Fibrous hip ankylosis in adolescents: non-standard approach to treatment (clinical observation)

The development of secondary deforming coxarthrosis in childhood and adolescence, as a rule, is accompanied by the formation of a pronounced deformity of the hip joint, up to ankylosis, which significantly limits the function of the lower limb and leads to early disability. In most patients, hip ankylosis develops in a vicious position with the resulting flexion-intracavity installation of the lower limb. If such a condition is encountered in childhood and adolescence, treatment currently remains debatable. Various methods are used, ranging from arthroplastic organ-preserving interventions and corrective osteotomies to joint replacement. In this report, we present a clinical case of children treated with post-infectious secondary deforming coxarthrosis with fibrous ankylosis of the hip joint in a vicious position. We applied a coherent combination of modern treatment methods: distraction in the apparatus, arthroscopy, intra-articular injections, physiotherapy, and other rehabilitation. The treatment results were evaluated over a two-year period. In this case, the rational use of a consistent set of remedial measures helped to improve joint function, socialize the patient, and postpone surgery for joint replacement for at least 2 years.

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Weight-bearing Neoarthrosis as Alternative Revision Joint Replacement and Arthrodesis in Purulent Processes in Hip Joint Zone

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto200310248-55 ◽

2003 ◽

Vol 10 (2) ◽

pp. 48-55

Author(s):

V V Malovichko ◽

Z I Urazgil'deev ◽

M B Tsykunov ◽

V V Malovichko ◽

Z I Urazgil'deev ◽

...

Keyword(s):

Hip Joint ◽

Proximal Femur ◽

Joint Replacement ◽

Hip Replacement ◽

Chronic Osteomyelitis ◽

Weight Bearing ◽

Radical Resection ◽

Joint Function ◽

Joint Zone ◽

Complex Program

The experience in treatment and rehabilitation of 100 patients with suppuration following total hip replacement and 60 patients with chronic osteomyelitis of proximal femur and acetabulum is presented. Patients' age ranged from 10 to 84 years. Removal of unstable metallic constructions (implant or fixator) and radical resection fistulosequestrnecrectomia by Girdlestone were performed in all patients. In postoperative period the complex program for the elimination of purulent process and rehabilitation measures were carried out. That program foresaw active and expedient control for compensation of the affected joint function. In all patients purulent inflammatory process was eliminated, weight-bearing hip joint neoarthosis with satisfactory function was formed. According to authors' opinion the formation of weight-bearing neoarthrosis is an adequate alternative to both revision joint replacement and arthrodesis in purulent process in proximal femur and acetabulum.

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Treatment of Patients with Pyo-Inflammatory Complications after Hip Replacement

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto200916345-50 ◽

2009 ◽

Vol 16 (3) ◽

pp. 45-50 ◽

Cited By ~ 1

Author(s):

Isak Mikhaylovich Pichkhadze ◽

K A Kuz'menkov ◽

A V Zhadin ◽

A V Tsiskarashvili ◽

E I Pichkhadze ◽

...

Keyword(s):

Hip Joint ◽

Joint Replacement ◽

Hip Replacement ◽

Surgical Intervention ◽

Weight Bearing ◽

Treatment Results ◽

Hip Joint Replacement

Treatment results were analyzed for 78 patients (2001-2008) with pyo-inflammatory complications after hip joint replacement. Implants were preserved in 7 patients. In the rest of patients implants were removed followed by sequestrnecrectomy of articular ends and neoarthrosis formation. Treatment tactics and principles of surgical intervention were described. Good and satisfactory results were achieved in 75.44% and 24.56% of cases, respectively. Presented methods enabled to achieve weight bearing ability of the extremity and contributed to the adequate rehabilitation of patients.

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Kinesitherapeutic behaviour in conservative treatment of coxarthrosis – case report

Pharmacia ◽

10.3897/pharmacia.66.e36143 ◽

2019 ◽

Vol 66 (2) ◽

pp. 75-77

Author(s):

Maria Becheva ◽

Gergana Petrova ◽

Angelina Kirkova ◽

Petar Atanasov

Keyword(s):

Conservative Treatment ◽

Hip Joint ◽

Lower Limb ◽

Clinical Case ◽

Joint Diseases ◽

Social Significance ◽

Manual Movements ◽

Pain Symptoms ◽

The Right ◽

Degenerative Joint Diseases

Hip arthrosis is the main cause of disability of all degenerative joint diseases and therefore it is considered to be of social significance. The presented clinical case aims to confirm the efficacy of the applied kinesitherapeutic program in conservative treatment of 62-year-old patient with right-sided coxarthrosis. The kinesitherapeutic methods included right lower limb massage, suspension therapy, tractions and manual movements of the right hip joint, positional treatment, active exercisesinan openkinetic chain, postisometric relaxation and stretching for shortened muscles.The pain symptoms were reduced, the volume of movement in the right hip increased, the strength of the right hip joint stabilizer musclespartially improved.

