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过去二十年来,手术髋关节脱位应用和适应证的演变:范围综述。

The evolution of surgical hip dislocation utilization and indications over the past two decades: a scoping review.

机构信息

Orthopaedic Department, Qena faculty of medicine and University Hospital, South Valley University, Kilo 6 Qena-Safaga highway, Qena, Egypt.

Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.

出版信息

Int Orthop. 2023 Dec;47(12):3053-3062. doi: 10.1007/s00264-023-05814-w. Epub 2023 Apr 27.

DOI:10.1007/s00264-023-05814-w
PMID:37103574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10673723/
Abstract

PURPOSE

To assess the evolution of surgical hip dislocation (SHD) utilization over the past 20 years, concentrating mainly on the patients' population (adults vs. paediatric), the hip conditions treated using this approach, and reporting on complications of this procedure.

METHODS

This scoping review was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A PubMed database search was performed using specific search terms for articles related to SHD published between January 2001 and November 2022.

RESULTS

Initial search revealed 321 articles, of which 160 published in 66 journals from 28 countries were eligible for final analysis. The number of publications increased by 10.2 folds comparing the period from 2001 to 2005 with 2018 to 2022. USA and Switzerland contributed to more than 50% of the publications. Case series studies represented the majority of publications (65.6%). Articles including adult patients represented 73.1% of the publications while 10% were on paediatric patients; however, there was 14 folds increase in publications on paediatric patients comparing the first with the last five years. Managing non-traumatic conditions was reported in 77.5% of the articles, while traumatic conditions in 21.9%. Femoroacetabular impingement (FAI) was the most treated non-traumatic condition reported in 53 (33.1%) articles. In contrast, femoral head fractures (FHF) were the most treated traumatic condition, which was reported in 13 articles.

CONCLUSION

The publications on SHD and its usage for managing traumatic and non-traumatic hip conditions showed an increasing trend over the past two decades from worldwide countries. Its use in adult patients is well established, and its utilization in treating paediatric hip conditions is becoming more popular.

摘要

目的

评估过去 20 年来手术髋关节脱位(SHD)应用的演变,主要集中在患者人群(成人与儿童)、用该方法治疗的髋关节疾病,并报告该手术的并发症。

方法

本范围综述根据系统评价和荟萃分析扩展的首选报告项目(PRISMA-ScR)指南进行。使用特定的搜索词在 PubMed 数据库中进行了与 2001 年 1 月至 2022 年 11 月期间发表的 SHD 相关文章的搜索。

结果

最初的搜索显示有 321 篇文章,其中有 160 篇发表在 28 个国家的 66 种期刊上,符合最终分析的条件。与 2001 年至 2005 年相比,2018 年至 2022 年期间的出版物数量增加了 10.2 倍。美国和瑞士的出版物超过了 50%。病例系列研究是发表文章的主要类型(65.6%)。成人患者的文章占发表文章的 73.1%,而儿童患者的文章占 10%;然而,与前五年相比,儿童患者的文章数量增加了 14 倍。77.5%的文章报告了非创伤性疾病的治疗,21.9%报告了创伤性疾病的治疗。髋关节撞击综合征(FAI)是报道最多的非创伤性疾病,在 53 篇(33.1%)文章中被报道。相比之下,股骨颈骨折(FHF)是报道最多的创伤性疾病,有 13 篇文章报道。

结论

过去 20 年来,全世界各国发表的关于 SHD 及其用于治疗创伤性和非创伤性髋关节疾病的文章数量呈上升趋势。其在成年患者中的应用已得到充分证实,其在治疗儿童髋关节疾病方面的应用越来越受欢迎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/2126ead239e6/264_2023_5814_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/25d934699c7a/264_2023_5814_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/a35ca94ffd27/264_2023_5814_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/2e70dd871ddb/264_2023_5814_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/e9729becf0d6/264_2023_5814_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/2d2f66c2e336/264_2023_5814_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/c5c0f6e0c049/264_2023_5814_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/2126ead239e6/264_2023_5814_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/25d934699c7a/264_2023_5814_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/a35ca94ffd27/264_2023_5814_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/2e70dd871ddb/264_2023_5814_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/e9729becf0d6/264_2023_5814_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/2d2f66c2e336/264_2023_5814_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/c5c0f6e0c049/264_2023_5814_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/10673723/2126ead239e6/264_2023_5814_Fig7_HTML.jpg

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