PROGNOSTICATING FACTORS IN ACETABULAR DEVELOPMENT FOLLOWING REDUCTION OF DEVELOPMENTAL DYSPLASIA OF THE HIP

被引:82
作者
CHEN, IH [1 ]
KUO, KN [1 ]
LUBICKY, JP [1 ]
机构
[1] TZU CHI BUDDIST GEN HOSP,DEPT ORTHOPED,HUALIEN,TAIWAN
关键词
ACETABULAR DEVELOPMENT; ACETABULAR INDEX; CENTER-HEAD DISTANCE DISCREPANCY; DEVELOPMENTAL DYSPLASIA OF THE HIP; LATERAL DISPLACEMENT;
D O I
10.1097/01241398-199401000-00002
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
A number of predictors that may influence acetabular development after reduction were studied in 75 hips with developmental dysplasia of the hip (DDH). Seventy-nine percent of the hips had satisfactory results of Severin group I or II, and 21% had unsatisfactory results. The best predictor of success in a unilateral case is the center-head distance discrepancy (CHDD) measurement at 1 year follow-up. Ninety-six percent of hips with a CHDD of less-than-or-equal-to 6% had satisfactory results, whereas 78% with a CHDD >6% had unsatisfactory results. This study also confirms that age at reduction and significant improvement in the acetabular index in the first year after reduction are important predictors.
引用
收藏
页码:3 / 8
页数:6
相关论文
共 17 条
  • [1] Brougham D.I., Broughton N.S., Cole W.G., Menelaus M.B., The predictability of acetabular development after closed reduction for congenital dislocation of the hip, J Bone Joint Surg [Br], 70, pp. 733-736, (1988)
  • [2] Cherney D.L., Westin G.W., Acetabular development in the infant’s dislocated hips, Clin Orthop, 242, pp. 98-103, (1989)
  • [3] Gibson P.H., Benson M., Congenital dislocation of the hip: Review at maturity of 147 hips treated by excision of the limbs and derotation osteotomy, J Bone Joint Surg [Br], 64, pp. 169-175, (1982)
  • [4] Goodman S.B., Comparison of radiographic parameters for analysis of normal and dysplastic hips in the adult, Contemp Orthop, 20, pp. 505-511, (1990)
  • [5] 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)
  • [6] Lindstrom J.R., Ponseti I.V., Wenger D.R., Acetabular development after reduction in congenital dislocation of the hip, J Bone Joint Surg [Am], 61, pp. 112-118, (1979)
  • [7] Papavasiliou V.A., Piggott H., Acetabular floor thickening and femoral head enlargement in congenital dislocation of the hip: Lateral displacement of femoral head, J Pediatr Orthop, 3, pp. 22-27, (1983)
  • [8] Pauwel F., Biomechanics of the Normal and Diseased Hip, (1976)
  • [9] Pozo J.L., Cannon S.R., Catterall A., The Colonna-Hey groves arthroplasty in the late treatment of congenital dislocation of the hip, J Bone Joint Surg [Br], 69, pp. 220-228, (1987)
  • [10] Race C., Herring J.A., Congenital dislocation of the hip: An evaluation of closed reduction, J Pediatr Orthop, 3, pp. 166-172, (1983)