有限软组织松解结合骨外固定技术治疗重度髋关节外展外旋畸形

发布时间：2018-04-02 15:14

本文选题：外固定　切入点：髋关节　出处：《中国矫形外科杂志》2017年04期

【摘要】：[目的]探讨有限软组织松解术结合骨外固定技术治疗重度髋关节外展外旋的临床疗效。[方法]2011年4月~2015年9月,采用有限软组织松解手术结合骨外固定技术治疗髋关节外展外旋畸形患者31例。男20例,女11例;双侧畸形5例,单侧畸形26例;脊髓灰质炎后遗症21例,注射性臀肌挛缩5例,其他原因导致的髋关节外展外旋5例。对手术前后及外固定调整结束后患者髋关节活动范围进行对比。采用毛军胜等提出的髋关节功能评分系统比较治疗前后患者髋关节功能。[结果]31例患者均获得随访,随访时间6个月~3年,平均15个月。全部患者术后髋关节活动范围得到增加,术后髋关节功能增加。[结论]有限软组织松解手术结合外固定技术可以有效治疗重度髋关节外展外旋畸形,改善患者行走功能。
[Abstract]:[objective] to investigate the clinical effect of limited soft tissue release combined with external fixation in the treatment of severe hip abduction.[methods] from April 2011 to September 2015, 31 patients with abduction deformity of hip joint were treated with limited soft tissue release and external fixation.There were 20 males and 11 females, 5 bilateral deformities and 26 unilateral deformities, 21 with poliomyelitis sequelae, 5 with injection gluteal muscle contracture, and 5 with hip abduction caused by other causes.The range of hip joint activity before and after operation and after the adjustment of external fixation was compared.Hip function scoring system proposed by Mao Junsheng et al was used to compare hip function before and after treatment.[results] all 31 patients were followed up for 6 months to 3 years (mean 15 months).The range of hip joint motion was increased and the hip joint function was increased after operation in all patients.[conclusion] finite soft tissue release combined with external fixation can effectively treat severe abduction deformity of hip joint and improve walking function of patients.
【作者单位】：国家康复辅具研究中心附属康复医院;
【分类号】：R687.4

【相似文献】