先天股脱に対する観血的整復術の検討

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  • Open Reduction in Congenital Dislocation of the Hip

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In congenital dislocation of the hip, twenty hips were followed up for two years or more after open reduction. Among them, only seven hips (35%) had satisfactory results radiologically and functionally. In this experience, it was found that the factors influencing the result were age at surgery, surgical technique, surgical trauma to the greater trochanter, and adaptation of hip. Especially, postoperative contructure of the hip and osteochondritis were seemed important factors.<br>In conclusion, early complete reduction and good movement were necessary to obtain good result. For these purposes, not only so called open reduction involving excision of limbus, teres ligament, and fibro-fatty tissue in the joint, but also varus-derotation osteotomy, pelvic osteotomy, or shelf operation may be add if necessary.

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