Tschauner C, Klapsch W, Graf R
Allgemeines und Orthopädisches Landeskrankenhaus Stolzalpe.
Orthopade. 1993 Sep;22(5):268-76.
We compared two similarly sized groups of sonographically unstable or decentered hips with comparable initial findings, both treated by standardized conservative primary treatment. The results show that an early definite diagnosis improves the prognosis. If built on a secure initial diagnosis rationally grounded and efficient conservative therapy can be initiated and followed through on. Since the treatment is started extremely early, the hip can benefit from the considerably greater potential for spontaneous development present in the first three months of life. In this way we can shorten the treatment time considerably and also complete it at a younger age. Finally, early treatment also reduces the risk of the complication of necrosis of the femoral head and significantly decreases the rate of surgical procedures. Only a sufficiently well executed and comprehensively organized sonographic neonatal screening program can produce a definite very early diagnosis and with it almost 100% successful early treatment of all grades of disturbances of hip maturity. Sonographic screening of the newborn is a very important piece in the jigsaw of prophylaxis and primary prevention in our public health care program.
我们比较了两组超声检查显示髋关节不稳定或中心脱位且初始检查结果相似、大小相近的病例，两组均采用标准化的保守初步治疗。结果表明，早期明确诊断可改善预后。基于可靠的初始诊断，可启动并实施合理、有效的保守治疗。由于治疗开始得非常早，髋关节可受益于出生后前三个月显著更大的自发发育潜力。这样我们可以大幅缩短治疗时间，并在患儿更小的时候完成治疗。最后，早期治疗还可降低股骨头坏死并发症的风险，并显著降低手术率。只有执行充分且组织全面的超声新生儿筛查计划，才能实现明确的极早期诊断，进而几乎100%成功地对所有程度的髋关节成熟障碍进行早期治疗。新生儿超声筛查是我们公共卫生保健计划中预防和一级预防拼图中的非常重要的一块。
