Kirkby Kristin A, Lewis Daniel D
Seattle Veterinary Specialists, Kirkland, WA 98034, USA.
Vet Surg. 2012 Jan;41(1):2-9. doi: 10.1111/j.1532-950X.2011.00928.x. Epub 2011 Dec 8.
To systematically review the evidence available for nonsurgical management of hip dysplasia (HD).
Literature review.
Databases (Pubmed, Veterinary Information Network) were searched for clinical studies on nonsurgical management of HD in dogs. The evidence in each study was reviewed and assigned a score (I-IV) based on previously reported levels of evidence.
Fourteen articles were identified that met the inclusion criteria, including 3 Level IV, 4 Level III, and 7 Level II studies. Methods of nonsurgical management reviewed included: activity restrictions, weight management, acupuncture, modulation of joint disease by polysulfated glycosaminoglycans, mesenchymal stem cell therapy, and extra corporeal shock wave therapy.
Weight management is an effective and important component of managing dogs with HD and associated osteoarthritis. Techniques that modulate the progression of joint disease may also be beneficial for treating dogs with HD. Further studies are needed to investigate other methods of managing HD such as hydrotherapy and physical rehabilitation.
系统评价可用于髋关节发育不良（HD）非手术治疗的现有证据。
文献综述。
检索数据库（PubMed、兽医信息网络），查找关于犬髋关节发育不良非手术治疗的临床研究。对每项研究的证据进行审查，并根据先前报告的证据水平给予评分（I-IV）。
确定了14篇符合纳入标准的文章，包括3项IV级、4项III级和7项II级研究。审查的非手术治疗方法包括：活动限制、体重管理、针灸、多硫酸化糖胺聚糖调节关节疾病、间充质干细胞治疗和体外冲击波治疗。
体重管理是治疗患有髋关节发育不良和相关骨关节炎犬只的有效且重要的组成部分。调节关节疾病进展的技术可能也有益于治疗患有髋关节发育不良的犬只。需要进一步研究以调查其他治疗髋关节发育不良的方法，如水疗和物理康复。
