Reconstructive and restorative interventions at the proximal end of the thigh and pelvic bones in destructive pathological dislocation of the hip in children after hematogenous osteomyelitis

Khojaakhmed Shaykhislamovich Alpysbaev; Akhror Makhmutovich Djuraev; Elyar Abduvalievich Tapilov

doi:10.21744/ijhms.v4n4.1779

Authors

Khojaakhmed Shaykhislamovich Alpysbaev
хojaahmed@mail.ru
Head of the Department of Hip Pathology of the Republican Center for Pediatric Orthopedics of the Ministry of Health of the Republic of Uzbekistan
Akhror Makhmutovich Djuraev Chief of the Department of Pediatric Orthopedics of the Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics of the Ministry of Health of the Republic of Uzbekistan
Elyar Abduvalievich Tapilov Department of Pathology of the Hip Joint of the Republican Center for Pediatric Orthopedics of the Ministry of Health of the Republic of Uzbekistan

Keywords:

cervico-shaft angle, hip joint, osteomyelitis, pathological hip dislocation, treatment

Abstract

It is generally known that children tend to get injured more easily than adults. Moreover, these injuries they get in growing period may leave for long in the forms of disability. This paper is about reconstructive and restorative interventions at the proximal end of the thigh and pelvic bones in destructive pathological dislocation of the hip in children after hematogenous osteomyelitis. After hematogenous osteomyelitis of the proximal end of the femur, destruction of the head and neck of the femur is often observed, up to their destruction. The optimal age for surgical treatment of pathological dislocation of the hip, according to our data, is 4-5 years of age of the child, because by this time the process of ossification of the structures of the hip joint ends in most patients, and early surgical intervention often causes severe secondary deformities, up to their destruction.

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