Non-operative treatment of early osteochondropathy of the hip in children
I.F. AKHTYAMOV1, V.V. LOBASHOV1, O. G. ANISIMOV2
¹Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012
2Republic Clinical Hospital, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064
Akhtyamov I.F. — D. Med. Sc., Head of the Department of Traumatology and Orthopedics, tel. (843) 221-36-68, e-mail: yalta60@mail.ru
Lobashov V.V. — postgraduate student of the Department of Traumatology and Orthopedics, tel. +7-937-778-51-70, e-mail: lobashoff@ya.ru
Anisimov O.G. — D. Med. Sc., Head of the Department of Anesthesiology and Resuscitation, tel. (843) 221-36-68, e-mail: nauka@rkb.ru
The authors have developed a new method for non-operative treatment of the initial stages (before finishing the fragmentation stage) of osteochondropathy of the hip. The method included prolonged epidural analgesia during 6-8 days. As a result of medicament sympathectomy, the blood vessels are dilated and microcirculation in a hip region is improved. Short-term results in 7 patients showed reduction of the pain syndrome and improving of the hip functioning after the treatment and during eight months after its termination.
Key words: osteochondropathy of the hip, non-operative treatment, prolonged epidural analgesia.
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