DYNAMICS OF WIDTH OF PROXIMAL FEMORAL GROWING ZONE IN PATIENTS WITH PERTHES DISEASE AFTER SURGICAL TREATMENT
Objective - to study the effect of tunnelization and apparatus hip decompression on the state of proximal femur growing plate. Material and methods. A pattern of changes in proximal femur growing plate of the affected and intact extremities was investigated in 46 children with III degree Perthes dis...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2016-09-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/view/79 |
| _version_ | 1818694196521861120 |
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| author | M. P. Teplenky E. M. Parfenov V. S. Bunov |
| author_facet | M. P. Teplenky E. M. Parfenov V. S. Bunov |
| author_sort | M. P. Teplenky |
| collection | DOAJ |
| description | Objective - to study the effect of tunnelization and apparatus hip decompression on the state of proximal femur growing plate. Material and methods. A pattern of changes in proximal femur growing plate of the affected and intact extremities was investigated in 46 children with III degree Perthes disease. The follow-up was 3 years. To unload the affected joint, an external fixator (most often, the Ilizarov apparatus) was placed on pelvic and femoral bones, which was used in a mode of non-articulating arthrodiastasis. The measurements of width of proximal femur growing zone were performed on pelvic bones rentgenograms in anteroposterior projection with internal hip rotation achieved with 1 meter focal length and their subsequent transfer to a digital format. Results. In the study group wire tunneling and apparatus fixation were shown not to result in growing plate locking, providing conditions for recovery of the shape and structure of the femoral head, which was accompanied by a slowdown in its width decrease in the affected extremity and led to the compliance of this parameter between the intact and affected extremities. No correlation was revealed between the degree of structural metaphyseal damage and the state of proximal growing zone. |
| first_indexed | 2024-12-17T13:25:44Z |
| format | Article |
| id | doaj.art-7b2f79aff0b84f9a95ee365eed4a91ba |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-12-17T13:25:44Z |
| publishDate | 2016-09-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-7b2f79aff0b84f9a95ee365eed4a91ba2022-12-21T21:46:45ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332016-09-0103606810.21823/2311-2905-2014-0-3-60-6876DYNAMICS OF WIDTH OF PROXIMAL FEMORAL GROWING ZONE IN PATIENTS WITH PERTHES DISEASE AFTER SURGICAL TREATMENTM. P. Teplenky0E. M. Parfenov1V. S. Bunov2Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopedics”Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopedics”Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopedics”Objective - to study the effect of tunnelization and apparatus hip decompression on the state of proximal femur growing plate. Material and methods. A pattern of changes in proximal femur growing plate of the affected and intact extremities was investigated in 46 children with III degree Perthes disease. The follow-up was 3 years. To unload the affected joint, an external fixator (most often, the Ilizarov apparatus) was placed on pelvic and femoral bones, which was used in a mode of non-articulating arthrodiastasis. The measurements of width of proximal femur growing zone were performed on pelvic bones rentgenograms in anteroposterior projection with internal hip rotation achieved with 1 meter focal length and their subsequent transfer to a digital format. Results. In the study group wire tunneling and apparatus fixation were shown not to result in growing plate locking, providing conditions for recovery of the shape and structure of the femoral head, which was accompanied by a slowdown in its width decrease in the affected extremity and led to the compliance of this parameter between the intact and affected extremities. No correlation was revealed between the degree of structural metaphyseal damage and the state of proximal growing zone.https://journal.rniito.org/jour/article/view/79болезнь пертесапроксимальная ростковая зона бедренной коституннелизацияperthes diseaseproximal femur growing platetunnelization |
| spellingShingle | M. P. Teplenky E. M. Parfenov V. S. Bunov DYNAMICS OF WIDTH OF PROXIMAL FEMORAL GROWING ZONE IN PATIENTS WITH PERTHES DISEASE AFTER SURGICAL TREATMENT Travmatologiâ i Ortopediâ Rossii болезнь пертеса проксимальная ростковая зона бедренной кости туннелизация perthes disease proximal femur growing plate tunnelization |
| title | DYNAMICS OF WIDTH OF PROXIMAL FEMORAL GROWING ZONE IN PATIENTS WITH PERTHES DISEASE AFTER SURGICAL TREATMENT |
| title_full | DYNAMICS OF WIDTH OF PROXIMAL FEMORAL GROWING ZONE IN PATIENTS WITH PERTHES DISEASE AFTER SURGICAL TREATMENT |
| title_fullStr | DYNAMICS OF WIDTH OF PROXIMAL FEMORAL GROWING ZONE IN PATIENTS WITH PERTHES DISEASE AFTER SURGICAL TREATMENT |
| title_full_unstemmed | DYNAMICS OF WIDTH OF PROXIMAL FEMORAL GROWING ZONE IN PATIENTS WITH PERTHES DISEASE AFTER SURGICAL TREATMENT |
| title_short | DYNAMICS OF WIDTH OF PROXIMAL FEMORAL GROWING ZONE IN PATIENTS WITH PERTHES DISEASE AFTER SURGICAL TREATMENT |
| title_sort | dynamics of width of proximal femoral growing zone in patients with perthes disease after surgical treatment |
| topic | болезнь пертеса проксимальная ростковая зона бедренной кости туннелизация perthes disease proximal femur growing plate tunnelization |
| url | https://journal.rniito.org/jour/article/view/79 |
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