采用外展支具治疗6个月龄以内儿童发育性髋关节发育不良
Treatment of the Developmental Dysplasia of the Hip with an Abduction Brace in Children up to 6 Months Old.
作者信息
Wahlen Raphaël, Zambelli Pierre-Yves
机构信息
Orthopedics Department, University Hospital of Lausanne, 1011 Lausanne, Switzerland.
出版信息
Adv Orthop. 2015;2015:103580. doi: 10.1155/2015/103580. Epub 2015 Feb 26.
Introduction. Use of Pavlik harness for the treatment of DDH can be complicated for parents. Any misuse or failure in the adjustments may lead to significant complications. An abduction brace was introduced in our institution, as it was thought to be easier to use. Aim. We assess the results for the treatment of DDH using our abduction brace in children of 0-6 months old and compare these results with data on treatments using the Pavlik harness. Method. Retrospective analysis of patients with DDH from 0 to 6 months old at diagnosis, performed from 2004 to 2009. Outcomes were rates of reduction of the hip and avascular necrosis of the femoral head (AVN). Follow-up was at one year and up to 4 years old. Results. Hip reduction was successful in 28 of 33 patients (85%), with no AVN. Conclusion. Our results in terms of hip reduction rate and AVN rate are similar to those found in literature assessing Pavlik harness use, with a simpler and comfortable treatment procedure.
引言。使用帕夫利克吊带治疗发育性髋关节发育不良（DDH）对家长来说可能比较复杂。任何使用不当或调整失误都可能导致严重并发症。由于认为更容易使用，我们机构引入了一种外展支具。目的。我们评估使用我们的外展支具治疗0至6个月大儿童DDH的效果，并将这些结果与使用帕夫利克吊带治疗的数据进行比较。方法。对2004年至2009年诊断为0至6个月大DDH的患者进行回顾性分析。结果指标为髋关节复位率和股骨头缺血性坏死（AVN）率。随访时间为1年至4岁。结果。33例患者中有28例（85%）髋关节复位成功，无AVN发生。结论。我们在髋关节复位率和AVN率方面的结果与文献中评估使用帕夫利克吊带的结果相似，且治疗过程更简单、舒适。
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