电邮这篇文章 Reconstruction of the hip joint in children after septic coxitis
- 作者: Teplenkiy M.P1, Oleinikov E.V1, Bunov V.S1
-
隶属关系:
- Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics
- 期: 卷 4, 编号 2 (2016)
- 页面: 16-23
- 栏目: Articles
- URL: https://bakhtiniada.ru/turner/article/view/3047
- DOI: https://doi.org/10.17816/PTORS4216-23
- ID: 3047
如何引用文章
开放存取
##reader.subscriptionAccessGranted##
订阅存取
详细
Background.
Surgical treatment of destructive dislocations is problematic, and controversial. Treatment options range from active monitoring to complex multistage reconstruction protocols.
Materials and methods.
The results of treatment of 17 children with disruptive dislocation of the hip (class IV according to the Choi classification) are presented. The mean age at which treatment was started was 6.3 ± 0.5 years (range: 3-9 years). Treatment strategies included formation of the weight-bearing contact of the proximal femur and acetabulum and ilium osteotomy using an Ilizarov frame. The follow-up period lasted from 2 to 11 years. Clinical results were assessed using Colton’s criteria. Assessment of the radiology findings included the anatomy relations and congruence of the articular surfaces. The patients were divided into two groups, according to age, for data analysis.
Results.
The majority (88%) of the children had positive anatomical and functional outcomes. The functional results were good (12-15 points), satisfactory (9-11 points), and unsatisfactory (8 points) for 3, 5, and 1, respectively, among 3-6 year olds and 2, 6, and 0, respectively, among 7-9 year olds. The distribution of joint congruence types I, III, and IV was 2, 4, and 3, respectively, in the younger group and 1, 6, and 1, respectively, in the older group.
Conclusion.
The use of reconstructive surgery using the Ilizarov apparatus in children with a defect of the proximal femur creates conditions for the adaptation of incongruent articular components without causing decompensation of the joint.
作者简介
Mikhail Teplenkiy
Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics
编辑信件的主要联系方式.
Email: ortho-kgn@mail.ru
MD, PhD, professor. Highest category orthopaedic surgeon. Head of Joint Pathology Laboratory, Head of Department 11 (pediatric joint pathology). Russian Iizaov Scientific Centre. 俄罗斯联邦
Evgeny Oleinikov
Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics
Email: ortho-kgn@mail.ru
MD, PhD, junior researcher of the Joint Pathology Laboratory, orthopaedic surgeon of the department 11 (pediatric joint pathology). Russian Iizaov Scientific Centre 俄罗斯联邦
Vyacheslav Bunov
Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics
Email: ortho-kgn@mail.ru
MD, PhD, leading researcher of the Joint Pathology Laboratory. Russian Iizaov Scientific Centre. 俄罗斯联邦
参考
- Miyahara HS, Helito CP, Oliva GB. Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review. Clinics. 2014;69(7):464-468. doi: 10.6061/clinics/2014(07)04.
- Choi IH, Pizzutillo PD, Bowen JR, et al. Sequelae and reconstruction after septic arthritis of the hip in infant. J Bone Jt Surg.1990;72-A(8):1150-1165.
- Hunka L, Said SE, MacKenzie DA, et al. Classification and Surgical Management of the Severe Sequelae of Septic Hips in Children. Clin Orthop. 1982;171:30-36. doi: 10.1097/00003086-198211000-00004.
- Крысь-Пугач А.П., Гук Ю.Н., Куценок Я.Б., и др. Наш опыт хирургического лечения ортопедических последствий гнойного коксита у детей // Травма. - 2008. - № 1. - Т. 9. - С. 66-70. [Kris-Pugach AP, Guk YN, Kucenok YB, et al. Nash opit hirurgicheskogo lecheniya ortopedicheskih posledstvii gnoinogo koksita u detei. Travma. 2008;1(9):66-70. (In Russ).]
- Forlin E, Milani C. Sequelae of Septic Arthritis of the Hip in Children. A New Classification and a Review of 41 Hips. J Pediatr Orthop. 2005;28(5):524-528. doi: 10.1097/bpo.0b013e31817bb079.
- Goel SC, Logani V. Management of Sequelae of septicarthritis of Hip in Infancy. JK-Practitioner. 2003;10(3):169-175.
- Baghdadi1 T, Saberi1 S, Eraghi1 AS, et al. Late Sequelae of Hip Septic Arthritis in Children. Acta Medica Iranica.2012;50(7):463-467.
- Abrishami S, Karami M, Karimi A, et al. Greater trochanteric preserving hip arthroplasty in the treatment of infantile septic arthritis: long-term results. J Child Orthop. 2010;4:137-141. doi: 10.1007/s11832-010-0238-x.
