Integrated approach to diagnostics of the hip congenital dislocation in prematurely born infants in the early neonatal period

Шарпарь В.Д., Каменских М.С., Неганов О.А., Егоров В.А., Семенов С.В., Ислентьев А.В.

Abstract


Purpose. To develop the algorithm of early diagnostics of the hip congenital dislocation in premature born infants in order to improve treatment results.
Material and Methods. The results of examination of 64 premature infants and 68 full-term ones by the technique of ultrasound Dopplerography of magistral vessels in the hip area presented in the work together with common methods of congenital hip dislocation diagnostics, as well as the details of exchanging different oxyproline fractions studied in biological fluids of these children depending on gestation age.
Results. The algorithm of diagnosing congenital hip dislocation in neonatal infants developed on the basis of “complex approach” principle thereby making it possible to start treatment in the earliest periods and achieve good results of treatment.
Conclusion. The use of the hip ultrasonography in addition to ultrasound Dopplerography, and biochemical methods of studying allows to determine the predisposition to congenital dislocation development in newborns, and, of course, it is important in neonatal orthopaedics.

Keywords


children, prematurity, external iliac artery (a. iliaca externa), blood flow, ultrasound Dopplerography, the hip (joint), sonography, blood, urine, oxyproline

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