外展支具早期治疗髋关节发育不良疗效的回顾性分析

李方; 胡程晨; 刘星; 董超群; 翁刘其; 李明

doi:10.16016/j.1000-5404.201608146

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外展支具早期治疗髋关节发育不良疗效的回顾性分析

更新时间：2026-01-09

- 外展支具早期治疗髋关节发育不良疗效的回顾性分析
- Adverse effect of abduction brace in early treatment for developmental dysplasia of the hip: a retrospective analysis
- 第三军医大学学报 2017年39卷第7期页码：680-684
- 作者机构：
- 作者简介：
- 基金信息：
  
  国家临床重点专科建设项目(国卫办医函 (2013)544);重庆市卫计委重点项目(渝卫科教 (2013)39号2013-10-29)
- DOI：10.16016/j.1000-5404.201608146
  中图分类号：
- 收稿：2016-08-29，
  
  纸质出版：2017-07
- 稿件说明：
移动端阅览
李方, 胡程晨, 刘星, 等. 外展支具早期治疗髋关节发育不良疗效的回顾性分析[J]. 第三军医大学学报, 2017,39(7):680-684.

Fang Li, Chengchen Hu, Xing Liu, et al. Adverse effect of abduction brace in early treatment for developmental dysplasia of the hip: a retrospective analysis[J]. Journal of Third Military Medical University, 2017, 39(7): 680-684.
李方, 胡程晨, 刘星, 等. 外展支具早期治疗髋关节发育不良疗效的回顾性分析[J]. 第三军医大学学报, 2017,39(7):680-684. DOI： 10.16016/j.1000-5404.201608146.

Fang Li, Chengchen Hu, Xing Liu, et al. Adverse effect of abduction brace in early treatment for developmental dysplasia of the hip: a retrospective analysis[J]. Journal of Third Military Medical University, 2017, 39(7): 680-684. DOI： 10.16016/j.1000-5404.201608146.

摘要

Abstract

Objective

To investigate the efficacy of abduction brace in the early treatment of developmental dysplasia of the hip (DDH) and analyze the influencing factors.

Methods

A retrospective analysis was conducted on 223 DDH children (270 hips) receiving abduction brace in our hospital from August 2013 to June 2015. They were 53 boys and 170 girls

and at an average age of 62.41±23.82 d (1~183 d

median age 58 d). There were 151 hips in the left and 119 in the right

and 142 hips of single-sided and 64 of double-sided. According to Graf method for ultrasound classification system

143 patients was identified with typeⅡa

75 with typeⅡb

11 with typeⅡc

13 with type D

19 with type Ⅲ

and 9 with type Ⅳ. After abduction brace was applied to these children

all of them were monitored by ultrasound evaluation (X-ray was taken when age >6 months) at an average interval of 3 to 4 weeks. The treatment time ranged from 3 to 20 weeks

and all cases were followed up for 12 to 24 months (mean 16.4 months).

Results

Ultrasound examination and X-ray filming confirmed 206 children (250 hips) were cured without femoral head necrosis after using abduction brace. Seventeen subjects (20 hips) were failed

and 17 hips were changed to the cast and the other 3 hips were operated with Salter pelvic osteotomy.

Conclusion

Abduction brace is one of the effective and safe methods in early treatment of DDH

with a high curative rate for Graf Type Ⅱ hips. Though it has a low success rate for Graf TypeⅢ or Graf Type Ⅳ hips

it can be used as an initial treatment approach.Ultrasound examination is of significant values in the early diagnosis and treatment of the disease.

关键词

Keywords

references

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