A systematic review of the biomechanics of orthopaedic ambulatory bracing for residual hip dysplasia

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-05-25 DOI:10.1016/j.clinbiomech.2025.106562

John D. Collins , Victor Huayamave , Charles T. Price , Alessandra Carriero , Vidyadhar V. Upasani , Erin M. Mannen

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引用次数: 0

Abstract

Background

Residual hip dysplasia may occur following initial treatment of developmental dysplasia of the hip during infancy or following surgical intervention at an older age. Mild hip dysplasia may also be discovered during early childhood. Treatments include modalities such as bracing for less severe cases and surgical intervention for more severe cases. Treatment strategies involving bracing often cease around one year of age as children change ambulatory status and become more mobile. Continued bracing with an ambulation-permitting brace may fill the gap between the common bracing treatments and the advanced need for surgical intervention. This study sought to determine whether the biomechanics of ambulatory abduction bracing have been adequately studied as an alternative to observation for mild residual dysplasia in the ambulatory toddler.

Methods

This systematic review on the topic was only able to identify seven studies that address bracing of children with developmental dysplasia of the hip while also of ambulatory age.

Findings

Of these seven studies identified, there was very little clinically useful information to provide a basis for ambulatory bracing for mild residual hip dysplasia.

Interpretation

This study motivates the need for future work in this largely understudied area.

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骨科动态支具治疗残留髋关节发育不良的生物力学系统综述

背景：婴儿期髋关节发育不良的初始治疗或老年手术干预后，可能会发生髋关节发育不良。轻度髋关节发育不良也可在儿童早期发现。治疗方法包括对较轻的病例采用支具，对较严重的病例采用手术干预。治疗策略包括支架通常在一岁左右停止，因为儿童改变了走动状态，变得更灵活。继续使用允许活动的支架可以填补普通支架治疗和手术干预之间的空白。本研究旨在确定是否已充分研究了动态外展支具的生物力学，作为观察动态幼儿轻度残余发育不良的替代方法。方法：本系统综述仅能确定7项研究，涉及髋发育不良儿童的支具，同时也处于活动年龄。在这7项研究中，很少有临床有用的信息为轻度残留髋关节发育不良的动态支具提供依据。这项研究激发了对这一尚未充分研究领域未来工作的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.