先天性 股關節 脫臼의 治療後 防射線 所見의 變化에 對한 分析 = Analysis of Radiological Change Following Reduction of Congenital Dislocation of the Hip

국문 초록 (Abstract)

선천성 고관절 탈구 환자의 치료결과를 치료 방법별 연령별로 구분하여, 방사선학적 소견을 중심으로 비교 관찰하여 통계학적 유의성을 분석 확인하였으며, 이 결과는 향후환자에 따른 치료 방법의 선택에 지침이 될 것이다.

다국어 초록 (Multilingual Abstract)

Development of acetabulum and epiphysis of the femoral head following reduction in seventy-four patients with ninty-one congeenitally dislocated hips were assessed radiologically. Acetabular index, CE angle of Wiberg, neck-shaft angle of the femur and overgrowth of the pelvis and femur were measured according to the various treatments.
To evaluate results, the method of treatment was divided into four classes; closed reduction, open reduction, open reduction combined with pelvic osteotomy, and modified Klisic operation (open reduction, pelvic osteotomy, femoral shortening and so no). Each treatment was compared with four groups according to age; first group was belong to patients under twelve months of age, second from twelve to twenty-four months, third from twenty-four to thirty-six months, and fourth over thirty-six months.
This paper agrees to Harris (1976) and Lindstrom (1979) about improvement of acetabular index and CE angle of Wiberg that skewed a rapid rate of repair in the first six months and thereafter slowly progressed to normal range of degree.
Overgrowth of pelvis and femur was also noticed in cases of hips treated pelvic and/or femoral surgery, moreover even in cases of open reduction only.
The goal of this preliminary investigation may be supposed to propose the idea which method of treatment to the first visiting patient will approach the most satisfactory final result.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 가.건측과 환측의 비구경사각의 비교
• 나.도수 정복
• 다.관혈적 정복술
• 라.관혈적 정복술, 골반골 절골술과 Modified Klisic 술식의 비교
• 마.대퇴골과 성장
• 바.1~3세군의 방사선 소견의 비교
• 고찰
• 결론