Avascular necrosis as a complication in the management of developmental dysplasia of the hip

Read, Heather S.; Evans, Gwyn A.

doi:10.1054/cuor.2002.0247

Cited by 4 publications

(6 citation statements)

References 19 publications

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“…Наибольшую опасность представляет формирование выраженных и необратимых деформаций суставных компонентов, существенно затрудняющих выполнение в последующем реконструктивных вмешательств [20]. Согласно другой точке зрения безотлагательное оперативное лечение обеспечивает условия для восстановления головки бедра и формирования конгруэнтных суставных поверхностей [3,5,9,21]. Известные реконструктивные операции отличаются определенной a б в Рис.…”

Section: материал и методыunclassified

“…Последствия его в виде деформации головки, изменения геометрии проксимального отдела бедренной кости (ПОБК) и нарушения суставных соотношений создают условия для раннего развития и быстрого прогрессирования коксартроза [3,4]. Патология считается ятрогенной и не развивается в суставе, который не подвергался лечению [5]. Частота асептического некроза при закрытом вправлении вывиха бедра варьирует от 10 до 60 % [6][7][8].…”

Section: Introductionunclassified

“…При сочетании дистрофических нарушений с остаточной нестабильностью и децентрацией головки бедренной кости ситуация усложняется. Большинство авторов отдает предпочтение активной хирургической тактике [1,5,9]. Согласно другой точке зрения агрессивное лечение в данной ситуации увеличивает риск неблагоприятного исхода [3,10,11].…”

Section: Introductionunclassified

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Surgical treatment of children with hip dysplasia complicated with avascular necrosis of the femoral head

Teplenky

Павлович²,

Oleinikov

et al. 2019

Pediatr Traum Orthop Reconstr Surg

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Introduction. Avascular necrosis of the femoral head complicates the surgical treatment of hip dysplasia and aggravates the prognosis. Aim. We studied the immediate and medium-term results of reconstructive treatment in 18 children with hip dysplasia complicated by avascular femoral head necrosis, which developed after closed repositioning of a congenitally dislocated femur. Material and methods. Average age at the time of operation was 4.2 0.2 years. The patients were divided into two groups. Group 1 included 12 children with hip subluxation who underwent extra-articular reconstructions on articular components, spinal tunneling of the neck and head, and hardware unloading of the joint and group 2 included six patients with hip dislocation in whom an additional open reduction was performed. Functional results were estimated using DAubigne-Postel classification, whereas X-ray results were evaluated using Kruczynski classification. Results. Duration of observation was 37 years (average, 4.2 0.3 years). Functional results were good (1518 points) in nine joints in group 1, satisfactory (1214 points) in three joints in group 1 and five in group 2, and unsatisfactory (11 points) in one joint in group 2. X-ray results were good in six joints in group 1, satisfactory in six joints in group 1 and five in group 2, and unsatisfactory in one joint in group 2. Conclusions. Extra-articular reconstructive and stimulatory interventions combined with hardware decompression helps improve the shape and structure of the femoral head, and formation of congruent articular surfaces in children with subluxation of the thigh complicated by avascular necrosis.

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Section: материал и методыunclassified

Section: Introductionunclassified

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Surgical treatment of children with hip dysplasia complicated with avascular necrosis of the femoral head

Teplenky

Павлович²,

Oleinikov

et al. 2019

Pediatr Traum Orthop Reconstr Surg

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“…As discussed, postoperatively a spica cast can be used to maintain the correction of DDH after the child has undergone examination under anaesthesia to reduce the hip when reduction in an abduction splint fails (Read and Evans, 2002), or after surgery for pelvic osteotomy or varus derotational osteotomy. The cast will then be applied with the hip in the correct position to gain the appropriate abduction required.…”

Section: Diagnosis and Treatmentmentioning

confidence: 99%

“…Along with chronic pain and poor mobility the lifelong implications can be disastrous. There is also a risk of the development of avascular necrosis (AVN) not only in the affected hip, but also the contralateral hip, resulting directly from the treatment given to correct the deformity [Read, H.S., Evans G.A., 2002. Avascular necrosis as a complication in the management of developmental dysplasia of the hip.…”

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confidence: 99%