儿童血液性骨髓炎后破坏性病理性髋关节脱位手术策略的选择

A. Djuraev, Khojaakhmed Shaykhislamovich Alpisbaev, Elyar Abduvalievich Tapilov
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引用次数: 34

摘要

根据年龄、股骨近端和髋臼破坏的严重程度,已经证实了治疗儿童破坏性病理性髋关节脱位的手术方法。大多数患者的重建-恢复性手术可确保髋关节的稳定性,从而改善患者的步态和静力,减少骨盆错位,消除Trendelenburg症状。病理性髋关节脱位患者的手术治疗经验表明,采用切开复位股骨头残端伴股骨粗隆间扭转缩短和旋转骨盆截骨术(Salter)和髋臼成形术(Pemberton)获得最有利的结果。
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choice of surgical tactics for the treatment of children with destructive pathological dislocation of the hip after hematogenous osteomyelitis
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.
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