P.S. ANDREEV¹, I.F. AKHTYAMOV², A.P. SKVORTSOV¹

 ¹Republican Clinical Hospital” of the Ministry of Healthcare of the Republic of Tatarstan, Kazan

²Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan

  Andreev P.S. — PhD (medicine), Head of the Department of Pediatric Traumatology and Orthopedics

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel. (843) 231-20-44, e-mail: rkb_nauka@rambler.ru

At the Department of Pediatric Traumatology and Orthopedics of Research Center of Tatarstan “Recovery Traumatology and Orthopedics” 28 patients with dysplastic instability of the hip joint after conservative management were under medical treatment. In 12 patients with hip dislocation, an open reduction of detorsion-variating osteotomy of the hip was performed, rotational pelvic osteotomy according to Salter with detorsion-variating hip osteotomy, in 11 patients with subluxation of the hip — rotational double pelvic osteotomy with detorsion-variating hip osteotomy. Salter rotational pelvic osteotomy was performed in patients with AI of no more than 30-320. With AI over 320, a rotational double pelvic osteotomy was performed.

In 9 patients, without compromising the centration of the femoral head in the acetabulum, which did not require bringing down and detorsion-varying hip osteotomy, surgical treatment was carried out in the form of neducational pelvic osteotomy with trapezoidal resection of the bone wedge without the intervention on the proximal femur. 

Key words: dysplastic instability of the hip joint, restoration of the stability of the hip joint, rotational pelvic osteotomy, acetabular index (AI), children and adolescents.

(For citation: Andreev P.S., Akhtyamov I.F., Skvortsov A.P. Surgical treatment of dysplastic hip instability in children. Practical medicine. 2019. Vol. 17, № 6 (part 2), P. 39-42)

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