Pemberton截骨术治疗发育性髋关节发育不良的研究进展  

Research Progress on Pemberton Osteotomy for the Treatment of Developmental Dysplasia of the Hip

作　　者：黄志明 陈云鹏 王伟豪 李鑫 周朝晖 韦宜山[1] 

机构地区：[1]内蒙古医科大学第二附属医院儿童骨科医学中心,内蒙古 呼和浩特

出　　处：《临床医学进展》2024年第10期359-364,共6页Advances in Clinical Medicine

摘　　要：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.

关 键 词：发育性髋关节发育不良 Pemberton截骨术 髋脱位 儿童 并发症 

分 类 号：R72[医药卫生—儿科]