目的:评估过去20年来外科髋关节脱位(SHD)利用的演变,主要集中在患者人群(成年人与儿科),用这种方法治疗的髋关节疾病,并报告该手术的并发症。
方法:本范围审查是根据系统审查的首选报告项目和范围审查的Meta分析扩展(PRISMA-ScR)指南进行的。使用2001年1月至2022年11月期间发布的与SHD相关的文章的特定搜索术语进行PubMed数据库搜索。
结果:初步搜索显示321篇文章,其中在28个国家的66种期刊上发表的160篇有资格进行最终分析。与2001年至2005年和2018年至2022年相比,出版物数量增加了10.2倍。美国和瑞士贡献了超过50%的出版物。案例系列研究占大多数出版物(65.6%)。包括成年患者在内的文章占出版物的73.1%,而有关儿科患者的文章占10%;但是,与过去五年相比,儿科患者的出版物增加了14倍。77.5%的文章报道了管理非创伤性疾病,而创伤条件在21.9%。股骨髋臼撞击(FAI)是53篇(33.1%)文章中报道的治疗最多的非创伤性疾病。相比之下,股骨头骨折(FHF)是治疗最多的创伤性疾病,这在13篇文章中被报道。
结论:关于SHD及其用于治疗创伤性和非创伤性髋关节疾病的出版物在过去二十年中显示出世界各国的增长趋势。它在成人患者中的使用已经确立,其在治疗小儿髋关节疾病中的应用正变得越来越受欢迎。
OBJECTIVE: To assess the evolution of surgical hip dislocation (SHD) utilization over the past 20 years, concentrating mainly on the patients\' population (adults vs. paediatric), the hip conditions treated using this approach, and reporting on complications of this procedure.
METHODS: This scoping review was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A PubMed database search was performed using specific search terms for articles related to SHD published between January 2001 and November 2022.
RESULTS: Initial search revealed 321 articles, of which 160 published in 66 journals from 28 countries were eligible for final analysis. The number of publications increased by 10.2 folds comparing the period from 2001 to 2005 with 2018 to 2022. USA and Switzerland contributed to more than 50% of the publications. Case series studies represented the majority of publications (65.6%). Articles including adult patients represented 73.1% of the publications while 10% were on paediatric patients; however, there was 14 folds increase in publications on paediatric patients comparing the first with the last five years. Managing non-traumatic conditions was reported in 77.5% of the articles, while traumatic conditions in 21.9%. Femoroacetabular impingement (FAI) was the most treated non-traumatic condition reported in 53 (33.1%) articles. In contrast, femoral head fractures (FHF) were the most treated traumatic condition, which was reported in 13 articles.
CONCLUSIONS: The publications on SHD and its usage for managing traumatic and non-traumatic hip conditions showed an increasing trend over the past two decades from worldwide countries. Its use in adult patients is well established, and its utilization in treating paediatric hip conditions is becoming more popular.