Late recurrence of developmental dysplasia of the hip following Pavlik harness treatment until normal ultrasound appearance

Pavlik吊带治疗后髋关节发育不良晚期复发,直至超声检查结果正常

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Abstract

PURPOSE: Establish whether recurrent dysplasia once a dysplastic hip has been treated to ultrasonographic normality is possible. METHODS: 370 babies were referred to a hip ultrasound clinic from June 2005 to 2007 to assess for dysplasia. 96 dysplastic hips underwent appropriate treatment until normal hip morphology achieved on follow-up ultrasounds. Minimum further 12 months follow-up. RESULTS: 3 children (4%) developed late recurrence of dysplasia. Two required a plaster hip spica. One had an additional adductor tenotomy. One required late pelvic osteotomy. CONCLUSION: This study highlights the need for long-term follow-up of dysplastic hips with an early pelvic X-ray at around six months.

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