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Clinical case of periostitis in pregnant women complicated by sepsis

Medical alphabet ◽

10.33667/2078-5631-2020-16-61-63 ◽

2020 ◽

pp. 61-63

Author(s):

S. Sh. Kakvaeva ◽

M. A. Magomedova ◽

A. N. Dzhalilova

Keyword(s):

Pregnant Woman ◽

Multiple Organ Failure ◽

Pregnant Women ◽

Organ Failure ◽

Clinical Case ◽

Clinical Observation ◽

Infectious Agent ◽

Modern Medicine ◽

Multiple Organ ◽

Number Of Patients

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.

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Clinical case of diagnosis, treatment of endometriosis and abnormal development of the reproductive system. Clinical observation of multiple developmental disorders of the genitourinary and cardiovascular systems and endometriosis

HEALTH OF WOMAN ◽

10.15574/hw.2018.136.18 ◽

2018 ◽

pp. 18-21

Author(s):

О.I. Dronov ◽

◽

V.L. Dronova ◽

L.A. Roshchina ◽

R.S. Teslyuk ◽

...

Keyword(s):

Reproductive System ◽

Developmental Disorders ◽

Clinical Case ◽

Clinical Observation ◽

Abnormal Development ◽

Cardiovascular Systems

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Non-active surgical implants. Joint replacement implants. Specific requirements for hip-joint replacement implants

10.3403/30204987 ◽

2009 ◽

Keyword(s):

Hip Joint ◽

Joint Replacement ◽

Hip Joint Replacement ◽

Surgical Implants

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Detergent properties as the basis of the dimexide therapeutic effect in AA-amyloidosis infectious nature (clinical case analysis)

Nephrology (Saint-Petersburg) ◽

10.36485/1561-6274-2020-24-2-60-71 ◽

2020 ◽

Vol 24 (2) ◽

pp. 60-71

Author(s):

V. Rameev ◽

L. Kozlovskaya ◽

A. Rameeva ◽

P. Tao

Keyword(s):

Therapeutic Effect ◽

Medical Practice ◽

Clinical Case ◽

Clinical Observation ◽

Case Analysis ◽

Systemic Amyloidosis ◽

Aa Amyloidosis ◽

Functional Amyloid ◽

History Of

The article discusses the current possibilities of postinfectious AA-amyloidosis treatment with dimexide on the example of clinical observation, discribes in detail the problem of functional amyloid and debates the prospects of the principle of amyloid resorption in the treatment of systemic amyloidosis. The history of the use of dimexide in medical practice is given, thenecessary dataon the pharmacology of dimexide are presented.

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A CT-free protocol to treat osteoid osteoma of the hip region in childhood and adolescence by percutaneous drilling and by hip arthroscopy

Hip International ◽

10.1177/1120700021996269 ◽

2021 ◽

pp. 112070002199626

Author(s):

Oliver Eberhardt ◽

Thekla von Kalle ◽

Rebecca Matthis ◽

Richard Doepner ◽

Thomas Wirth ◽

...

Keyword(s):

Radiofrequency Ablation ◽

Minimally Invasive ◽

Hip Joint ◽

Hip Arthroscopy ◽

Standard Form ◽

Childhood And Adolescence ◽

Ct Guided ◽

Contrast Enhanced ◽

Mri Guided ◽

Mri Diagnostics

Introduction: It is often difficult to clinically and radiologically diagnose intra-articular osteoid osteomas and osteoid osteomas of the hip joint. Treatment can also be difficult due to complex locational relationships. CT-guided radiofrequency ablation is currently the standard form of treatment. In this paper we report on a minimally-invasive concept for treating osteoid osteomas near the hip joint in children and adolescents which does not involve using computed tomography. Material and method: 10 patients with an average age of 12.1 years underwent treatment for osteoid osteomas in the hip joint region. The diagnosis was made using a contrast-enhanced MRI. The osteoid osteomas were marked percutaneously using x-ray and MRI guidance. MRI-guided drilling/curettage was performed in 4 cases and arthroscopic resection in 6 cases. Results: All lesions were successfully treated using the MRI-guided method. All patients were free of pain after the treatment. There was no instance of recurrence during the follow-up period, which averaged 10 months. The effective dose for marking the lesion was between 0.0186 mSv and 0.342 mSV (mean 0.084 mSV). Conclusions: Our MRI diagnostics protocol, the MRI-guided drilling and the minimally invasive hip arthroscopy represent an alternative to CT-guided radiofrequency ablation in the treatment of osteoid osteomas. Radiation exposure can thereby be significantly reduced. Hip arthroscopy can also be used to treat secondary pathologies such as femoroacetabular impingement.

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