Factors Relating to Hip Joint Arthritis Following Three Childhood Diseases-Juvenile Rheumatoid Arthritis, Perthes Disease, and Postreduction Avascular Necrosis in Congenital Hip Dislocation

1986 ◽  
Vol 6 (6) ◽  
pp. 706-712 ◽  
Author(s):  
Daniel R. Cooperman ◽  
Helen Emery ◽  
Cary Keller
2021 ◽  
Vol 07 (10) ◽  
Author(s):  
Khojaakhmed Shaykhislamovich Alpysbaev ◽  

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.


2003 ◽  
Vol 10 (4) ◽  
pp. 28-33
Author(s):  
O A Malakhov ◽  
I V Levanova ◽  
S E Kralina ◽  
V D Sharpar' ◽  
O A Malakhov ◽  
...  

Retrospective analysis of treatment of 183 patients, aged 1 month-18 months, with congenital hip dislocation was performed. 146 patients had failed hip reduction. It was detected that in 134 cases (91.8%) inadequate treatment and/or wrong management and behavior of parents took place. Failed treatment with Frejka pillow, abductive splint, Pavlic device, functional plaster bandage, closed reduction were considered. Main mistakes in application of those methods as well as violation of treatment tactics were described. It was shown that repeated failed femoral head reductions were unfavorable factors for the following development of hip joint.


1977 ◽  
Vol 20 (5) ◽  
pp. 1099-1104 ◽  
Author(s):  
Bram Bernstein ◽  
Deborah Forrester ◽  
Bernhard Singsen ◽  
Karen Koster King ◽  
Helen Kornreich ◽  
...  

2018 ◽  
Vol 99 (6) ◽  
pp. 1009-1015
Author(s):  
A A Abakarov ◽  
A A Abakarov

Aim. Justofocation of a new method of hip joint stabilization in adolescents and adults with congenital hip dislocation by preserving its own bone structures. Methods. The biomechanical substantiation of a new method of surgical correction of the proximal femur is presented. A primary analysis of the surgical treatment of congenital hip dislocation was performed on 101 patients (116 joints) aged 14 to 30 years (average age 21.3 ± 3.5 years) by creating an additional point of support for the pelvis according to the authors' method with 10 to 15-year follow up. The technique includes angulating elongating squamous oblique osteotomy of the thigh, which allows extending the limb simultaneously to 4 cm and restoring its biomechanical axis. All patients were evaluated clinically, radiologically and using Harris scale before and after the surgery. Results. At the analysis of the treatment results 10-15 years after the operation in 56 patients, the average Harris score increased from 42.7 (from 40.1 to 45.3) to 81.1 (77.2-86.7). Valgus proximal hip and oblique intertrochanteric osteotomy allowed elongating the limb in one-side hip dislocation by 3.2 ± 0.8 (95 % CI 2.8-4.0 cm), shortening of the limb by 3 cm persisted in all patients with one-side hip dislocation. In 37 patients (43 joints) podographic examination revealed restoration of rhythmic walking and longer single-support time. Conclusion. The suggested method of treatment of high congenital hip dislocation is an effective and minimally invasive method of stabilization of the hip joint in adolescents and adults. We discuss the question of possible reconstructive surgeries with preserved own bone structures in young patients aged 14 to 30 years, creating of bone mass in hip joint area for further joint replacement.


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