Email this article Restoration of the integrity of the proximal femur in osteolysis of the neck with separation of the head from the femur and dislocation of the trochanteric region
- Authors: Belokrylov N.M.1,2
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Affiliations:
- Perm State Medical Academy
- Medical unit No. 9 named after M.A. Tverye
- Issue: Vol 10, No 4 (2003)
- Pages: 38-40
- Section: Original study articles
- URL: https://journals.rcsi.science/0869-8678/article/view/48153
- DOI: https://doi.org/10.17816/vto200310438-40
- ID: 48153
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Abstract
New surgical reconstructive method of proximal femur in separation of head resulted in neck osteolysis and dislocation of trochanteric region was described. In significant femur dislocation first stage is its descending with external fixation device. Then open reconstruction is performed and unloading is continued using the same device. In 4 children that method was used successfully.
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##article.viewOnOriginalSite##About the authors
N. M. Belokrylov
Perm State Medical Academy; Medical unit No. 9 named after M.A. Tverye
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Perm; Perm
References
- Мовшович И.А. Оперативная ортопедия. — 1983. — С. 194-202.
- Хрыпов С.В., Краснов А.И., Артемьев Э.В. //Актуальные вопросы детской травматологии и ортопедии: Материалы науч.-практ. конф. детских ортопедов- травматологов России. — Старая Русса; СПб. —2000. — С. 188-189.
- Шевцов В.И., Макушин В.Д., Куфтырев Л.М. Дефекты костей нижней конечности. — Курган,1996. — С. 105-108.
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Fig. 1. Radiographs of patient P., 10 years old. a - the outcome of chronic recurrent osteomyelitis: complete osteolysis of the neck and part of the femoral head, the head lies separately from the trochanteric region displaced upward; b — after reconstructive surgery according to the proposed method. Fixation of the femoral head and musculoskeletal grafts with screws, pins, Blount-type plate; c — during and after hip lengthening; d — 3 years after reconstructive surgery: consolidation and restoration of the femoral head structure, good centering in the acetabulum.
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Fig. 2. Radiographs of patient I., 15 years old. a - the outcome of chronic recurrent osteomyelitis: the femoral neck is completely absent, the head with a disturbed structure and shape lies separately in the acetabulum, the femur is dislocated upward; b — at the first stage of treatment: lowering the thigh in the Ilizarov apparatus; c — after the second stage of the reconstructive operation; d — 1 year after surgical treatment: consolidation of the head, restoration of the integrity of the proximal femur; e — 2 years after surgical treatment: complete fusion of the head with the femur, restoration of the bone structure.
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