年長先天股脱で同側に2回以上の手術をうけた症例について

抄録

Thirteen cases of congenital dislocation of 15 hips treated with another operations after initial one were followed.
An average age of the patients at the time of the first operation, was 9 years and 6 months. The operations were 3 Colonna's capsular arthroplasties, 2 acetabuloplasties following closed reduction, 6 subtrochanteric or intertrochanteric osteotomies, 3 acetabuloplasties and 1 Campbell, s myotomy. The second operations were carried out on an average of 5 years and 9 months after the first one, The second or third operations were 5 acetabuloplasties, 7 subtrochanteric or intertrochanteric osteotomies, 1 Colonna's capsular arthroplasty, 1 trochanterplasty, 1 derotation osteotomy with trochanterplasty and acetabuloplasty, 1 subtrochanteric osteotomy with acetabuloplasty and 1 arthrodesis, The indications were made to relief pain in 14 hips, to restore the anatomical relation between the head and the socket in 2 hips and also the limping in 1 hip.
Functional results obtained were normal in 1 hip, restored in 8 hips, unchanged in 4 hips and deteriorated in 4 hips at the average lapse of 4 years and 3 months after the final operation.
X-rays of representative cases were shown with discussion.