发育性髋关节发育不良：何时截骨？

Q4 Medicine

Orthopaedics and Trauma Pub Date : 2024-11-01 DOI:10.1016/j.mporth.2024.09.003

Sarah Rubin, Christopher Edward Bache

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引用次数: 0

摘要

发育性髋关节发育不良是骨科临床中常见的问题；对年幼儿童进行早期诊断并对股骨头进行闭合性固定，目的是使其发生重塑。对于年龄较大、重塑潜力较小的儿童，可能需要进行股骨和/或骨盆/髋臼截骨手术。目前有许多截骨术，其共同目标都是使解剖结构正常化并防止长期退行性病变。个别截骨术可分为重新定向或挽救亚型，然后根据儿童的年龄/骨骼成熟程度来确定适应症。本文解释了现有文献中的截骨方案和结果，并提供了一张流程图，总结了作者推荐的选择。

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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Developmental hip dysplasia: which osteotomy, when?

Developmental hip dysplasia is a common problem encountered in orthopaedic practice; early diagnosis and closed containment of the femoral head in younger children aims to allow remodelling to occur. For older children, with less remodelling potential, surgical intervention with femoral and/or pelvic/acetabular osteotomies may be required. There are many osteotomies described, all with a common goal of normalizing anatomy and preventing long term degenerative changes. Individual osteotomies can be classified as redirectional or salvage subtypes, then indications by the age of the child/degree of skeletal maturity. The osteotomy options and outcomes from available literature are explained and a flowchart to summarize the authors recommended choices is provided.

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来源期刊

Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.