Eggl H, Krismer M, Klestil T, Frischhut B
Universitätsklinik für Orthopädie, Innsbruck.
Orthopade. 1993 Sep;22(5):277-9.
The possible influence of early harness treatment for hip dysplasia--a treatment made possible by hip sonography according to Graf--on the incidence of hip luxations was examined in an epidemiological study. In a region with 8,000 births per year three periods were investigated: the pre-ultrasonographic era with 19 luxations per year (2.2/1000), the introductory era with 11 (1.3/1000) and the last period with 6 luxations so far (0.8/1000). A diagnosis can now be made at an earlier time due to the possibility of viewing the hip with sonography, a fact which significantly reduces the amount of hip luxations (pre-ultrasonographic era versus screening era: P = 0.00002), verified by the significant decrease in open and closed reductions.
在一项流行病学研究中,考察了早期使用吊带治疗髋关节发育不良(根据格拉夫法通过髋关节超声检查得以实施的一种治疗方法)对髋关节脱位发生率的可能影响。在一个每年有8000例新生儿出生的地区,研究了三个时期:超声检查前时代,每年有19例脱位(2.2/1000);引入时代,每年有11例(1.3/1000);到目前为止的最后一个时期有6例脱位(0.8/1000)。由于现在可以通过超声检查观察髋关节,能够更早地做出诊断,这一事实显著降低了髋关节脱位的数量(超声检查前时代与筛查时代相比:P = 0.00002),开放性复位和闭合性复位的显著减少证实了这一点。