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선천성 고관절 탈구에 대한 임상적 고찰 A clinical observation of congenital dislocation of the hip

대한정형외과학회지 1976년 11권 3호 p.458 ~ 466
이한구, 신민섭,
소속 상세정보
이한구 (  ) 
서울대학교 의과대학 정형외과학교실

신민섭 (  ) 
서울대학교 의과대학 정형외과학교실

Abstract


Early diagnosis and treatment of congenital dislocation of the hip is the only means of obtaining good results with consistent regularity. But a large number of congenital dislocation of the hip remain undiagnosed before the child begins to walk.
One hundred and nine cases of congenital dislocation of the hip had been clinically diagnosed and 48 cases of them were treated conservatively or operatively at Department of Orthopedic Surgery, College of Medicine, Seoul National University from January, 1965 through September, 1975 with following results.
1. Among 109 cases of congenital dislocation of the hip, 48 cases were admitted and treated. In recent 10 years the number of the out-patient was increasing.
2. The preponderance of female to male (4 : 1) was found.
3. The age ranged between 3 months and 24 years, and 46 cases (42%) between 12 and 24 months.
4. In most cases the chief complaint was limping.
5. The associated congenital anomalies were observed in 3 cases of the series, comprising two cases of arthrogryposis multiplex congenita and one case of hydrocephalus.
6. The acetabu´,ar index was increased in affected hip.
7. The ratio of uni´ateral cases to bilateral ones was 100:9, and right to left was 47:53. ~. Closedtredfction was satisfactory in 25 cases under 2 years of age.
9. Open reduction was necessary in 18 cases of failed closed reduction and 5 cases of redislocation.
10. Eleven cases of Salter´s operation, 4 cases of Pemberton´s operation, 2 eases of Colonna´s operation, and 8 cases of derotational osteotomy were performed to increase the stability of the hip joint.

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