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タイトル先天性股関節脱臼の観血的治療の遠隔成績
タイトルヨミセンテンセイ コカンセツ ダッキュウ ノ カンケツテキ チリョウ ノ エンカク セイセキ
タイトル別表記Long-term Result of Operative Treatment for Congenital Dislocation of the Hips
作成者河村, 芳高
作成者ヨミカワムラ, ヨシタカ
作成者別表記Kawamura, Yositaka
作成者所属山口大学医学部
内容記述(抄録等)The author has evaluated the long-term results of 42 patients (52 hip joints) who underwent various types of surgery for the congenital dislocation of the hips at our institution. Length of follow-up was between 5 and 21 years, average 12 years. The patients were classified into 3 groups according to the purpose and method of surggery. The following are the conclusions reached. Group A : Infant and young childish congenital dislocation of the hips 1) Surgical treatment for this group was rather satisfactory with good or fair results of 71% of cases. 2) Results of innominate osteotomy were better than femoral osteotomy's. 3) Shelf operathion for lower age patients was less effective. Group B : Obsolete congenital dislocation of the hips 1) Despite of our favorable expectation, the results of this group was unsatisfactory because only 27% marked over 90 points. 2) Although the clinical improvement was obtained in high average immediately after surgery, the aggravation was occurred in most of cases 10 to 20 years after surgery. 3) Results of shelf operation in primary acetabulum were better than those in secondary acetabulum as far as the clinical manifestation was concerned. Group C : Precoxarthrosis and coxarthrosis 1) Although the result of shelf operations for this group was satisfactory, the over all results was unsatisfactory because of obtaining good or fair results in 64%. 2) Shelf operation was relatively useful when well indicated.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
31
1
開始ページ13
終了ページ34
発行日1982-02
著者版/出版社版その他
リポジトリIDB030031000102
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030031000102