Dornacher Daniel, Lippacher Sabine, Reichel Heiko, Nelitz Manfred
Department of Orthopedics, University of Ulm, Ulm, Germany.
J Pediatr Orthop B. 2013 Jan;22(1):30-5. doi: 10.1097/BPB.0b013e32835957a1.
The purpose of this study was to evaluate the radiological outcome after ultrasound-monitored treatment of developmental dysplasia of the hip at the age of 3 years. We retrospectively reviewed the findings of the second radiographic follow-up of 72 consecutive infants (mean age 31.3 months) with residual developmental dysplasia of the hip. Statistical analysis showed significant regression of acetabular index. Nevertheless, nine hips in seven children showed substantial residual dysplasia. Although remodelling of the acetabulum can be expected, there remains a risk of residual dysplasia. For this reason, radiographic follow-up of every once treated hip as well as the initially physiological contralateral hip is necessary.
本研究的目的是评估3岁时超声监测治疗发育性髋关节发育不良后的放射学结果。我们回顾性分析了72例连续的髋关节残留发育性发育不良婴儿（平均年龄31.3个月）第二次影像学随访的结果。统计分析显示髋臼指数有显著改善。然而，7名儿童的9个髋关节仍有明显的残留发育不良。虽然髋臼重塑是可以预期的，但仍存在残留发育不良的风险。因此，对每一个接受过治疗的髋关节以及最初正常的对侧髋关节进行影像学随访是必要的。
