Endoprosthetics of the hip joint in children of senior school age

Abstract

The experience of hip arthroplasty in 22 children (23 joints) treated in the Department of Pediatric Bone Pathology and Adolescent Orthopedics of CITO is presented. The main group of operated were children with stage III coxarthrosis due to osteochondrodysplasia (10) and congenital dislocation of the hip (6). The duration of follow-up is from 1 to 23 years. A good result was obtained in 13 cases, satisfactory - in 7. Unsatisfactory results were associated with suppuration (1) and instability of the endoprosthesis (2). The authors see bilateral arthroplasty as a way to normalize the biomechanics of standing and walking in patients with osteochondrodysplasia.

References

[1] Волков М.В., Меерсон Е.М. и др. Наследственные системные заболевания скелета.— М., 1982.

[2] Мовшович И.А. Эндопротезирование в ортопедии и трав матологии: Актовая речь.— М., 1990.

[3] Сиваш. КМ. Аллопластика тазобедренного сустава.— М., 1967.

[4] Davies J.K., Hedley A.K. //AAOS Annual Meeting, 58: Final program.—Anaheim, 1991—P. 147.

[5] Keggi K.J. //Ibid.—P. 269.

[6] Kroon. P.O., Freeman M.A. //J. Bone Jt Surg.— 1992.— Vol.74B, № 4.—P. 518 — 522.

[7] Silber D.A., Engh C.A. //1. Arthroplasty.— 1990.— Vol. 5, № 3.—P. 231 — 240.

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