Mid-term results after ultrasound-monitored treatment of developmental dysplasia of the hips: to what extent can a physiological development be expected?

被引:14
作者
Dornacher, Daniel [1 ]
Lippacher, Sabine [1 ]
Reichel, Heiko [1 ]
Nelitz, Manfred [1 ]
机构
[1] Univ Ulm, Dept Orthoped, D-89077 Ulm, Germany
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2013年 / 22卷 / 01期
关键词
acetabular index; developmental dysplasia of the hip; endogenous factor; follow-up; radiological outcome; PAVLIK HARNESS; DISLOCATION;
D O I
10.1097/BPB.0b013e32835957a1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The purpose of this study was to evaluate the radiological outcome after ultrasound-monitored treatment of developmental dysplasia of the hip at the age of 3 years. We retrospectively reviewed the findings of the second radiographic follow-up of 72 consecutive infants (mean age 31.3 months) with residual developmental dysplasia of the hip. Statistical analysis showed significant regression of acetabular index. Nevertheless, nine hips in seven children showed substantial residual dysplasia. Although remodelling of the acetabulum can be expected, there remains a risk of residual dysplasia. For this reason, radiographic follow-up of every once treated hip as well as the initially physiological contralateral hip is necessary. J Pediatr Orthop B 22:30-35 (C) 2012 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
引用
收藏
页码:30 / 35
页数:6
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