PREDICTION FOR PROGNOSIS FROM RADIOLOGIC MEASUREMENTS OF PATIENTS TREATED WITH THE PAVLIK HARNESS FOR CONGENITAL DISLOCATION OF THE HIP

被引:13
作者
MITANI, S
ODA, K
TANABE, G
机构
[1] Department of Orthopaedic Surgery, Okay ama University Medical School, Okay ama
关键词
CONGENITAL HIP DISLOCATION; LONG-TERM FOLLOW-UP; MULTIVARIATE ANALYSIS; RADIOLOGIC MEASUREMENT; RETROSPECTIVE STUDY;
D O I
10.1097/01241398-199305000-00005
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
摘要
Radiologic measurement was made in % hips of % female patients with congenital dislocation of the hip (CDH) treated only with the Pavlik harness before reaching age 6 months until time of maturity. Radiographs were retrospectively examined to determine whether prognosis of the hip joints was predictable up to approximately 3 years of age. Highly accurate prediction was possible using multivariate analysis. The patient group assessed as ''satisfactory'' with discriminant analysis had an incidence of Severin's classification of group III or lower of <1% of significance level. This analysis appears to be a useful screening method for judging CDH after treatment.
引用
收藏
页码:303 / 310
页数:8
相关论文
共 26 条
  • [1] Bernbech R., Bisherige klinische Erfarhrungen mit der operativen Lange-Stellung bei Luxationshuften, Verh Dtsch Orlhop Ges, 39, pp. 255-267, (1951)
  • [2] Brougham D.J., Broughton N.S., Cole W.G., Et al., The predictability of acetabular development after closed reduction for congenital dislocation of the hip, J Bone Joint Surg [Br], 70, pp. 733-736, (1988)
  • [3] Eyring E.J., Bjorson D.R., Peterson C.A., Early diagnostic and prognostic signs in Legg-Calv6-Perthes disease, AJR, 93, pp. 382-387, (1965)
  • [4] Harris N.H., Lloyd-Roberts G.C., Gallien R., Acetabular development in congenital dislocation of the hip, J Bone Joint Surg [Br], 57, pp. 46-52, (1975)
  • [5] Heyman C.H., Herndon C.H., Legg-Perthes disease. A method for the measurement of the roentgenographic result, J Bone Joint Sura [Am], 32, pp. 767-778, (1950)
  • [6] Hilgenreiner H., Zur Frühdiagnose und Friihbehandlung der angeborenen Hüftgelenkverrenkung, Med Klin, 21, pp. 1385-1388, (1925)
  • [7] Ikeda S., Iwasaki K., Suzuki R., Radiological study of growth and development of the acetabulum in nonoperatively treated congenital dislocation hip (In Japanese), Rinsho Seikei Geka, 21, pp. 51-57, (1986)
  • [8] Iwasaki K., Radiological studies of the avascular necrosis following treatment of congenital dislocation of the hip (In Japanese), Seikei Saigai Geka, 24, pp. 847-854, (1981)
  • [9] Izumida R., Nakagawa T., Izumida S., Fujinaka S., Sakamaki T., Ishikura T., Yamada N., Okinaga A., Fukuhide J., Progress of acetabular dysplasia after the initial treatment—with special reference to numerical observation on the growing process of hip joint and pelvis (In Japanese), Rinsho Seikei Geka, 21, pp. 43-50, (1986)
  • [10] Jones D.A., Subcapital coxa valga after varus osteotomy for congenital dislocation of the hip, J Bone Joint Surg [Br], 59, pp. 152-158, (1977)