COMPARISON OF INPATIENT AND OUTPATIENT TRACTION IN DEVELOPMENTAL DISLOCATION OF THE HIP

被引：14

作者：

CAMP, J

HERRING, JA

DWOREZYNSKI, C

机构：

[1] Desert Orthopaedic Center Research Foundation, Las Vegas, NV

[2] Texas Scottish Rite Hospital, Dallas, TX

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1994年 / 14卷 / 01期

关键词：

DEVELOPMENTAL HIP DISLOCATION; TRACTION;

D O I：

10.1097/01241398-199401000-00003

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We studied 83 hips in 72 children being treated for developmental hip dislocation to assess the influence of home traction upon the incidence and severity of avascular necrosis (AVN). We compared two types of traction prior to closed or open reduction: inpatient Bryant's skin traction (40 hips), and outpatient (home) Bryant's skin traction (43 hips). No routine in-traction radiographs were taken in either group. After traction, a stable closed reduction was achieved in 55 hips (66%). Open reduction was performed on 28 hips (34%). The rate of severe AVN involving growth disturbance and resultant deformity (Bucholz types II, III, and IV) was low in both traction groups (inpatient, three out of 40, outpatient, one out of 43). These results demonstrate that an outpatient traction program without attention to radiographic hip station is as safe as identically instituted inpatient programs, as well as those that emphasize achievement of a traction reduction or a predetermined hip station.

引用

页码：9 / 12

页数：4

共 23 条

[1]

Bost F.C., Hagey H., Schottstaedt E.R., Larsen L.F., The results of treatment of congenital dislocation of the hip in infancy, J Bone Joint Surg [Am], 30, pp. 454-468, (1948)

[2]

Buchanan J.R., Greer R.B., Cotler J.R., Management strategy for prevention of avascular necrosis during treatment of congenital dislocation of the hip, J Bone Joint Surg [Am], 63, pp. 140-146, (1981)

[3]

Bucholz R.W., Ogden J.A., Patterns of ischemic necrosis of the proximal femur in non-operatively treated congenital hip disease, Proceedings of the Sixth Open Scientific Meeting of the Hip Society, pp. 44-64, (1979)

[4]

Cooperman D.R., Wallenstein R., Stulberg D.S., Post-reduction avascular necrosis in congenital dislocation of the hip, J Bone Joint Surg [Am], 62, pp. 247-258, (1980)

[5]

Derosa G.P., Feller N., Treatment of congenital dislocation of the hip, CORR, 225, pp. 77-85, (1987)

[6]

Esteve R., Congenital dislocation of the hip, J Bone Joint Surg [Br], pp. 253-263, (1960)

[7]

Gage J.R., Winter R.B., Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip, J Bone Joint Surg [Am], 2, pp. 373-388, (1972)

[8]

Joseph K., Macewen G.D., Boos M.L., Home traction in the management of congenital dislocation of the hip, CORR, 165, pp. 83-90, (1982)

[9]

Kahle W.K., Erson M.B., Albert J., Stevens P., Coleman S.S., The value of preliminary traction in treatment of congenital dislocation of the hip, J Bone Joint Surg [Am], 72, pp. 1043-1047, (1990)

[10]

Kalamchi A., Macewen G.D., Avascular necrosis following treatment of congenital dislocation of the hip, J Bone Joint Surg [Am], 62, pp. 876-888, (1980)

← 1 2 3 →