Liu Wanlin,Sun Liang,Zhao Zhenqun,et al.Research advances on the relationship of ossification nucleus with avascular necrosis of developmental hip dysplasia after closed reduction[J].Journal of Clinical Pediatric Surgery,2023,22(06):584-587.[doi:10.3760/cma.j.cn101785-202010041-017]
骨化核与发育性髋关节发育不良闭合复位后股骨头缺血坏死相关性的研究进展
- Title:
- Research advances on the relationship of ossification nucleus with avascular necrosis of developmental hip dysplasia after closed reduction
- 关键词:
- 发育性髋关节发育不良; 股骨头坏死; 病因学; 病理生理学
- 摘要:
- 发育性髋关节发育不良（developmental dysplasia of the hip，DDH）是常见的儿童肢体畸形，早期筛查和诊断非常重要，延误治疗或治疗不当将导致严重后果。股骨头缺血性坏死（avascular necrosis，AVN）是DDH闭合复位后严重且常见的并发症，如何预防及避免AVN的发生一直困扰着小儿骨科医师。闭合复位前骨化核的存在似乎有助于降低AVN发生率，避免AVN的发生与DDH早诊断、早治疗关系密切。本文就骨化核与DDH闭合复位后AVN相关性的研究进展进行综述。
- Abstract:
- Developmental hip dysplasia(DDH) is one of the most common extremity deformities in children.Early screening and timely diagnosis are essential in the treatment of DDH.Delayed or improper interventions lead to serious consequences.Avascular necrosis(AVN) of the femoral head is the most serious and common complication after closed reduction of DDH.Practical difficulty of preventing and avoiding the occurrence of AVN has always perplexed pediatric orthopedic surgeons.The existence of ossification nucleus before closed reduction seems to be helpful to reduce the incidence of AVN.Waiting for the appearance of ossification nucleus means postponing treatment.Balancing the occurrence of AVN and the concept of early diagnosis and treatment of DDH are particularly important.This review summarized the relevant literature to further explore whether the existence of ossification nucleus before closed reduction affects the occurrence of AVN and discussed the influence of ossification nucleus on the timing of clinical treatment.
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备注/Memo
收稿日期:2020-10-28。
基金项目:国家自然科学基金（82260424）；内蒙古自治区杰出青年基金（2023JQ20）；内蒙古医科大学2020直属医院科技百万工程联合项目[YKD2020KJBW（LH）017]
通讯作者:白锐,Email:bairuiandaiqing@126.com