男人是否代表DDH治疗的风险因素? 一个系统的审查
Maurizio De Pellegrin1,2, Federico Sinigaglia3, Lorenzo Marcucci4
1Pediatric Orthopedic Unit, Piccole Figlie Hospital, Parma, Italy.
EFORT open reviews
|March 2, 2026
概括
男性的性别与较高的帕夫利克带失败率和在部发育性形 (DDH) 治疗中增加的无血管亡 (AVN) 风险有关. 这表明,接受DDH治疗的男性患者的预后可能更差.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 部发育性形 (DDH) 研究研究
背景情况:
- 女性的性别是已知的部发育性形 (DDH) 的风险因素.
- 关于DDH治疗结果的性别特异性的数据有限.
- 了解这些差异对于优化患者护理至关重要.
研究的目的:
- 调查男性性别是否是DDH治疗不良结果的风险因素.
- 分析帕夫利克带故障和无血管缩 (AVN) 发生率的性别差异.
主要方法:
- 在PubMed,Embase和Cochrane图书馆 (1995-2023) 的系统文献搜索.
- 遵守PRISMA和PROSPERO指导方针. 这些指导方针包括:
- 对比男性和女性DDH治疗结果的研究的元分析,重点是帕夫利克带故障和AVN.
主要成果:
- 分析包括来自23项研究的10,307例DDH病例 (5,296名男性,4,700名女性).
- 男性的性别与较高的帕夫利克带故障率显著相关 (34%的男性vs. 23%的女性,P=0.03).
- 男性的性别也与较高的无血管亡 (AVN) 发病率显著相关 (35%的男性vs22%的女性,P=0.008).
结论:
- 男性患者在Pavlik带治疗DDH时表现出更高的失败率.
- 这些发现表明,男性性别与DDH治疗的预后较差有关,特别是关于AVN.
- 对DDH的性别特异性管理策略进行进一步的研究是有必要的.
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