Assessment and Management of Residual Acetabular Dysplasia from Age 1 to 5 Years: Defining Normal Acetabular Index Values and Indications for Treatment.

IF 2.4 Q2 SURGERY
JBJS Reviews Pub Date : 2025-06-20 eCollection Date: 2025-06-01 DOI:10.2106/JBJS.RVW.25.00062
Taylor R Johnson, Stephanie Y Pun, William Z Morris, Eduardo N Novais, Steven L Frick
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引用次数: 0

Abstract

» Persistent abnormal acetabular index values (>25-30° at 4-5 years or > 35° at 2 years of postreduction) may predict poor outcomes and indicate the need for pelvic osteotomy.» Assessment of the acetabular cartilaginous morphology and cartilaginous coverage of the femoral head by magnetic resonance imaging may assist in guiding surgical decisions.» Earlier pelvic osteotomy leverages remodeling potential, but observation until 4 to 5 years may be preferred to minimize risks and allow spontaneous correction.» Routine monitoring is crucial for stable, dysplastic hips, focusing on acetabular index trends over time.» Shared decision-making with families is essential to balance the risks of residual dysplasia and the likelihood of secondary procedures.

1 - 5岁残余髋臼发育不良的评估和处理:定义正常髋臼指数值和治疗指征。
»髋臼指数持续异常(4-5年时为bbb25 -30°或产后2年时为bbb35°)可能预示预后不良,提示需要行盆腔截骨术。»通过磁共振成像评估髋臼软骨形态和股骨头软骨覆盖范围有助于指导手术决策。早期骨盆截骨术可以发挥重塑的潜力,但最好观察到4 - 5年,以尽量减少风险并允许自发矫正。常规监测对于稳定、发育不良的髋关节至关重要,重点关注髋臼指数随时间的变化趋势。与家庭共同决策对于平衡残余发育不良的风险和二次手术的可能性至关重要。
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来源期刊
JBJS Reviews
JBJS Reviews SURGERY-
CiteScore
4.40
自引率
4.30%
发文量
132
期刊介绍: JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.
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