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10年后的放射性变化部发育性发育不均症的减缓用不同的减缓方法治疗和骨关节炎的危险因素

Yohei Tomaru^1,2, Makoto Kamegaya¹, Takashi Saisu¹

¹Chiba Child & Adult Orthopaedic Clinic.

Journal of pediatric orthopedics

|June 6, 2023

概括

对于关节硬化和卡拉姆奇4级10年后减少的开放降低 (OR) 与较高的骨关节炎 (OA) 风险有关. 患者需要生活方式指导,以防止OA的进展.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
部发育不良的研究研究

背景情况:

部发育性形 (DDH) 需要有效的减少方法.
不同的DDH降低技术的长期结果对于患者管理至关重要.

研究的目的:

分析DDH减少后放射性指数的长期变化.
为了比较帕夫利克带,封闭缩减和开放缩减 (OR) 对最终部结果的影响.
为了确定DDH治疗后骨关节炎 (OA) 发展的预测因素.

主要方法:

这是一项对74名部 (65名患者) 的比较研究,这些患者在1990-2000年间接受了DDH治疗.
放射性指数测量在10年和最后的随访 (平均24年后减少).
骨关节炎 (OA) 由相对关节空间<66%定义;通过修改的哈里斯关节评分 (mHHS) 评估的临床结果.

主要成果:

在10年跟踪和最终跟踪之间没有观察到部形态的显著变化.
21%的部在最后的随访中表现出关节炎的迹象.
开放降低 (OR) 和卡拉姆奇4级10年后降低与OA发病率有显著的关联.

结论:

部形态保持稳定10年后在DDH减少.
卡拉姆奇4级和OR是长期发展OA的重要危险因素.
患有这些风险因素的患者需要量身定制的咨询,以减轻OA的进展.

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