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儿童创伤性髋关节脱位的临床治疗:一项单中心回顾性研究。

Clinical treatment of traumatic hip dislocation in children: a single-centre retrospective study.

作者信息

Liu Jiao, Su Yuxi, Nan Guoxin

机构信息

Orthopedics Department, Dongguan Children's Hospital Affiliated to Guangdong Medical University, Dongguan, China.

Children's Hospital of Chongqing Medical University, Chongqing, China.

出版信息

Sci Rep. 2024 Aug 1;14(1):17860. doi: 10.1038/s41598-024-68307-9.

Abstract

This study aimed to analyse the treatment and outcomes of traumatic hip dislocation (THD) in children. Clinical data of children with THD were collected at our clinical centre from 1 June 2012 to 1 January 2023. Demographic data, injury mechanism, type of dislocation, combined injuries, reduction time, reduction method, and radiographs were analysed. The Merle d'Aubigné-Postel hip score was used to evaluate hip function and complications at the final follow-up. A total of 19 children with THD were enrolled, including 12 male and seven female patients, with an average age of 8.28 ± 0.99 years. Posterior dislocation was the main type of dislocation (89.47%). Fifteen patients (78.95%) had experienced high-energy injuries and traffic accidents were the main causes of injury (47.37%). Closed reduction was performed as soon as possible, and open reduction was performed if necessary. The hip scores of 18 patients (94.74%) were excellent. One patient had osteonecrosis of the femoral head, with a hip function score of 10 (moderate). High-energy injuries, such as traffic accidents, have gradually become the main cause of injury. The prognosis for THD in children is generally good.

摘要

本研究旨在分析儿童创伤性髋关节脱位(THD)的治疗方法及预后情况。2012年6月1日至2023年1月1日期间,在我们的临床中心收集了THD患儿的临床资料。分析了人口统计学数据、损伤机制、脱位类型、合并伤、复位时间、复位方法及X线片。末次随访时采用Merle d'Aubigné-Postel髋关节评分评估髋关节功能及并发症情况。共纳入19例THD患儿,其中男12例,女7例,平均年龄8.28±0.99岁。后脱位是主要的脱位类型(89.47%)。15例(78.95%)患儿遭受高能损伤,交通事故是主要致伤原因(47.37%)。尽快进行闭合复位,必要时行切开复位。18例(94.74%)患儿髋关节评分优秀。1例患儿发生股骨头坏死,髋关节功能评分为10分(中度)。交通事故等高能损伤已逐渐成为主要致伤原因。儿童THD的预后总体良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e22/11294344/3b66fdd18a2a/41598_2024_68307_Fig1_HTML.jpg

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