Saratov JOURNAL of Medical and Scientific Research

hip joint dysplasia

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.

Modern conceptions about mechanisms of progression process of hip dysplasia in children (review)

Year: 2011, volume 7 Issue: №3 Pages: 704-710
Heading: Traumatology and Orthopedics Article type: Review
Authors: Sertakova А.V., Morozova O.L., Norkin I.A., Anisimov D.I.
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

In the literature review of modern data concerning mechanisms of formation and progression process of hip dysplasia in children is represented. The questions concerning classification, processes of morphological and functional (biochemical) change of osteocartilaginous components of hip in children with connective tissue dysplasia, changes of content of remodeling and skeletal system degradation markers, angiogenesis in the process of progression of pathological changes in joint are taken up

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Surgical correction of hip joint at dysplasia: history of development and present state of the problem (bibliography)

Year: 2010, volume 6 Issue: №1 Pages: 150-154
Heading: Traumatology and Orthopedics Article type: Review
Authors: A.B. Petrov, I.D. Kovalyova, V.I. Ruzanov
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

Analytical review of scientific medical and patent information dealing with surgical correction of dysplastic hip joint components has been made. Retrospective analysis of the given problem development has been carried out. Modern methods of surgery on bony structures of the dysplastic hip joint have been studied in details. The main following directions of the acetabulum surgical correction have been marked out: formation of bony rests, variants of pelvic osteotomy, operations of joint surface curvature changing (acetabuloplasty). Methods with the use of materials exceeding bony tissue in solidity (metal, ceramics) have been studied separately. Expediency of further improvemement of methods for dysplastic coxarthrosis surgical prevention by removal of biomechanical imbalance in the hip joint has been demonstrated

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