电邮这篇文章 儿童外伤性双侧后髋关节脱位：一例12年随访病例报告
- 作者: Soto-Juárez I.1, Martínez-Pérez R.1
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隶属关系:
- Centenario Hospital Miguel Hidalgo
- 期: 卷 8, 编号 2 (2020)
- 页面: 213-216
- 栏目: Clinical cases
- URL: https://bakhtiniada.ru/turner/article/view/16543
- DOI: https://doi.org/10.17816/PTORS16543
- ID: 16543
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详细
背景。儿童双侧外伤性髋关节脱位在骨科急诊中十分罕见。现有文献中很少有相关病例报告。
临床病例。本文呈现了1例轻微损伤机制的4岁男童病例。受伤24小时后在急诊科完成闭合复位。他接受了4天的Buck皮肤牵引，人字形石膏固定4周。在随访期间，患者至骨骼成熟时无任何临床症状或早晚期并发症。
讨论。小儿髋关节脱位是一种罕见的急症，其发病率为每年百万分之0.8例。为了尽量减少晚期并
发症，如骨坏死、复发性脱位、骨关节炎、神经病变、大头髋畸形及异位骨化，不应延迟其治疗。
报道的髋关节骨坏死的发生率为晚期复位（>6小时）36.4%，早期复位（<6小时）8.2%。尽管在24小时后才完成复位，但12年随访期间未出现并发症。
结论。在立即复位后固定4至6周的治疗是有效的。必须进行密切监测，及时发现并治疗任何进一步的并发症。
作者简介
Ignacio Soto-Juárez
Centenario Hospital Miguel Hidalgo
Email: ignaciosotojuarez@hotmail.com
ORCID iD: 0000-0001-8001-9227
MD, Orthopaedic and Trauma Surgeon, Pelvis and acetabulum specialist. Orthopaedics and Trauma Department
墨西哥, AguascalientesRicardo Martínez-Pérez
Centenario Hospital Miguel Hidalgo
编辑信件的主要联系方式.
Email: ortho.surgery.martinez@gmail.com
ORCID iD: 0000-0003-4386-1946
MD, Orthopaedic Surgery resident. Orthopaedics and Trauma Department
墨西哥, Aguascalientes参考
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