发育性髋关节发育不良的闭合复位、关节造影及髋人字石膏固定术
Closed Reduction, Arthrogram and Spica Application for DDH.
作者信息
Nagda Taral, Dhamele Jaideep
机构信息
Narayana Health SRCC Childrens Hospital, Hajiali, Mumbai, Maharashtra India.
出版信息
Indian J Orthop. 2021 Nov 22;55(6):1602-1604. doi: 10.1007/s43465-021-00542-y. eCollection 2021 Dec.
INTRODUCTION
The principle of the treatment for DDH is to establish a concentric, congruent, stable and safe reduction of the hip. Early treatment enables the subsequent hip development. Closed reduction and spica play an essential role during the process of DDH treatment, especially the young children, with high success rate and low complications.
INDICATIONS
The indications for the procedure include DDH in children between the age of 6 months and 2 years, and failure of Pavlik harness treatment.
TECHNIQUE
The procedure is performed under general anaesthesia or deep sedation under guidance of image intensifier. We use a wooden board as spica table. The steps of the procedure are illustrated in the video and include: (1) gentle reduction, (2) confirmation of reduction and stability with arthrogram and (3) application of hip spica in human position.
CONCLUSION
The article describes video technique for closed reduction, arthrogram and spika for management of DDH along with a list of useful tips and tricks.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s43465-021-00542-y.
引言
发育性髋关节发育不良（DDH）的治疗原则是实现髋关节同心、匹配、稳定且安全的复位。早期治疗有助于后续髋关节的发育。闭合复位及髋人字石膏固定在DDH治疗过程中起着至关重要的作用，尤其是对于幼儿，成功率高且并发症少。
适应症
该手术的适应症包括6个月至2岁儿童的DDH以及 Pavlik吊带治疗失败。
技术
该手术在全身麻醉或在影像增强器引导下深度镇静下进行。我们使用一块木板作为髋人字石膏固定台。手术步骤在视频中有展示，包括：（1）轻柔复位，（2）通过关节造影确认复位及稳定性，以及（3）在人体位置应用髋人字石膏。
结论
本文描述了用于DDH治疗的闭合复位、关节造影及髋人字石膏固定的视频技术，并列出了一些有用的提示和技巧。
补充信息
在线版本包含可在10.1007/s43465-021-00542-y获取的补充材料。
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