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基于证据的发育性髋关节发育不良管理

Evidence-based management of developmental dysplasia of the hip.

作者信息

Cooper Anthony Philip, Doddabasappa Siddesh Nandi, Mulpuri Kishore

机构信息

Department of Orthopaedics, BC Children's Hospital, 1D-05, 4480 Oak Street, Vancouver, British Columbia V6H 3N1, Canada.

Department of Orthopaedics, BC Children's Hospital, 1D-66, 4480 Oak Street, Vancouver, British Columbia V6H 3N1, Canada.

出版信息

Orthop Clin North Am. 2014 Jul;45(3):341-54. doi: 10.1016/j.ocl.2014.03.005.

Abstract

Developmental Dysplasia of the Hip (DDH) refers to a spectrum of abnormalities involving the developing hip. These abnormalities range from mild instability to frank dislocation of the joint. It is important to treat the condition effectively in order to encourage the hip to develop normally and produce good long-term results. This article reviews the evidence related to the treatment of DDH. The quality of evidence for DDH management remains low, with little uniformity in terminology and most studies being retrospective in nature. Given this, it is not possible to recommend or reject most treatment modalities based on existing studies.

摘要

发育性髋关节发育不良(DDH)是指一系列涉及发育中髋关节的异常情况。这些异常从轻度不稳定到关节完全脱位不等。有效治疗该病症对于促使髋关节正常发育并取得良好的长期效果至关重要。本文回顾了与DDH治疗相关的证据。DDH管理的证据质量仍然较低,术语缺乏一致性,且大多数研究本质上是回顾性的。鉴于此,无法根据现有研究推荐或否定大多数治疗方式。

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