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Pemberton截骨术治疗发育性髋关节发育不良的研究进展
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Abstract:
发育性髋关节发育不良(development dysplasia of the hip, DDH)，是儿童骨科常见的肌肉骨骼畸形之一，其发病的确切病因尚不明确，但是遗传因素和环境因素被认为在发病机制中起作用。其发病率存在地区差异和年龄差异，疾病的严重程度以及治疗方式的选择通过影像学分型来决定，如果没有合适的治疗，DDH儿童将影响正常行走功能以及过早产生骨关节炎，从而对生活质量产生重大影响。如今Pemberton截骨术治疗DDH被儿童骨科医生广泛采用，Pemberton截骨术不仅是一种实现髋臼形态矫正的技术，而且是可以联合其他术式以减少并发症的技术。本综述旨在总结Pemberton截骨术在DDH手术治疗中的应用及相关困难之处，以期为今后更加细节化的治疗提供参考。
Developmental dysplasia of the hip (DDH) is one of the common musculoskeletal deformities in pediatric orthopedics. The exact cause of its onset is not yet clear, but genetic and environmental factors are believed to play a role in the pathogenesis. There are regional differences and age differences in its incidence rate. The severity of the disease and the choice of treatment methods are determined by the type of imaging classification. Without proper treatment, DDH children will affect their normal walking function and develop osteoarthritis prematurely, which will have a significant impact on the quality of life. Nowadays, Pemberton osteotomy is widely used by pediatric orthopedic surgeons to treat DDH. Pemberton osteotomy is not only a technique for correcting acetabular morphology, but also a technique that can be combined with other surgical procedures to reduce complications. This review aims to summarize the application and related difficulties of Pemberton osteotomy in the treatment of DDH surgery, in order to provide reference for more detailed treatment in the future.
| [1] | 中华医学会骨科学分会关节外科学组. 中国发育性髋关节发育不良诊疗指南(2023版) [J]. 中华解剖与临床杂志, 2023, 28(8): 493-511. |
| [2] | American Academy of Orthopaedic Surgeons (1991) CDH should Be DDH. Surgery Advisory Statement, AAOS. |
| [3] | Chan, A., McCaul, K.A., Cundy, P.J., Haan, E.A. and Byron-Scott, R. (1997) Perinatal Risk Factors for Developmental Dysplasia of the Hip. Archives of Disease in Childhood-Fetal and Neonatal Edition, 76, F94-F100. https://doi.org/10.1136/fn.76.2.f94 |
| [4] | Ilfeld, F.W., Westin, G.W. and Makin, M. (1986) Missed or Developmental Dislocation of the Hip. Clinical Orthopaedics and Related Research, 203, 276-281. https://doi.org/10.1097/00003086-198602000-00035 |
| [5] | 边方圆, 王婧璇, 蒋霞. 德州地区婴儿发育性髋关节异常的超声早期筛查及流行病学研究[J]. 中国优生与遗传杂志, 2018, 26(11): 100-102, 79. |
| [6] | Schmitz, M.R., Murtha, A.S. and Clohisy, J.C. (2020) Developmental Dysplasia of the Hip in Adolescents and Young Adults. Journal of the American Academy of Orthopaedic Surgeons, 28, 91-101. https://doi.org/10.5435/jaaos-d-18-00533 |
| [7] | Tian, F., Zhao, D., Wang, W., Guo, L., Tian, S., Feng, A., et al. (2017) Prevalence of Developmental Dysplasia of the Hip in Chinese Adults: A Cross-Sectional Survey. Chinese Medical Journal, 130, 1261-1268. https://doi.org/10.4103/0366-6999.206357 |
| [8] | Biedermann, R., Riccabona, J., Giesinger, J.M., Brunner, A., Liebensteiner, M., Wansch, J., et al. (2018) Results of Universal Ultrasound Screening for Developmental Dysplasia of the Hip: A Prospective Follow-up of 28092 Consecutive Infants. The Bone & Joint Journal, 100, 1399-1404. https://doi.org/10.1302/0301-620x.100b10.bjj-2017-1539.r2 |
| [9] | Laborie, L.B., Engesæter, I.Ø., Lehmann, T.G., Eastwood, D.M., Engesæter, L.B. and Rosendahl, K. (2013) Screening Strategies for Hip Dysplasia: Long-Term Outcome of a Randomized Controlled Trial. Pediatrics, 132, 492-501. https://doi.org/10.1542/peds.2013-0911 |
| [10] | 吉士俊, 马瑞雪, 刘卫东. 努力实现发育性髋脱位的新生儿筛查及预防[J]. 中华小儿外科杂志, 2003, 24(3): 7-8. |
| [11] | Witting, M., Boere-Boonekamp, M.M., Fleuren, M.A.H., Sakkers, R.J.B. and IJzerman, M.J. (2011) Predicting Participation in Ultrasound Hip Screening from Message Framing. Health Communication, 27, 186-193. https://doi.org/10.1080/10410236.2011.571760 |