- Dobbs M, Sheridan JJ, Gordon JE, et al. Septic Arthritis of the Hip in infancy. Long-term follow-up. J Pediatr Orthop. 2003;23(2):162-168. doi: 10.1097/01241398-200303000-00006.
- Choi IH, Yoo WJ, Cho T-J, et al. Operative Reconstruction for Septic Arthritis of the Hip. Orthop Clin N Am. 2006;37:173-183. doi: 10.1016/j.ocl.2005.09.005.
- Colton CL. Chiari osteotomy for acetabular dysplasia J Bone Joint Surg. 1972-А;54-B(4):578-5898.
- Kruczynski J. Avascular necrosis of the proximal femur in developmental dislocation of the hip: Incidence, risk factors, sequelae and MR imaging for diagnosis and prognosis. Acta Orthop Scand. 1996(268);67:2-48. doi: 10.3109/17453679609155228.
- Mesa РА, Yamhure FH. Procedure DEGA type by double approach. Revista Colombiana de Ortopedia y Traumatología.2004;18(3):77-89.
- Sucato DJ, Schwend RM, Gillespie R. Septic Arthritis of the Hip in Children. J Am Acad Orthop Surg. 1997;5:249-260. doi: 10.5435/00124635-199709000-00003.
- Betz RR, Cooperman DR, Wopperer JM, et al. Late sequelae of septic arthritis of the hip in infancy and childhood. J Pediatr Orthop. 1990;10:365-372. doi: 10.1097/01241398-199005000-00014.
- Chang CH, Huang SC. Reconstruction for sequelae of septic hip in children. J Formos Med Assoe. 1997;96(5):353-358.
- Cheng JCY, Lam TP. Femoral lengthening after type IVB septic arthritis of the hip in children. J Pediatr Orthop. 1996;16:533-539. doi: 10.1097/01241398-199607000-00023.
- Ахтямов И.Ф., Абакаров А.А., Белецкий А.В., и др. Заболевания тазобедренного сустава у детей. - Казань, 2008. - 455 с. [Ahtyamov IF, Abakarov AA, Beleckii AV, et al. Zabolevaniya tazobedrennogo sustava u detei. Kazan; 2008;455 р. (In Russ).]
- Белокрылов Н.М., Гонина О.В., Полякова Н.В. Восстановление опороспособности при патологическом вывихе бедра в результате остеолиза его шейки и головки в детском возрасте // Травматология и ортопедия России. - 2007. - № 1. - Т. 43. - С. 63-67. [Belokrilov NM, Gonina OV, Polyakova NV. Vosstanovlenie oporosposobnosti pri patologicheskom vivihe bedra v rezulbtate osteoliza ego sheiki i golovki v detskom vozraste. Travmatologiya i ortopediya Rossii. 2007;1(43):63-67. (In Russ).]
- Соколовский А.М., Соколовский О.А. Патологический вывих бедра. - Минск: Высшая школа, 1997. - 208 с. [Sokolovskii AM, Sokolovskii OA. Patologicheskii vivih bedra. Minsk: Visshaya shkola; 1997:208. (In Russ).]
- Freeland AE, Sullivan DJ, Westin GW. Greater trochanteric hip arthroplasty in children with loss of the femoral head. J Bone Joint Surg (Am). 1980;62:1351-61.
- Гаркавенко Ю.Е., Поздеев А.П. Отдаленные функциональные результаты артропластики тазобедренного сустава у детей с последствиями острого гематогенного остеомиелита // Травматология и ортопедия России. - 2008. - Т. 50. - № 4. - С. 46-53. [Garkavenko YE, Pozdeev AP. Otdalennie funkcionalnie rezultati artroplastiki tazobedrennogo sustavau detei s posledstviyami ostrogo gematogennogo osteomielita. Travmatologiya i ortopediya Rossii. 2008;4(50):46-53. (In Russ).]
- Rozbruch R, Paley D, Bhave A, Herzenberg JE. Ilizarov Hip Reconstruction for the Late Sequelae of Infantile Hip Infection. J Bone Jt Surg Am. 2005;87(5):1007-1018. doi: 10.2106/JBJS.C.00713.
- Krumins M, Kalnins J, Lacis G. Reconstruction of proximal end of the femur after haemotogenous osteomyelitis. Pediatr Orthop. 1993;13:63-67. doi: 10.1097/01241398-199301000-00013.
- Benum P. Transposition of the apophysis of the greater trochanter for reconstruction of the femoral head after septic hip arthritis in children. Acta Orthopaedica. 2011;82(1):64-68. doi: 10.3109/17453674.2010.548030.
- Wagner H. Osteotomies for congenital hip dislocation. In The hip. Proceedings of the Fourth Open Sсientific Meeting of the Hip Society. St Louis, Mosby. 1976:43-61.
补充文件
