He Jinpeng,Zheng Chen,Mei Haibo,et al.Necessity of femoral osteotomy in DDH of early age group:a prospective randomized control study protocol(FSODDH)[J].Journal of Clinical Pediatric Surgery,,18():282-287.[doi:10.3969/j.issn.1671-6353.2019.04.007]
Necessity of femoral osteotomy in DDH of early age group:a prospective randomized control study protocol(FSODDH)
- Keywords:
- Developmental Dislocation of The Hip; Femur; Osteotomy/MT; Prospective Studies; Randomized Controlled Trials; Research Design
- CLC:
- R181.2;R726.8;R687.3+1
- Abstract:
- Various treatments are available for developmental dislocation of the hip (DDH).It is still controversial whether femoral osteotomy is necessary for DDH children aged 18-36 months.Therefore CMPOS intended to further clarify the need for femoral osteotomy on the basis of a retrospective study and a multi-center prospective study.A total of 200 early-age unilateral DDH children were recruited and randomized into femoral osteotomy (n=100) and non-osteotomy (n=100) groups.Hip joint open reduction was performed along with pelvic/femoral osteotomy for the former group and hip joint open reduction plus pelvic osteotomy for the latter group.The postoperative follow-up period was at least 2 years.Frontal view radiographic images were collected at pre-operation and 1 week,1 month,3 months,6 months,1 year and 2 years post-operation.Clinical parameters,such as acetabular index (AI),rate of AVN,rate of re-dislocation,intraoperative hemorrhagic loss,operation duration and hospitalization stay,were compared for two groups.This multi-center prospective study may provide a reliable reference for this controversy.
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Memo
收稿日期:2018-12-29。
通讯作者:邵景范,Email:shaojf65@126.com