EXPERIENCE OF SURGICAL TREATMENT OF LEGG-CALVE-PERTES DISEASE IN CHILDREN
Introduction. The article presents the result of treatment of a patient with Perthes ' disease. The main goal is to share the experience of using a rod external fixation device (EFD) for osteochondropathy of the femoral head in children, which allows significantly reducing the treatment time with the maximum possible restoration of the structure and shape of the femoral head.
Aim. Improve the results of surgical treatment of Perthes ' disease in children.
Materials and methods. The design of the study is to describe a single case. We studied the immediate and long-term results of treatment of a patient with Perthes ' disease in the fragmentation stage who was in the Department of pediatric orthopedics and rehabilitation, city children's hospital N2, Nur-Sultan. The age of the patient during the operation is 11 years 4 months, male. The surgical intervention included the installation of a rod external fixation device using the technology developed by us, a correct dosed system of distarction, using telescopic rods. The semi-rings of the Ilizarov apparatus were used as support elements.
Results. The follow-up period was 15 months. Full recovery of mobility in the joint was achieved in 2.5 months. There was no pain syndrome. Partial restoration of the shape and structure of the head was observed during the first 6 months after the operation. At the time of the last examination, the epiphyseal index was 0.4. The continuity of the Shenton line was maintained. X-ray results were evaluated according to Herring criteria: group B. the Joint corresponds to class II according to Stulberg.
Conclusions. This device will create favorable conditions for painless unloading of the hip joint, thereby improving blood circulation, which provides nutrition to soft tissues, the head of the hip and will reduce the recovery time of the head of the hip.
Number of Views: 432
Category of articles:
Original articles
Bibliography link
Tuktieva N.A., Dosanov B.A., Zhunussov Ye.T. Experience of surgical treatment of Legg-Calve-Pertes disease in children // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 4, pp. 126-132. doi10.34689/SH.2020.22.4.013Related publications:
VALIDATION OF THE KAZAKH VERSION OF THE DEPRESSION ANXIETY STRESS SCALE (DASS-21) IN MEDICAL FACULTY STAFF SAMPLE: THE PILOT STUDY
PREDICTIVE VALUE OF PSYCHOMETRIC TESTING IN CONTEXT OF CREATING ADAPTIVE ENVIRONMENT FOR HIGHER MEDICAL EDUCATION
ASSESSMENT OF STUDENTS' AWARENESS ABOUT THE HARMS OF MICROPLASTICS ON THE HUMAN BODY
THE IMPACT OF COMPLAINTS ON QUALITY OF LIFE, PSYCHOLOGICAL WELL-BEING AND HEALTH OF MEDICAL WORKERS
DEVELOPMENT AND VALIDATION OF A QUESTIONNAIRE FOR PATIENTS "STUDYING THE OPINION OF PATIENTS' SATISFACTION WITH NURSE INDEPENDENT APPOINTMENT AT THE LEVEL OF PRIMARY HEALTH CARE"