Die Dreifachbeckenosteotomie nach Tönnis und Kalchschmidt in der Behandlung der Pfannendysplasie - Mittelfristige Ergebnisse

Bremen-Kühne, R. von; Vega-Salgado, H. de la; Steffen, Richard

doi:10.1055/s-2006-942167

Cited by 13 publications

(4 citation statements)

References 5 publications

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“…Выбор метода хирур-гического вмешательства зависит от конкретной клинико-рентгенологической ситуации [7]. Так, при I и IIа стадиях наиболее эффективны транспо-зиции ацетабулярного компонента сустава с целью увеличения площади контакта суставных поверх-ностей головки бедренной кости и вертлужной впадины за счет изменения пространственной ориентации последней [8][9][10][11]. При IIб стадии, в зависимости от наличия фиксированных кон-трактур, выраженности болевого синдрома и де-генеративно-дистрофических изме нений тазово-го и бедренного компонентов сустава, возможно выполнение как органосохраняющих, так и орга-нозамещающих операций.…”

Section: актуальностьunclassified

Rehabilitation of adolescents after surgical treatment of dysplastic coxarthrosis

Bortuleva

Вячеславовна²,

Baskov

et al. 2018

Pediatr Traum Orthop Reconstr Surg

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Background. The prevalence and severity of stage II and III dysplastic coxarthrosis determine the medical and social importance of its prevention and treatment. For a practicing orthopedic surgeon, there are two established stages of orthopedic treatment: the surgical stage and the restorative stage. The domestic and foreign literature from the previous 25 years comprises few publications regarding the rehabilitation of young children after reconstructive hip joint surgeries. Thus, the issues regarding the rehabilitation of teenagers following extra-articular operations on the hip joint remain unexplored. Aim. To evaluate the effectiveness of the developed program of rehabilitation for children after the surgical treatment of dysplastic coxarthrosis stages I and II. Material and methods. We analyzed the results of the surgical and rehabilitative treatment of 40 children (100%) with dysplastic coxarthrosis stage I and II; the study population included 27 girls (67.5%) and 13 boys (32.5 per cent) aged 13–18 years (total 54 joints). The rehabilitation period was divided into the following 4 stages: I preoperative, II postoperative day 1–2, III postoperative day 3–21, IV outpatient treatment (after hospital discharge to 1 year postoperatively). Results. By the time of discharge, the range of motion in the hip joint was as follows: bending 950° ± 40°, withdrawal 150° ± 50°, and extension 100° ± 30°. According to the results of the electromyography performed 3 months postoperatively, there was an increase in the amplitude of biopotentials for the gluteal muscle. The long-term result was evaluated after 1 year. The average modified Harris Hip Score and a scale developed in the The Turner Scientific and Research Institute for Children’s Orthopedics, significantly (p < 0.05) differed from preoperative ones. Conclusion. Early rehabilitation allows an increase in the strength and tone of muscles and restores the amplitude of movements in conditions of altered anatomical and biomechanical relationships in the hip. The verticalization of patients with the learning of proper load distribution on the parts of the foot enables effective recovery of the correct gait pattern. Comprehensive treatment of adolescents with dysplastic coxarthrosis according to the proposed method not only improves the condition of the affected hip joint and lower limb as a whole, but also improves the child’s quality of life.

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Section: актуальностьunclassified

Rehabilitation of adolescents after surgical treatment of dysplastic coxarthrosis

Bortuleva

Вячеславовна²,

Baskov

et al. 2018

Pediatr Traum Orthop Reconstr Surg

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“…Interessant scheint mir dagegen eine Zusammenstellung von Literaturstellen und noch nicht publizierten Serien aus anderen Institutionen zu sein, um die erfolgreiche Anwendbarkeit der geschilderten Methoden auch außerhalb der Inaugurator-Kliniken zu belegen. Zu diesem Zweck habe ich einige der mir zugänglichen Publikationen [9,32,64,75,80,84] und die mir zugesandten noch nicht publizierten [I, V -IX] Serien übersichtlich als Tabellen (l " Tab. 4 bis 6) zusammengestellt.…”

Section: Was Bringt Es? -Ergebnisseunclassified

“…" Nach korrektiven Pfannenosteotomien scheint die Versorgung mit einer sekundären HTEP nicht beeinträchtigt zu sein [58,84]. Tab.…”

Section: Was Bringt Es? -Ergebnisseunclassified

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Die biomechanische Koxarthrose des jungen Erwachsenen – Prävention und gelenkerhaltende Therapieoptionen

Tschauner¹

2010

Z Orthop Unfall

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Natürlicher Verlauf von Hüftreifungsstörungen und Hüftdysplasie

et al. 2008

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Assessment of the natural history of developmental dysplasia of the hip (DDH) is indispensable for age-dependent treatment of these patients. Based on a systematic meta-analysis of the published literature, this study gives an overview of the spontaneous course of DDH in different age decades. Furthermore, these results are discussed in the context of physiologic development of the hip. The data were compiled by a systematic literature search of medical databases from 1975 through 2007. For this evaluation, only papers that presented as high a level of evidence as possible were included. In early childhood, DDH with subluxation or dislocation necessitates treatment; otherwise, the spontaneous course leads invariably to osteoarthritis of the hip. However, a stable, well-centered dysplastic hip has a high potential of developing as a physiologic joint. In the analyzed data, an association between mild or moderate DDH after the end of growth and the development of osteoarthritis could not be demonstrated. The level of evidence of existing data is not sufficient to determine that persisting mild dysplasia is a relevant ethiopathological factor for osteoarthrosis of the hip. Therefore, prospective epidemiological studies are required.

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Die Dreifachbeckenosteotomie nach Tönnis und Kalchschmidt in der Behandlung der Pfannendysplasie - Mittelfristige Ergebnisse

Cited by 13 publications

References 5 publications

Rehabilitation of adolescents after surgical treatment of dysplastic coxarthrosis

Rehabilitation of adolescents after surgical treatment of dysplastic coxarthrosis

Die biomechanische Koxarthrose des jungen Erwachsenen – Prävention und gelenkerhaltende Therapieoptionen

Natürlicher Verlauf von Hüftreifungsstörungen und Hüftdysplasie

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