青少年患者中因发育性髋关节发育不良接受成功治疗后的髋关节发育异常。
Dysplasia of the hip in adolescent patients successfully treated for developmental dysplasia of the hip.
作者信息
Modaressi K, Erschbamer M, Exner G U
出版信息
J Child Orthop. 2011 Aug;5(4):261-6. doi: 10.1007/s11832-011-0356-0. Epub 2011 Jul 2.
Abstract
BACKGROUND
The purpose of this study was to analyze whether hips treated for developmental dysplasia of the hip (DDH) during infancy, which were clinically and radiologically fully normalized by walking age, may become dysplastic again during later growth.
MATERIALS AND METHODS
A total of 150 patients were randomly selected out of a collective of 386 patients treated for DDH at the Department of Orthopaedics at the University of Zurich between 1993 and 2004. Treatment was started at birth and continued for 6 months. All patients had clinically and radiographically normal hips by walking age. The patients did not suffer from other diseases, in particular, neurological or neuromuscular diseases.
RESULTS
We detected four female subjects among the 150 patients who had been successfully treated for DDH, who had developed dysplastic hips in early adolescence, necessitating acetabular surgery.
CONCLUSION
The successful treatment of DDH in infancy does not ensure normal hip development; therefore, follow up into maturity may be recommended.
LEVEL OF EVIDENCE
Level IV.
摘要
背景
本研究的目的是分析婴儿期因发育性髋关节发育不良（DDH）接受治疗的髋关节，在行走年龄时临床和放射学表现均完全正常，在后期生长过程中是否会再次出现发育异常。
材料与方法
从1993年至2004年在苏黎世大学骨科接受DDH治疗的386例患者中随机选取150例。治疗从出生开始，持续6个月。所有患者在行走年龄时髋关节的临床和影像学表现均正常。患者未患有其他疾病，尤其是神经或神经肌肉疾病。
结果
我们在150例成功治疗DDH的患者中发现4名女性，她们在青春期早期出现髋关节发育异常，需要进行髋臼手术。
结论
婴儿期DDH的成功治疗并不能确保髋关节正常发育；因此，建议随访至成年。
证据级别
四级。
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