关键词: 髋关节发育不良, 诊断, 治疗, 截骨, 关节置换

Abstract:

BACKGROUND: Adult hip dysplasia is a common orthopedic disease; it will be developed for hip osteoarthritis severe dysfunction. The choice of treatment modality for patients is according to different age and clinical symptoms, which has been the focus of debate hip surgery.
OBJECTIVE: To summarize the new research progress from the aspects of hip dysplasia etiology, pathogenesis, diagnosis and treatment.  
METHODS: A computer-based retrieval was performed by the first author in the CNKI database and PubMed database to search papers on adult hip dysplasia published between January 2000 and December 2011 using key words of “development dysplasia of the hip, total hip replacement, osteotomy” in Chinese and English. According to inclusion and exclusion criteria, 30 papers were included in the final analysis.
RESULTS AND CONCLUSION: Hip dysplasia may be starting in the cartilage primordium stage of the embryonic period, and caused by cartilage developmental disorders or ossification of cartilage disorders. There are many methods of the current clinical treatment for adult hip dysplasia, and for the young patients in the early and mid-term can take various types of reconstructive pelvic osteotomy surgery to alleviate pain and prevent or delay the process of secondary osteoarthritis pathology. And for the advanced patients, the treatment is mainly dependent on the joint replacement and reconstruction of the hip normal physiological function.