METHOD FOR CHOOSING TACTICS OF HIP JOINT DYSPLASIA SURGERY IN CHILDREN Russian patent published in 2017 - IPC A61B5/107 A61B5/488 A61B6/00 

FIELD: medicine.

SUBSTANCE: clinical examination with collection of parameters is realised by means of oral questioning of patient and their visual examination. Radiography of affected hip joint in polypositional projection is performed. Computed and magnetic-resonance tomography, electromyography of gluteus maximus and gluteus medius muscles and electroneuromyography of femoral, peroneal and tibial nerves are performed. Biomechanical test of dynamic function of extremity is realised. In the process of carrying out the said examinations definite parameters are registered with estimation of each of them in points. Calculation of the sum of obtained points is performed and obtained results are used as basis for selecting surgery method. If the sum of points is 17-19, correcting intertrochanteric varus-detorsion osteotomy is performed. If the sum of points is 30-44, correcting intertrochanteric varus-detorsion osteotomy with medialisation is performed. If the sum of points is 30-44 and higher, pelvis osteotomy and correcting intertrochanteric varus-detorsion osteotomy with medialisation are performed.

EFFECT: method makes it possible to personalise selection of treatment method, adequate to severity of dysplastic changes of hip joint and periarticular area due to estimation of the most essential parameters.

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