Dissertation > Medicine, health > Pediatrics > Pediatric surgery > Pediatric bone science

The Clinical Observation on the Conservative Treatment of Developmental Dislocation of the Hip

Author ZhouJiangNing
Tutor LiuFuQi
School Shandong University of Traditional Chinese Medicine
Course TCM orthopedics and traumatology
Keywords Developmental Dislocation of the Hip conservative treatment Clinical observation
CLC R726.8
Type Master's thesis
Year 2010
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Objective:To discuss the research on conservative treatment of Developmental Dislocation of the Hip, in order to improve the efficacy of the treatment. Methods:Study the DDH patients who were treated by conservative treatment in our hospital during the year 2007 and 2009.it is 80 patients and 120 hips in total. Different fixation methods was used on different ages.The children whose age between 0 and 6 months we used Pavlik harness,used abduction Orthosis when they were between 6-12 months,used Improved frog-type position aluminum bracket when they were 12-24 months. Results:Used Severin X-ray assessment standards. Excellent rate could reach 90.83%.After the treatment, the AI of the Ipsilateral hip decline rapidly,it is 9.27°,faster then 1.61°of the healthy side. (p<0.05).after removal of the fixed the AI can be reduced to the normal range. And the younger children need shorter fixed time. The Pavlik harness group used 4.6 months, abduction orthosis group used 6.0 month, and improved frog-type position aluminum bracket group used 8.0 month. Conclusions:Conservative treatment for DDH is the effective treatment.It could improved the biomechanics of the acetabulum, and can be effectively treated DDH, it is a simple, safe, and effective method and it is worth of spreading

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