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[帕夫利克法治疗发育性髋关节发育不良]

[Pavlik's method in developmental dysplasia of the hip].

作者信息

Bialik Viktor

机构信息

Pediatric Orthopedics Unit, Meyer Children's Hospital, Haifa, Israel.

出版信息

Acta Orthop Traumatol Turc. 2007;41 Suppl 1:19-24.

Abstract

One of the worst complications following treatment of developmental dysplasia of the hip is avascular necrosis. In the first half of the 20th century, the incidence of this problem reached up to 30% of treated children. To avoid this complication, Arnold Pavlik developed a new method in the late 1940s and called it a dynamic approach to treatment, which was based on the ingenious idea that the hip is an organ of movements and needs movement to be healed. Healing is accomplished by using stirrups as an aid to attaining flexion of the hips and knees, whereby the child achieves a normal hip nonviolently by himself. Pavlik's method spread slowly throughout the world and this literature review points out problems with this method, and summarizes the rates of success achieved and avascular necrosis reported by various authors.

摘要

发育性髋关节发育不良治疗后最严重的并发症之一是股骨头缺血性坏死。在20世纪上半叶,这一问题的发生率在接受治疗的儿童中高达30%。为避免这一并发症,阿诺德·帕夫利克在20世纪40年代后期开发了一种新方法,并将其称为动态治疗方法,该方法基于一个巧妙的理念,即髋关节是一个运动器官,需要通过运动来治愈。通过使用马镫辅助实现髋关节和膝关节的屈曲来完成愈合,从而使儿童自行非暴力地实现正常髋关节。帕夫利克的方法在全世界传播缓慢,这篇文献综述指出了该方法存在的问题,并总结了不同作者报道的成功率和股骨头缺血性坏死发生率。

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