| [12] | Graf, R., Tschauner, C. and Klapsch, W. (1993) Progress in Prevention of Late Developmental Dislocation of the Hip by Sonographic Newborn Hip “Screening”: Results of a Comparative Follow-up Study. Journal of Pediatric Orthopaedics B, 2, 115-121. https://doi.org/10.1097/01202412-199302020-00005 |
| [13] | Elbourne, D., Dezateux, C., Arthur, R., Clarke, N., Gray, A., King, A., et al. (2002) Ultrasonography in the Diagnosis and Management of Developmental Hip Dysplasia (UK Hip Trial): Clinical and Economic Results of a Multicentre Randomised Controlled Trial. The Lancet, 360, 2009-2017. https://doi.org/10.1016/s0140-6736(02)12024-1 |
| [14] | Narayanan, U., Mulpuri, K., Sankar, W.N., Clarke, N.M.P., Hosalkar, H. and Price, C.T. (2015) Reliability of a New Radiographic Classification for Developmental Dysplasia of the Hip. Journal of Pediatric Orthopaedics, 35, 478-484. https://doi.org/10.1097/bpo.0000000000000318 |
| [15] | Lievense, A.M. (2004) Influence of Hip Dysplasia on the Development of Osteoarthritis of the Hip. Annals of the Rheumatic Diseases, 63, 621-626. https://doi.org/10.1136/ard.2003.009860 |
| [16] | Wood, M.K., Conboy, V. and Benson, M.K.D. (2000) Does Early Treatment by Abduction Splintage Improve the Development of Dysplastic but Stable Neonatal Hips? Journal of Pediatric Orthopaedics, 20, 302-305. https://doi.org/10.1097/01241398-200005000-00006 |
| [17] | Weinstein, S.L., Mubarak, S.J. and Wenger, D.R. (2003) Developmental Hip Dysplasia and Dislocation. The Journal of Bone and Joint Surgery-American Volume, 85, 2024-2035. https://doi.org/10.2106/00004623-200310000-00025 |
| [18] | 边臻, 郭源, 田伟. 闭合复位治疗婴幼儿发育性髋脱位的疗效观察[J]. 中华外科杂志, 2009, 47(13): 1017-1019. |
| [19] | Michael, L. and Reinhold, G. (2011) Evolution of Technique and Indications for the Bernese Periacetabular Osteotomy. Bulletin of the NYU Hospital for Joint Diseases, 69, S42-S46. |
| [20] | Venkatadass, K., Durga Prasad, V., Al Ahmadi, N.M.M. and Rajasekaran, S. (2022) Pelvic Osteotomies in Hip Dysplasia: Why, When and How? EFORT Open Reviews, 7, 153-163. https://doi.org/10.1530/eor-21-0066 |
| [21] | Scoles, P.V., Boyd, A. and Jones, P.K. (1987) Roentgenographic Parameters of the Normal Infant Hip. Journal of Pediatric Orthopaedics, 7, 656-663. https://doi.org/10.1097/01241398-198707060-00005 |
| [22] | Pemberton, P.A. (1965) Pericapsular Osteotomy of the Ilium for Treatment of Congenital Subluxation and Dislocation of the Hip. The Journal of Bone & Joint Surgery, 47, 65-86. https://doi.org/10.2106/00004623-196547010-00004 |
| [23] | 韦宜山, 刘万林, 赵振群, 等. Pemberton骨盆截骨术联合股骨近端截骨治疗儿童期发育性髋关节脱位疗效分析[J]. 中华小儿外科杂志, 2015, 36(7): 501-505. |
| [24] | 郭源. Pemberton截骨术治疗发育性髋脱位的适应证和技术[J]. 中华小儿外科杂志, 2005, 26(11): 605-606. |
| [25] | Henak, C.R., Abraham, C.L., Anderson, A.E., Maas, S.A., Ellis, B.J., Peters, C.L., et al. (2014) Patient-Specific Analysis of Cartilage and Labrum Mechanics in Human Hips with Acetabular Dysplasia. Osteoarthritis and Cartilage, 22, 210-217. https://doi.org/10.1016/j.joca.2013.11.003 |
| [26] | Tetsunaga, T., Tetsunaga, T., Akazawa, H., Yamada, K., Furumatsu, T. and Ozaki, T. (2021) Evaluation of the Labrum on Postoperative Magnetic Resonance Images: A Predictor of Acetabular Development in Developmental Dysplasia of the Hip. HIP International, 32, 800-806. https://doi.org/10.1177/11207000211004917 |
| [27] | 韦宜山, 刘万林, 王海瑞, 等. Pemberton骨盆联合股骨近端截骨治疗发育性髋关节脱位术后半脱位风险因素分析[J]. 中华小儿外科杂志, 2019, 40(12): 1083-1089. |
| [28] | Bittersohl, B., Hosalkar, H.S. and Wenger, D.R. (2012) Surgical Treatment of Hip Dysplasia in Children and Adolescents. Orthopedic Clinics of North America, 43, 301-315. https://doi.org/10.1016/j.ocl.2012.05.004 |
| [29] | Ganger, R., Radler, C., Petje, G., Manner, H.M., Kriegs-Au, G. and Grill, F. (2005) Treatment Options for Developmental Dislocation of the Hip after Walking Age. Journal of Pediatric Orthopaedics B, 14, 139-150. https://doi.org/10.1097/01202412-200505000-00001 |
