The  choice of surgical tactics for the treatment of children with destructive pathological dislocation of the hip after hematogenous osteomyelitis

Akhror Makhmutovich Djuraev; Khojaakhmed Shaykhislamovich Alpisbaev; Elyar Abduvalievich Tapilov

doi:10.21744/ijhms.v5n1.1813

Authors

Akhror Makhmutovich Djuraev Doctor of Medical Sciences, Professor, Head of the Department of Pediatric Orthopedics, Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics, Ministry of Health of the Republic of Uzbekistan
Khojaakhmed Shaykhislamovich Alpisbaev
хojaahmed@mail.ru
Candidate of Medical Sciences, Deputy Director for Clinical Work, Head of the Department of Hip Pathology, Republican Center for Pediatric, Orthopedics, Ministry of Health of the Republic of Uzbekistan
Elyar Abduvalievich Tapilov Resident Physician of the Department of Hip Pathology, Republican Center for Pediatric Orthopedics, Ministry of Health of the Republic of Uzbekistan│State Institution Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics, Republican Center for Pediatric Orthopedics, Ministry of Health of the Republic of Uzbekistan

Keywords:

articulo-trochanteric distance, hip joint, osteomyelitis, pathological hip dislocation

Abstract

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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