Saddle block-type lower limb traction in the treatment of children with developmental dislocation of the hip.doc

 PAGE \* MERGEFORMAT 8 Saddle block-type lower limb traction in the treatment of children with developmental dislocation of the hip Of: Li, HU Yue, Zhou Jinlin, Li Jian [Abstract] Objective To investigate the developmental dislocation of the hip effective preoperative traction. Methods in the treatment of 89 patients (105 hips with developmental dislocation of the hip during preoperative use of saddle block-type lower limb traction, internal adductor adductor contracture were to cut off. Results The 89 cases in only 2 cases (older children with serious traction due to organizational effects of contracture are not satisfied, the remaining 87 cases, 103 hip traction by this method 7 to 14 days, confirmed by radiography dislocation of the femoral head have been reduced to “H”-shaped cartilage of the connection (Hilgenreiner line, to acetabular level, above the gap close to normal, 3 cases of perineal block the site skin ulceration, eczema, 1 case of non-slip traction, pressure sores nerve palsy. Conclusions in the treatment of DDH, the use of saddle block-type lower limb traction, adductor cut method, simple, easy, more scientific, reasonable and is an effective and practical method of preoperative traction. [Keywords:] developmental dislocation of the hip, riding cross-blocking, skeletal traction Children with developmental dislocation of the hip (Developmental dislocation of the hip, DDH is a common orthopedic disease in children, one of our hospital from January 1996 to December 2007 through the various types of surgical treatments for DDH 89 patients preoperatively block-type with lower limb traction straddle for adductor adductor contracture were to cut off. satisfactory outcome, the report is as follows. 1 Materials and Methods 1.1 General information on 89 patients in this group, 105 hip, female 64 cases, 76 hips, 25 males, 29 hip, 73 cases of unilateral, bilateral in 16 patients. Minimum age of 1.5 years, maximum age of 7 years, mean age