小儿骨科辉煌30年

Pediatric orthopedics:glorious 30 years

改革开放以来,国民经济飞速发展,人民生活水平显著改善,国际地位日益提高,网络信息进入快车道,小儿骨科也获得了长足的进步。一、学术百花齐放,万紫千红发育性髋脱位,随着人民生活水平不断提高和新生儿筛查的试点与普及,其治疗年龄越来越小。Graf B超检查的问世成了婴儿检测的重要手段[1],它重复性好,避免了放射性损害;Pavlik治疗支具已在门诊广泛应用。保守治疗至患儿能够步行[2],个别可延长至2岁。

Pediatric orthopedics got a great development in the past 30 years. The type-B ultrasonic became an important detection method for developmental dysplasia of the hip as a higher standard of living and neonate screening. The application of Ponseti method brought significant curative effects in the treatment of congenital clubfoot. Minimally invasive treatment was realized in traumatic fracture. We have got some experience of Ilizarov technique which was used in limb lengthening. The development of the spinal surgery was fast because of applications of needles and sticks, and the effects of the deformity correction were satisfactory. With the help of chemotherapy, the survival rate of osteosarcoma in 5 years achieved 80% after salvage limb operation. Our professional staff should popularize the technique of pediatric orthopedics to meet the needs of 300 000 000 children. Professional surgeons should master more skills, strengthen the leaning ability and develop the collective intelligence in the diagnosis and treatment. We should emphasize scientific research and innovation, and improve the ability of scientific thinking. The humanistic care should be valued in clinical work. We all need to be communicative and serve the patients enthusiastically. Then, pediatric orthopedics will be more prosperous and flourishing.