Lu Chan,Ma Na,Xie Rui,et al.Therapeutic advances of developmental dysplasia of the hip in children aged 18-24 months[J].Journal of Clinical Pediatric Surgery,,():489-492.[doi:10.3760/cma.j.cn101785-202305045-018]
Therapeutic advances of developmental dysplasia of the hip in children aged 18-24 months
- Abstract:
- Developmental dysplasia of the hip (DDH) refers to structural and functional abnormality of the hip.The objective is restoring concentric reduction of acetabulum and femoral head and enabling normal growth and development of the hip.At home and abroad,treatment of DDH children of different ages is relatively mature.However,there is an ongoing controversy over therapeutic options for DDH children aged (18-24) months.Outcomes,surgical traumas,costs and durations affect the options of treatment.Currently there is no definite therapeutic protocol.Major closed surgical procedures include reset,open reduction alone and pelvic osteotomy.During many follow-up studies,each option has such serious complications as residual acetabular dysplasia,ascular necrosis (RAD) and avascular necrosis (AVN) of femoral head.Due to complex factors affecting postoperative complications and a great specificity of acetabulum development at an age of (18-24) month,individualizing surgical approaches has become a clinical dilemma and a hot topic of recent researches.This review summarized the latest surgical researches for DDH children aged 18 to 24 months.The goal was to provide rationales for selecting appropriate surgical approaches.
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Memo
收稿日期:2023-05-29。
基金项目:云南省杨军林专家工作站(202205AF150062)
通讯作者:康晓鹏,Email: shedk@163.com