Early Diagnosis and Treatment

Aseptic necrosis of a femoral head - severe chronic orthopedic pathology (1.2-12 %), diagnostics of which presents considerable difficulties. Problems of fast diagnostics, identical clinical symptoms, rapid development of the disease leads to disability. Risk group includes young and middle-aged men...

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Autores principales:	A. V. Antonov, V. E. Volovik
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	aseptic necrosis of a femoral head anfh hip arthroscopy tunnelization femoral head necrosis decompression Science Q
Acceso en línea:	https://doaj.org/article/717ca8641c914e8bbf9dd949a06b4016
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spelling	oai:doaj.org-article:717ca8641c914e8bbf9dd949a06b40162021-11-23T06:14:43ZEarly Diagnosis and Treatment2541-94202587-959610.29413/ABS.2019-4.6.9https://doaj.org/article/717ca8641c914e8bbf9dd949a06b40162019-12-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2198https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Aseptic necrosis of a femoral head - severe chronic orthopedic pathology (1.2-12 %), diagnostics of which presents considerable difficulties. Problems of fast diagnostics, identical clinical symptoms, rapid development of the disease leads to disability. Risk group includes young and middle-aged men. The cause of the disease is unknown, the possibilities of conservative treatment are applied only in the early stages with doubtful efficiency, and among surgical none is the best. The research is performed in the traumatology center of Khabarovsk - clinical base of a Postgraduate Institute for Public Health Workers. During 2014-2019, retrospective analysis of treatment results was carried out on the basis of statistical data of 97 medical maps of patients diagnosed with aseptic necrosis of a femoral head, pathomorphological study of 49 preparations of the femoral head; laboratory analysis of immunological indicators of cellular immunity and thyroid hormones in the operated group of patients was carried out. Detected immunological changes indicate the systemic nature of the disease. Method of minimally invasive two-stage decompression of femoral neck is developed. Minimum injury of the developed method of treatment provides undeniable advantages in contrast to previous methods of surgical treatment. The technique has been applied in 17 cases, with positive medium-term clinical results. Aseptic necrosis of a femoral head is a pathology with a polymorphologicpicture, diagnosis of which presents considerable difficulties, associated with high risk of development atyoung age, is a current problem and demands further studying for the purpose of achievement of permanent long remission, and, perhaps, and an absolute recovery of the patient.A. V. AntonovV. E. VolovikScientific Сentre for Family Health and Human Reproduction Problemsarticleaseptic necrosis of a femoral headanfhhip arthroscopytunnelizationfemoral head necrosisdecompressionScienceQRUActa Biomedica Scientifica, Vol 4, Iss 6, Pp 60-67 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	aseptic necrosis of a femoral head anfh hip arthroscopy tunnelization femoral head necrosis decompression Science Q
spellingShingle	aseptic necrosis of a femoral head anfh hip arthroscopy tunnelization femoral head necrosis decompression Science Q A. V. Antonov V. E. Volovik Early Diagnosis and Treatment
description	Aseptic necrosis of a femoral head - severe chronic orthopedic pathology (1.2-12 %), diagnostics of which presents considerable difficulties. Problems of fast diagnostics, identical clinical symptoms, rapid development of the disease leads to disability. Risk group includes young and middle-aged men. The cause of the disease is unknown, the possibilities of conservative treatment are applied only in the early stages with doubtful efficiency, and among surgical none is the best. The research is performed in the traumatology center of Khabarovsk - clinical base of a Postgraduate Institute for Public Health Workers. During 2014-2019, retrospective analysis of treatment results was carried out on the basis of statistical data of 97 medical maps of patients diagnosed with aseptic necrosis of a femoral head, pathomorphological study of 49 preparations of the femoral head; laboratory analysis of immunological indicators of cellular immunity and thyroid hormones in the operated group of patients was carried out. Detected immunological changes indicate the systemic nature of the disease. Method of minimally invasive two-stage decompression of femoral neck is developed. Minimum injury of the developed method of treatment provides undeniable advantages in contrast to previous methods of surgical treatment. The technique has been applied in 17 cases, with positive medium-term clinical results. Aseptic necrosis of a femoral head is a pathology with a polymorphologicpicture, diagnosis of which presents considerable difficulties, associated with high risk of development atyoung age, is a current problem and demands further studying for the purpose of achievement of permanent long remission, and, perhaps, and an absolute recovery of the patient.
format	article
author	A. V. Antonov V. E. Volovik
author_facet	A. V. Antonov V. E. Volovik
author_sort	A. V. Antonov
title	Early Diagnosis and Treatment
title_short	Early Diagnosis and Treatment
title_full	Early Diagnosis and Treatment
title_fullStr	Early Diagnosis and Treatment
title_full_unstemmed	Early Diagnosis and Treatment
title_sort	early diagnosis and treatment
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/717ca8641c914e8bbf9dd949a06b4016
work_keys_str_mv	AT avantonov earlydiagnosisandtreatment AT vevolovik earlydiagnosisandtreatment
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Early Diagnosis and Treatment

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