Tucci J J, Kumar S J, Guille J T, Rubbo E R
Alfred I. duPont Institute, Wilmington, DE 19899.
J Pediatr Orthop. 1991 Jul-Aug;11(4):502-5. doi: 10.1097/01241398-199107000-00016.
We present the long-term results of Pavlik harness treatment in 61 patients with 74 affected hips. At the beginning of treatment, the hips were either dislocated and reducible or dislocated and irreducible. The average age of patients at follow-up was 12 years (range, 10-16 years). At 3- and 5-year follow-up, all of the hips appeared radiographically normal. However, at latest follow-up, 17% of the hips demonstrated changes in the acetabulum (an upward tilt of the outer portion of the acetabular roof or sclerosis in this area). This study emphasizes the importance of continued follow-up until patients treated for congenital dislocation of the hip reach skeletal maturity.
我们展示了对61例患者74个患髋采用帕夫利克吊带治疗的长期结果。治疗开始时，髋关节要么是脱位且可复位的，要么是脱位且不可复位的。随访时患者的平均年龄为12岁（范围为10 - 16岁）。在3年和5年随访时，所有髋关节在X线片上看起来均正常。然而，在最近一次随访时，17%的髋关节显示髋臼有变化（髋臼顶外侧部分向上倾斜或该区域硬化）。本研究强调了对先天性髋关节脱位患者持续随访直至骨骼成熟的重要性。
