Articolul precedent |
Articolul urmator |
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Ultima descărcare din IBN: 2023-03-22 13:13 |
SM ISO690:2012 MOROZ, Petru, SANDROSEAN, Argentina, SANDROSEAN, Iurie. Eșecuri în tratamentul chirurgical al patologiei displastice de șold la copil. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 620. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 620-620 | ||||||
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Rezumat | ||||||
Background. Dysplastic hip diseases have always been one of the most pressing problems in pediatric orthopedics. Diseases required surgery, which resulted in complete resolution or failure, with the development of juvenile hip coxarthrosis, in 50% - being the cause of endoprosthesis in adults. Objective of the study. To assess the causes of unsatisfactory results of surgical treatment in congenital hip disease in order to perform the prophylaxis of juvenile hip coxarthrosisand reduce the disability in children. Material and Methods. A retrospective analytical study was performed on 981 children with hip diseases,treated surgically, over the period 1966-2017. The group of hip diseases included: hip dislocation - 497 children, dysplastic coxa valga- 427 children, congenital coxa vara- 57 children. To assess the results, various methods for assessment of radiological and functional indices were used. Results. In the surgical treatment of hip dislocations, unsatisfactory outcomes, assessed by the Volkov method, were established in 14% of cases; dysplastic coxa valga- 3.3% of cases; congenital coxa vara- 7% of cases. The study assessed the causes of unsatisfactory outcomes, namely: delayed surgical corrections, performed at thelate age of the child - 34.8% of cases, inappropriate surgical technique -15.2%, non-compliance with the postoperative orthopedic regimen - 17.8%, absence or insufficiency of treatment recovery - 32.2%. Conclusion. High quality surgical correction performed in children with hip disease at the age of 2-6 years, after ineffective orthopedic treatment, followed by recovery treatment, helped avoid disability in children in 75.7%. |
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Cuvinte-cheie Dysplastic hip disease, surgical correction, patologie displastică de șold, corecție chirurgicală |
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