Saratov JOURNAL of Medical and Scientific Research

The assessment system of the grade of dysplastic changes in hip joint of children of early age

Year: 2018, volume 14 Issue: №3 Pages: 505-511
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Bakhteeva N.Kh., Anisimova Е.А., Zotkin V.V., Anisimov D.l.
Organization: Saratov State Medical University
Summary:

 Aim: to analyze the method of choice of treatment for children aged 1-3 yrs. with hip joint dysplasia with respect to the complex of pathological changes by the elaboration of CAD programs. Material and Methods. We defined the grade of dysplastic changes in joint components of 82 children with hip joint dysplasia (113 joints) aged 1-3 yrs by CAD program. Results. The grade of dysplastic changes in hip joint (mild — I, moderate — II, severe — III) was identified with the elaborated program and the treatment was administered. We identified 28 children (33 joints) to have mild (I) dysplasia grade, moderate (II) 31 children (42 joints) and severe (III) 23 (38 joints). Mild dysplasia grade (I) corresponded to the score from 5 to 13, and to the option of conservative treatment with dynamic follow-up and coxarthritis prevention, moderate (II) — to the score from 14 to 26 and the option of intertrochanteric detorsion varus corrective osteotomy, severe (III) — to the score from 27 to 39 and the option of pelvis osteotomy and intertrochanteric detorsion varus corrective osteotomy. Conclusion. The treatment of patients with hip dysplasia depends on the grade of dysplastic changes. The elaborated program allows effectively define dysplasia grade and choose treatment method for the patients.

Bibliography:
1 Tikhilov RM, Shubnyakov II, eds. Guide of surgical treatment of hip joint. SPb.: RNIITO n.a. R.R. Vreden, 2015; 368 p.
2 Sertakova AV, Morozova OL, Norkin IA, Anisimov Dl. Modern views on the mechanisms of development of hip dysplasia in children (review). Saratov Journal of Medical Scientific Research 2011; 7 (3): 704-10
3 Anisimova ЕА, Yusupov KS, Anisimov Dl, Bondareva EV. Morphology of bone structures of acetabulum and femoral component of hip joint. Saratov Journal of Medical Scientific Research 2014; 10 (1): 32-8
4 Semernev EV. Standard methods of diagnosis, treatment and prevention of hip dysplasia: Morphological changes in bone tissue in dysplasia. Young people and science 2016; 2: 68
5 Tikhilov RM, Shubnyakov II, Pliev DG, Bogopolskiy OE, Guatsaev MS. The possibilities of radiography in the early diagnosis of hip joint pathology. Traumatology and Orthopedics of Russia 2017; 23(1): 117-31
6 Yusupov KS, Anisimova ЕА, Pavlenko NN, et al. X-ray anatomical and biomechanical features in patients with developmental hip dislocation. Saratov Journal of Medical Scientific Research 2014; 10 (1): 114-9
7 Li LY, et al. Development of the osseous and cartilaginous acetabular index in normal children and those with developmental dysplasia of the hip: A cross-sectional study using MRI. Journal of Bone & Joint Surgery, British Volume 2012; 94 (12): 1625-31
8 Kamosko MM, Poznovich MS. Conservative treatment of hip dysplasia. Pediatric traumatology, orthopaedics and reconstructive surgery 2014; 2 (4): 51-60
9 Akhtyamov JF, Sokolovskiy ОА. Surgical treatment of hip dysplasia. Kazan, 2008; 371 p. Russian (Ахтямов И.Ф., Соколовский О. А. Хирургическое лечение дисплазии тазобедренного сустава. Казань, 2008; 371 с). 10 Yusupov KS, Anisimova ЕА, Voskresenskiy OYu, et al. Total hip arthroplasty in combination with a double V- shaped subtrochanteric shortening osteotomy of hip in patients with dysplastic coxarthritis type Crowe IV Tambov University Reports. Series: Natural and Technical Sciences 2014; 19 (3): 970-6
11 Zurmuhle СА, Anwander Н, Albers СЕ, et al. Periacetabular osteotomy provides higher survivorship than rim trimming for acetabular retroversion. Clin Orthop Relat Res 2017; 475(4): 1138-40.

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