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目的 :探讨Ferguson手术治疗发育性髋关节脱位的适应证、操作要求、并发症的预防和处理等。方法 :对 113例手术病例的临床资料进行回顾性分析。结果 :113例 15 5髋 ,复位率达到百分之百 ,成功率在 90 %以上。再脱位 13例 ( 14髋 ) ,约占11 5 % ,其中全脱位 4例 ,半脱位 9例 ( 10髋 )。股骨头缺血性坏死 18例 ( 2 1髋 ) ,约占 15 9%。股骨颈骨折 2例。结论 :Ferguson手术是治疗 3岁以下发育性髋关节脱位的有效方法之一 ,它能有效地去除阻碍复位和影响复位后髋关节稳定的因素 ,具有创伤性小、复位率高、失败后不影响施行其他手术和并发症低等优点。
Objective: To investigate the indications, operation requirements, prevention and treatment of complications caused by Ferguson’s surgery for developmental dislocation of the hip. Methods: The clinical data of 113 cases were retrospectively analyzed. Results: 113 cases of 15 5 hips, the reduction rate of one hundred percent, the success rate of 90% or more. Re-dislocation in 13 cases (14 hips), accounting for 11 5%, of which 4 cases of total dislocation, subluxation in 9 cases (10 hips). 18 cases of avascular necrosis of femoral head (21 hips), accounting for 15 9%. Femoral neck fracture in 2 cases. Conclusion: Ferguson operation is an effective method for the treatment of dislocated hip joint under 3 years old. It can effectively remove the factors that hinder the stabilization of hip joint after reduction and reset, and has the advantages of less invasiveness and high reset rate, and does not affect after failure The implementation of other surgical and low complication benefits.