Simultaneous treatment of the hip bilateral instability

Семенов А.Л., Рыжиков Д.В., Губина Е.В., Ревкович А.С., Терещенкова Е.В.

Abstract


Introduction. High prevalence of the hip instability in children, as well as inconclusive results of treatment are so far of great interest in this problem for specialists. Bilateral involvement of joints is determined statistically in about 20% of cases, and staged surgical treatment is traditionally used in this group of patients.
Purpose. To develop the method of differentiated simultaneous surgical treatment of the hip bilateral instability in children.
Materials and Methods. The analysis of case records and out-patient medical cards of 65 children operated in our clinic for the hip bilateral instability carried out.
Results. The number of surgical treatment stages reduced in the last five years in our clinic due to performing simultaneous surgeries of the both hips. Different types of interventions in the hip performed including open femoral reposition, acetabuloplasty, periacetabular osteotomies of pelvic bones, correcting femoral osteotomies from two sides simultaneously.
Conclusions. Both the time periods of in-patient treatment and the time prior to the child’s verticalization postoperatively reduced significantly for simultaneous approach. When this method used the number of complications does not exceed the complication statistics for the staged management of patients.

Keywords


children, congenital dislocation of the hip, the hip instability, simultaneous surgeries, open reposition, acetabuloplasty, periacetabular osteotomy, correcting femoral osteotomy

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