발달성 고관절 이형성증 또는 탈구 환자의 수술후물라치료

Abstract

Developmental dysplasia or dislocation of the hip is the most pronounced form of acondition in which the femoral heads tends progressively to leave the acetabulum. In theyoung child the variability of findings and course suggest a spectrum of conditions inwhich there are a number of common features: restriction of movement, particularly ofabduction in flexion; shortening; and abnormal radiology, including a sloping or dysplasticacetabulum and delay in the appearance of the upper femoral epiphysis. It is vital to makethe diagnosis of a congenital dislocation as soon after birth as possible. Conservativetreatment with an abduction brace before the child run begins to walk is completelyadequate, but after the age of 4 even surgical repositioning is difficult and after the ageof 7 it is almost impossible. The aim of the study was to gain insight into the value ofphysical therapy of developmental dysplasia or dislocation after operation.