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  • Providing the growth of the proximal part of the hip bone with the complete destruction of the epiphysis of the femoral head after acute hematogenous metaepiphyseal osteomyelitis 

    Редактор | 2016, Practical medicine 04 (16) Innovative technologies in medicine. Part 1 | 2 сентября, 2016

    P.S. ANDREEV1, Kh.Z. GAFAROV1,3, A.P. SKVORTSOV1, I.F. AKHTYAMOV1,2

    1Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

    2Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

    3Kazan State Medical Academy, 36 Butlerov Str., Kazan, Russian Federation, 420012

    Andreev P.S. ― Cand. Med. Sc., Head of the Department of Traumatology-Orthopedics (Children’s), tel. +7-903-307-99-50, e-mail: rkb_nauka@rambler.ru

    Gafarov Kh.Z. ― D. Med. Sc., Professor of the Department of Traumatology and Orthopedics, Chief Researcher of Scientific-Research Department, tel. +7-917-850-53-71, e-mail: gafarofildar@rambler.ru

    Skvortsov A.P. ― D. Med. Sc., Chief Researcher of Scientific-Research Department, tel. +7-987-411-45-50, e-mail: alexscvor21@gmail.com

    Akhtyamov I.F. ― D. Med. Sc., Professor, Head of the Department of Traumatology and Orthopedics and Surgery of Extreme States, Chief Researcher of Scientific-Research Department, tel. (843) 296-31-40, e-mail: yalta60@mail.ru 

    Patients with various kinds of orthopedic complications of acute hematogenous metaepiphyseal osteomyelitis in the hip in the form of a complete defect of the epiphysis of the femoral head totaled 19.7% of all patients. In order to restore the congruence of the joint preservation and the growth potency of the proximal part of the hip bone (PPHB), these patients should undergo the transplantation of the ilium of anterior-upper spine containing apophysis with sprout plate and feeding muscle flap onto the stump of the femoral neck. Positive result of treatment was received in 6 cases out of 7. The further condition of the transplanted part of the ilium of anterior-upper spine containing apophysis with sprout plate and its influence on the further growth of PPHB is a great interest, as we have not met such operational methods in the literature.

    Key words: acute hematogenous metaepiphyseal osteomyelitis (AHMO), proximal part of the hip bone (PPHB), children, complete defect of the epiphysis of the femoral head.

     

     

    REFERENCES

    1. Gafarov Kh.Z., Andreev P.S., Skvortsov A.P., Akhtyamov I.F. Sposob lecheniya defektov epifiza golovki bedrennoy kosti u detey. Patent no. 2125848 [A method for treating defects of the epiphysis of the femoral head in children. Patent №2125848]. Otkrytiya, 1999, no. 4 (in Russ.).
    2. Chochiev G.M. Ortopedicheskaya reabilitatsiya detey i podrostkov s posledstviyami gematogennogo osteomielita bedrennoy kosti: avtoref. dis. … kand. med. nauk [Prosthetic rehabilitation of children and teenagers with the consequences of osteomyelitis of the femur. Synopsis of dis. PhD med. sciences]. Moscow, 1996. 18 p.
    3. Danielyan O.A. Deformatsii sustavov nizhnikh konechnostey u detey i podrostkov pri posledstviyakh gematogennogo osteomielita: avtoref. dis. …d-ra med. nauk [The deformations of the joints of the lower limbs in children and adolescents under the effects of osteomyelitis. Synopsis of dis. Dr med. sciences]. Saint Petersburg, 1996. 34 p.
    4. Andrianov V.L., Pozdeev A.P., Danielyan O.A., Sosnenko E.G. Vosstanovitel’noe lechenie detey i podrostkov s posledstviyami perenesennogo gematogennogo osteomielita [Rehabilitation treatment of children and adolescents suffering from the consequences of osteomyelitis]. Sb. nauchn. trudov: Aktual’nye aspekty lecheniya zabolevaniy i porazheniy oporno-dvigatel’nogo apparata u detey. Saint Petersburg, 1994. Pp. 301-302.
    5. Wandl-Vergesslich K.A., Breitenseher M., Fotter R. Diagnostic imaging in osteomyelitis. Characteristics in childhood. Radiologe, 1996, vol. 36 (10), pp. 805-812.

    Метки: A.P. SKVORTSOV, acute hematogenous metaepiphyseal osteomyelitis (AHMO), Children, complete defect of the epiphysis of the femoral head, I.F. AKHTYAMOV, Kh.Z. GAFAROV, P.S. ANDREEV, Practical medicine 04 (16) Innovative technologies in medicine. Part 1, proximal part of the hip bone (PPHB)

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