发育性髋关节发育不良治疗中辅具的使用Use of assistive devices for developmental dysplasia of the hip
刘涛;苟攀;刘星;
摘要(Abstract)：
发育性髋关节发育不良是小儿骨科常见畸形之一,诊断和治疗不及时往往遗留髋关节功能障碍、跛行、残疾等多种并发症。发育性髋关节发育不良可采用各类辅具如Pavlik挽具、人类位支具、简易髋外展支具和髋人字支具进行保守治疗,通过早期正规、系统的治疗常能获得很好的预后,且方法简单,效果可靠,从而避免后期闭合复位石膏外固定或手术治疗,减少人力、物力和财力花费,减轻社会和家庭负担,值得在临床上推广。
关键词(KeyWords)： 发育性髋关节发育不良;儿童;辅具
基金项目(Foundation):
作者(Author): 刘涛;苟攀;刘星;
Email:
DOI:
参考文献(References)：
- [1]蔡威，孙宁，魏光辉.小儿外科学[M]. 5版.北京:人民卫生出版社，2014:476-485.
- [2]杨建平,底垚宗.天津市DDH早期筛查的组织实施与初步结果[J].山东医药, 2011, 51(24):4-5.
- [3]仲宇,李昌,汪峰,等.外展支架固定治疗幼儿先天性髋关节脱位疗效评价[J].现代诊断与治疗, 2014, 25(18):4222-4223.
- [4] Azar FM, Beaty JH, Canale ST.儿童骨科[M]//唐佩福，王岩，卢世璧.坎贝尔骨科手术学.13版.北京：北京大学医学出版社，2018:1051-1053.
- [5] Walton M, Isaacson Z, Mcmillan D, et al. The success of management with the Pavlik harness for developmental dysplasia of the hip using a United Kingdom screening programme and ultrasoundguided supervision[J]. J Bone Joint Surg Br, 2010, 92(7):1013-1016.
- [6]万广亮,付喆,杨建平. Pavlik挽具早期治疗发育性髋脱位[J].中华骨科杂志，2014, 3(7):769-776.
- [7]付喆,杨建平,张中礼,等. Pavlik挽具与牵引石膏早期治疗发育性髋脱位的疗效比较[J].中华骨科杂志，2016,36(7):399-405.
- [8] Tiruveedhula M, Reading I, Clarke NM, et al. Failed Pavlik harness treatment for DDH as a risk factor for avascular necrosis[J]. J Pediatr Orthop, 2015, 35(2):140-143.
- [9] Omeroglu H. Treatment of developmental dysplasia of the hip with the Pavlik harness in children under six months of age:indications,results and failures[J]. J Chil Orthop, 2018, 12(4):308-316.
- [10] Hedequist D, Kasser JR, Emans JB, et al. Use of an abduction brace for developmental dysplasia of the hip after failure of Pavlik harness use[J]. J Pediatr Orthop, 2003, 23(2):175-177.
- [11] Sankar WN, Nduaguba AM, Flynn JM, et al. Ilfeld abduction orthosis is an effective second-line treatment after failure of Pavlik harness for infants with developmental dysplasia of the hip[J]. J Bone Joint Surg Am, 2015, 97(4):292-297.
- [12] Wahlen R, Zambelli P. Treatment of the developmental dysplasia of the hip with an abduction brace in children up to 6 months old[J/OL]. Adv Orthop, 2015. http://dx.doi.org/10.1155/2015/103580.
- [13]刘远忠,周庆和.改良蛙式石膏及人体位支架固定治疗发育性髋关节脱位疗效评价[J].中国现代医学杂志, 2005, 15(15):2385-2386.