Corrective Intertrochanteric Osteotomy of the Femur for Aseptic Necrosis of the Femoral Head after Bloodless Reduction of Congenital Dislocation in School-Age Children
Downloads
The immediate results of treatment of 72 children aged 7 to 12 years with aseptic necrosis of the femoral head after bloodless reduction of congenital hip dislocation were analyzed. When treating patients, the following types of surgical treatment were used:extra-articular or open centering of the femoral head with intertrochanteric-torsion-varizing or devarizing and rotational osteotomy of the femur with bringing down the greater trochanter in the caudal direction. In all patients, pain and lameness disappeared, internal rotation of the lower extremities when walking, and the range of motion in the hip joint improved. Improved radiometric parameters characterizing the ratio of the acetabulum and the head of the femur and the angular values of the hip joint and proximal femur.
Akhtyamov I.F. (2003) Degenerative-dystrophic diseases of the hip joint in children and adolescents. – Kazan. – pp. 6-13.
Akhtyamov I.F., Sokolovsky O.A. (2008) Surgical treatment of hip dysplasia .- Kazan. – p. 371.
Beletsky A., Akhtyamov I., Bogosyan A., Gerasimenko M. (2010) Aseptic necrosis of the femoral head in children. – Kazan. – p. 255.
Kadyrov M.K., AlpysbaevKh.Sh., Shakhiev G. (1998) Dynamics of development of elements of the hip joint in aseptic necrosis of the femoral head after conservative treatment of congenital hip dislocation. Orthopedic., Traumatol. and prosthetics. No.4. – pp. 66-69.(КадыровМ.К., АлпысбаевХ.Ш., ШахиевГ. Динамикаразвитияэлементовтазобедренногосуставаприасептическомнекрозеголовкибедреннойкостипослеконсервативноголеченияврождённоговывихабедра. //Ортоп., травматол. ипротезирование.- 1998.-№4.–С.66-69.)
Kutsenok Y.B., Rulla E.A., Melnik V.V. (1992) Congenital dysplasia of the hip joint. Congenital subluxation and dislocation of the hip. – Kiev: Health. – p. 182.
LikhachevskyYu.V., Sokolovsky O.A. (2018) Results of posterior rotational osteotomy of the femur in type II Kalamchi deformities in school-age children. Medicalnews. №3. – pp. 77-82.
Pozdnikin, Yu.I., Voloshin S.Yu., Bovtunov A.Z. (1999) Man and his health: - Saint. Petersburg. – pp. 170-171.
Sokolovsky A.M., Krisyuk A.S. (1993) Surgical treatment of diseases of the hip joint. Minsk: Navukaitekhnika. – p. 248.
Shevtsov V.I., Atamansky I.A., Makushin V.D. (2003) Biomechanical substantiation and modeling of corrective osteotomies in Perthes disease. Thegeniusoforthopedics.№1.– pp. 26-30.
Shevtsov, V.I., Makushin V.D., Teplenky M.P. (2006) Traumatology and orthopedics of the XXI century: Sat. abstracts of reports. VIII Congress of Traumatologists-Orthopedists of Russia.-Samara. – pp. 361-362.
Brougham D.I., Broughton N.S., Cole W.G., Menelaus M.B. (1990) Avascular necrosis following closed reduction of congenital dislocation of the hip //J. Bone Joint Surg. Vol. 72-B,No.4. – pp. 557-562.
Connolly P., Weinstein S. L. (2007) The course and treatment of avascular necrosis of the femoral head in developmental dysplasia of the hip //ActaOrthopTraumatolTurc. Vol. 41, No. l. – pp. 54-59.
Cooperman D.R., Wallensten R., Stulberg S.D. Post-reduction avascular necrosis in congenital dislocation of the hip //J. Bone Joint Surg. 1980. Vol. 62, No. 2. – pp. 247-258.14.Gage J.R., Winter R.B. Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip: a critical review of twenty years' experience at gillette children's hospital //J. Bone Joint Surg. 1972. Vol. 54-A, No. 2. – pp. 373-388.
Herold H.Z. (1980) Unilateral congenitalhipdis location with contralateral avascular necrosis. //Clin. Orthop. Vol.148. – pp. 196-202.
Kruczynski J. (1996) Avascular necrosis of the proximal femur in developmental dislocation of the hip incidence, risk factors, sequelae and mr imaging for diagnosis and prognosis // ActaOrthop Scand. Vol. 67, No.268. – pp. 4-12.
Leunig M, Ganz R. (2011) Relative neck lengthening and intracapital osteotomy for severe Perthes and Perthes-like deformities. Bull NYU HospJt Dis;69 Suppl 1: - pp. 62-67.
Luhmann S.J., Schoenecker P.L., Anderson A.M., Basselt G.S. (1998) The prognostic importance of the ossific nucleus in the treatment of congenital dysplastic of the hip. //J. Bone and Joint Surg. Dec:80(12):1719-27.
Macnicol MF, Makris D. (1991) Distal transfer of the greater trochanter. J Bone Joint Surg Br;73(5):838-841.
Maquet P. (1999) ActaOrthop.Belg. Vol.65,N3.–pp. 302-314.
Porat S., Robin G.C., Howard C.B. J. (1994) Bone Joint Surg. Vol.76. – pp. 463-467.22.Robinson Y.J., Shannon M.A. Avascular necrosis in congenital hip dysplasia: The Effect of Treatment //Ped. Orthop. 1989. Vol. 9, No. 3. P. 293-303.
The surgical treatment of established congenital dislocation of the hip results of surgery after planned delayed intervention following the appearance of the capital femoral ossific nucleus /N.M. Clarke [etal.].//J.Pediatr.Orthop. 2005. Vol.25.—pp. 434-439.
Weinstein SL, Mubarak SJ, Wenger DR. (2004) Developmental hip dysplasia and dislocation: Part II. InstrCourseLect.;53:531-542.
All Content should be original and unpublished.
