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目的观察小儿先天性髋关节脱位(DDH)术后患儿配戴髋踝矫形器应用效果。方法患儿拆线后,定制我院设计的髋踝矫形器,保持髋关节外展20°~25°、踝关节中立位。结果本组患儿26髋经1~5年随访,16髋为优,8髋为良,2髋为可。无股骨头坏死发生。结论 dDH术后应用髋踝矫形器,髋关节固定可靠,轻巧,调整、护理方便,利于髋臼发育,能有效预防外八字步态发生,疗效满意。
Objective To observe the effect of wearing hip-ankle orthosis in children with congenital dislocation of the hip (DDH). Methods Children stitches, customize our hospital designed hip and ankle orthosis, keep the hip abduction 20 ° ~ 25 °, ankle neutral position. Results 26 hips in this group were followed up for 1 to 5 years, 16 hips were excellent, 8 hips were good and 2 hips were acceptable. No femoral head necrosis occurred. Conclusion The application of hip-ankle orthosis in dDH postoperatively has the advantages of reliable fixation, light weight, adjustment, convenient nursing, and favorable acetabular development. It can effectively prevent the occurrence of external gait gait and has satisfactory curative effect.