PDF(Pubmed)
Abstract：
UNASSIGNED: The incidence of hip dislocation (HD) in arthrogryposis multiplex congenital ranges from 15 to 30 %. Besides a stable hip, the ambulation potential of an AMC child is also dependent on severity of associated knee and foot deformations. The primary objective of this review is to determine the proportion of ambulators in AMC children treated by open reduction for HD.
UNASSIGNED: We searched major electronic bibliographic databases for reports on the treatment of HD among AMC children. Based on the surgical approach for open reduction of HD in AMC children, we divided the included studies into groups 1 (Anterior approach open reduction) and 2 (Medial approach open reduction).
UNASSIGNED: We pooled 59 children/94 hips in this review from 7 studies. We identified 45 children/71 hips and 14 children/23 hips with a mean age of 20 (4-64) and 4.5 (0.5-11) months in groups 1 and 2, respectively. There were 97 % (44) and 92 %(Obeidat et al., 2011) 13 ambulators in groups 1 and 2, respectively. 47 % and 36 % of hips in groups 1 and 2 required additional procedures besides open reduction for redislocation and maintenance of hip reduction. 31 %22 and 13 %(Fisher et al., 1970 Feb) 3 of the hips sustained avascular necrosis in group 1 and 2.
UNASSIGNED: Children with AMC associated HD can be expected to ambulate with and without assistance in 90 % of the cases however, the foot and knee problems also need concomitant management. In children less than 6 months of age the medial approach based open reduction may be more efficacious and less complicating than anterior approach based open reduction however, at a later age anterior approach based open reduction is more effective due to need for pelvic and femur sided additional procedures.
UNASSIGNED: We searched major electronic bibliographic databases for reports on the treatment of HD among AMC children. Based on the surgical approach for open reduction of HD in AMC children, we divided the included studies into groups 1 (Anterior approach open reduction) and 2 (Medial approach open reduction).
UNASSIGNED: We pooled 59 children/94 hips in this review from 7 studies. We identified 45 children/71 hips and 14 children/23 hips with a mean age of 20 (4-64) and 4.5 (0.5-11) months in groups 1 and 2, respectively. There were 97 % (44) and 92 %(Obeidat et al., 2011) 13 ambulators in groups 1 and 2, respectively. 47 % and 36 % of hips in groups 1 and 2 required additional procedures besides open reduction for redislocation and maintenance of hip reduction. 31 %22 and 13 %(Fisher et al., 1970 Feb) 3 of the hips sustained avascular necrosis in group 1 and 2.
UNASSIGNED: Children with AMC associated HD can be expected to ambulate with and without assistance in 90 % of the cases however, the foot and knee problems also need concomitant management. In children less than 6 months of age the medial approach based open reduction may be more efficacious and less complicating than anterior approach based open reduction however, at a later age anterior approach based open reduction is more effective due to need for pelvic and femur sided additional procedures.
摘要：
■多发性先天性关节病中髋关节脱位（HD）的发生率为15％至30％。除了稳定的臀部，AMC儿童的步行潜力还取决于相关的膝关节和足部畸形的严重程度。本综述的主要目的是确定通过开放复位治疗HD的AMC儿童中救护车的比例。
■我们搜索了主要的电子书目数据库，以获取有关AMC儿童HD治疗的报告。基于AMC儿童HD切开复位的手术方法，我们将纳入的研究分为第1组(前入路切开复位)和第2组(中入路切开复位).
■在这篇综述中，我们汇集了来自7项研究的59名儿童/94名臀部。在第1组和第2组中，我们确定了45名儿童/71髋和14名儿童/23髋，平均年龄分别为20（4-64）和4.5（0.5-11）个月。有97%(44)和92%(Obeidat等人。,2011)第1组和第2组分别有13名救护车。第1组和第2组的47％和36％的髋部除了切开复位以再脱位和维持髋部复位外，还需要其他手术。31%22%和13%(Fisher等人。,1970年2月）第1和第2组的髋部持续无血管坏死。
在90％的病例中，患有AMC相关HD的儿童可以在有或没有帮助的情况下走动，脚和膝盖的问题也需要同时处理。然而，在小于6个月的儿童中，基于内侧入路的切开复位术可能比基于前路的切开复位术更有效且更不复杂。由于需要进行骨盆和股骨侧的额外手术，因此在年龄较晚的情况下，基于前路的切开复位术更有效。
■我们搜索了主要的电子书目数据库，以获取有关AMC儿童HD治疗的报告。基于AMC儿童HD切开复位的手术方法，我们将纳入的研究分为第1组(前入路切开复位)和第2组(中入路切开复位).
■在这篇综述中，我们汇集了来自7项研究的59名儿童/94名臀部。在第1组和第2组中，我们确定了45名儿童/71髋和14名儿童/23髋，平均年龄分别为20（4-64）和4.5（0.5-11）个月。有97%(44)和92%(Obeidat等人。,2011)第1组和第2组分别有13名救护车。第1组和第2组的47％和36％的髋部除了切开复位以再脱位和维持髋部复位外，还需要其他手术。31%22%和13%(Fisher等人。,1970年2月）第1和第2组的髋部持续无血管坏死。
在90％的病例中，患有AMC相关HD的儿童可以在有或没有帮助的情况下走动，脚和膝盖的问题也需要同时处理。然而，在小于6个月的儿童中，基于内侧入路的切开复位术可能比基于前路的切开复位术更有效且更不复杂。由于需要进行骨盆和股骨侧的额外手术，因此在年龄较晚的情况下，基于前路的切开复位术更有效。
