METHOD FOR CREATING SUPPORT HIP JOINT NEARTHROSIS Russian patent published in 2005 - IPC

FIELD: medicine.

SUBSTANCE: method involves making recess in upper end of femur diaphysis in sagittal direction. The recess is brought in engagement with external roof edge of cotyloid cavity roof. The lower extremity is moved aside to at an angle of 45°, foot is fixed in neutral position and rehabilitation measures are done. Bed rest with the lower extremity moved aside to at an angle of 45° and foot fixed in neutral position, is administered during the first 10 days after surgical operation. Medical training exercises comprise isometric exercises done with extremity muscles and passive-active flexures in knee joint within 5 min 3 times a day every day. Sitting in bed is allowed beginning from the third day. Healthy leg is placed on a chair when sitting in bed in early postoperative period from tenth to twentieth day. Medical training exercises are done three times a day during 10-15 min. Dorsal muscles are strengthened in inclining and straightening the body to 50-100 times per day. Active flexure loading over operated lower extremity knee joint is added beginning from twentieth to thirtieth day and the patient starts actively moving the straightened leg upward from the bed to 100 times per day and sitting in bed with both legs got down drawing the treated leg aside. The number of active flexures is increased in knee joint making the straightened leg move upward from the bed to 200 times per day from the thirtieth to fiftieth day in later period and the patient starts mastering active leg deflection aside and bending it in the hip joint done 10-15 times 3 times a day. The patient stands up and retains standing position by means of crutches near the bed drawing the operated extremity 30-35° aside from the thirtieth to fiftieth day in later postoperative period. Leg shortening is compensated with shoe heeltap. The patient sits down and stands up from chair him/herself 10 times three times a day and masters walking on crutches deviating leg to 30-35° 15-30 min long 3 times a day loading the operated leg not higher than 15% of full load in outdoor treatment mode 3 months long beginning from the fortieth day. Isometric medical exercises training lower extremity muscles are done to 500 times per day with a leg drawn 25-30° aside from lying position, making efforts to turn the leg off from bed plane to 100 exercises 3 times a day. Active operated leg flexure in knee joint are done to 100 movements 3 times a day. Bending and straightening body in lying on the bed doing to 100 exercises a day. Actively drawing the operated leg aside in standing to 100 movements 3 times a day. Active operated leg flexures in hip and knee joint are done in standing to 100 movements 3 times a day. Walking on crutches is carried out not longer than 1,5-2 h long a day leaning on operated leg drawn 30-35° aside having heel-tapped shoes on for compensating leg shortening. Load applied to the operated leg is increased by 10-15% every month after being dismissed from hospital when compared to norm. Walking time is increased by 30 min. The angle the leg is drawn aside is reduced to 15-20°. Cane is used in walking and heel-tap is selected to suitable height. The extremity is brought to functionally right position at the sixth month after being dismissed from hospital. The heel-tap is reduced to required height for adjusting real anatomical shortening. Walking with cane and medical training exercises are continued. Massage and swimming is practiced.

EFFECT: enhanced effectiveness in recovering physiologically correct locomotor function in the hip joint.

9 cl, 15 dwg