent close reduction of acute cases must be done in the traumatic hip dislocation in children,sometimes open reduction must be done.The hips had more excellent functional outcome in young age group with low-energy trauma.