Open Accesschoice of surgical tactics for the treatment of children with destructive pathological dislocation of the hip after hematogenous osteomyelitis
Author(s) -
Akhror Makhmutovich Djuraev,
Khojaakhmed Shaykhislamovich Alpisbaev,
Elyar Abduvalievich Tapilov
Publication year - 2021
Publication title -
international journal of health and medical sciences
Language(s) - English
Resource type - Journals
ISSN - 2632-9433
DOI - 10.21744/ijhms.v5n1.1813
Subject(s) - medicine , acetabulum , osteotomy , surgery , reduction (mathematics) , femur , femoral head , pelvis , pathological , geometry , mathematics , pathology
A surgical approach to the treatment of destructive pathological dislocation of the hip in children has been substantiated, depending on age, the severity of destruction of the proximal femur and acetabulum. Reconstructive - restorative operations in most patients ensure the stability of the hip joint and thereby improve the patient's gait and statics, reduce the pelvic misalignment and eliminate the Trendelenburg symptom. The experience of surgical treatment of patients with pathological hip dislocations has shown that the most favorable outcomes are achieved with the use of open reduction of the stump of the head or neck of the femur with intertrochanteric detorsion shortening and varizing osteotomy with rotational pelvic osteotomy according to Salter and acetabular plasty according to Pemberton.