Agashe Mandar V, Kapoor Darshan, Vaidya Sandeep V
Agashe's Paediatric SuperSpeciality Clinic, 16094, Kohinoor City Phase 2, Kirol Road, Kurla West, Mumbai, 400070 India.
Pinnacle Ortho Centre, Thane, India.
Indian J Orthop. 2021 Nov 17;55(6):1601. doi: 10.1007/s43465-021-00493-4. eCollection 2021 Dec.
Closed reduction, arthrography and hip spica application is the treatment of choice for DDH between 6 and 18 months. There is a lot of controversy about what exactly constitutes an "acceptable" closed reduction and arthrogram and the arthrography findings are often difficult to interpret. In this video, the authors describe the technique to perform the arthrogram as well as the interpretation of the same. Various static parameters such as the femoral head coverage, the medial dye pool and the hourglass constriction are shown. In addition, the validity of the safe zone is discussed. With this video technique article, the authors hope that it becomes easy for the budding paediatric orthopaedic surgeon to perform and interpret the DDH arthrogram with ease.
The online version contains supplementary material available at 10.1007/s43465-021-00493-4.
闭合复位、关节造影及髋人字石膏固定是6至18个月大发育性髋关节发育不良(DDH)的首选治疗方法。对于究竟什么构成“可接受的”闭合复位和关节造影存在诸多争议,而且关节造影结果往往难以解读。在本视频中,作者描述了进行关节造影的技术以及对其结果的解读。展示了各种静态参数,如股骨头覆盖率、内侧染料池和沙漏样狭窄。此外,还讨论了安全区的有效性。通过这篇视频技术文章,作者希望初出茅庐的小儿骨科医生能够轻松地进行并解读DDH关节造影。
在线版本包含可在10.1007/s43465-021-00493-4获取的补充材料。