37 children with tuberculous panarthritis of the hip were treated by focal debrid ement and conventional anti-tuberculous therapy,with an average follow-up of 18 years (from 16 to 22 years).As a result,20 cases.(54%) got movable articular function and 17 cases (46%) got ankylosis.The results demonstrated that the focal debridement might shortened the treatment course and speed up pathological cure.The late morphological changes of the hip might be divided into three groups:1.Normal ball-and-socket type:the relation of the femoral head to acetabular was normal.This type had a fair articular function.2.The type of pseudarthrosis:the hip lost its normal structure and the femoral head disappeared.Pseudarthrosis involves femoral neck,greater or lesser trochanter with acetabular or illac region,and complicated by secondary pelvic tilt.3.Ankylosis type:in our series,only 3 cases got ankylosis in functional position,other 14 cases got ankylosis in non-functional position,with remaining severe deformities.Also discussed is its mechanism.%@@ 我院自1961年12月至1968年9月,共收治小儿髋关节结核82例,得到随访观察者37例,现将其远期疗效及髋关节形态的变化报告如下:
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