使用帕夫利克吊带治疗双侧髋关节脱位不会增加失败风险。
Bilaterally dislocated hips treated with the Pavlik harness are not at a higher risk for failure.
作者信息
Borowski Andrzej, Thawrani Dinesh, Grissom Leslie, Littleton Aaron G, Thacker Mihir M
机构信息
Department of Orthopedics, Nemours Children's Clinic, Wilmington, DE, USA.
出版信息
J Pediatr Orthop. 2009 Oct-Nov;29(7):661-5. doi: 10.1097/BPO.0b013e3181b528f8.
BACKGROUND
The purpose of this study is to evaluate the efficacy of the Pavlik harness treatment in patients with bilaterally dislocated hips, and to compare them with cases with unilaterally dislocated hips.
METHODS
Twenty-nine patients (58 hips) were identified who presented with bilateral dislocated hips with no earlier treatment and received dynamic ultrasound examination. The comparison group consisted of 38 patients (38 hips) with unilateral hip dislocation treated with the same protocol. Successful treatment was defined as relocation/reduction of the hips within 3 weeks of Pavlik harness application.
RESULTS
Seventeen of 29 patients (59%) in the bilateral group (7 bilateral, 10 unilateral) and 22 of 38 patients (58%) in the unilateral group failed the harness treatment. There was no difference in the duration of harness wear for successful patients regardless of presentation.
CONCLUSIONS
Patients presenting with bilaterally dislocated hips treated with the Pavlik harness are at no greater risk for failure than patients presenting with unilateral hip dislocation.
LEVEL OF EVIDENCE
Level 3.
背景
本研究的目的是评估 Pavlik 吊带治疗双侧髋关节脱位患者的疗效，并将其与单侧髋关节脱位患者进行比较。
方法
确定了 29 例（58 髋）未经早期治疗的双侧髋关节脱位患者，并对其进行动态超声检查。对照组由 38 例（38 髋）采用相同方案治疗的单侧髋关节脱位患者组成。成功治疗定义为在应用 Pavlik 吊带后 3 周内髋关节复位。
结果
双侧组 29 例患者中有 17 例（59%）（7 例双侧，10 例单侧）和单侧组 38 例患者中有 22 例（58%）吊带治疗失败。无论表现如何，成功患者的吊带佩戴时间无差异。
结论
与单侧髋关节脱位患者相比，采用 Pavlik 吊带治疗的双侧髋关节脱位患者失败风险并无更高。
证据级别
3 级。
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