Ippolito E, Tovaglia V, Caterini R
Ital J Orthop Traumatol. 1984 Dec;10(4):501-10.
The development of the acetabulum has been studied histologically and histochemistry from the beginning of the foetal period to birth. The acetabular roof develops by interstitial growth of the acetabular cartilage and the limbus, enchodral ossification of the growth cartilage of the acetabulum and periosteal ossification of the iliac ala. In congenital dislocation of the hip (C.D.H.) this mechanism is altered but can be restored to normal by stable reduction during the first 4-5 years of life. Plastic operations to create a new roof ("shelf operations") are often destined to failure because they can not only damage the delicate histological structures concerned in the growth of the acetabulum, but the bone grafts used do not grow like the neighbouring osteocartilaginous structures.
从胎儿期开始至出生，已对髋臼的发育进行了组织学和组织化学研究。髋臼顶通过髋臼软骨和髋臼缘的间质生长、髋臼生长软骨的软骨内成骨以及髂骨翼的骨膜成骨而发育。在先天性髋关节脱位（CDH）中，这种机制会发生改变，但在生命的最初4至5年内通过稳定复位可恢复正常。创建新髋臼顶的整形手术（“造架手术”）往往注定会失败，因为它们不仅会损害髋臼生长过程中相关的精细组织结构，而且所使用的骨移植材料不会像相邻的骨软骨结构那样生长。
