Liu Jiao, Su Yuxi, Nan Guoxin
Orthopedics Department, Dongguan Children's Hospital Affiliated to Guangdong Medical University, Dongguan, China.
Children's Hospital of Chongqing Medical University, Chongqing, China.
Sci Rep. 2024 Aug 1;14(1):17860. doi: 10.1038/s41598-024-68307-9.
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.
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。
