Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree

CIinicodiagnostic researches included. 73 patients with dysplastic coxarthrosis who were examined and treated in orthopedic ward of Scientific Center of Reconstructive and. Restorative Surgery SB RAMS during 2001-2010 years. The aim. of the research is to specify clinic-radiologic criteria of hip jo...

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Autores principales:	V. F. Lebedev, L. A. Dmitrieva, L. I. Arsentiev
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2013
Materias:	coxarthrosis endoprosthesis replacement radiodiagnosis clinic Science Q
Acceso en línea:	https://doaj.org/article/b958cf629b254a528dfe7f73f4777f9f
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spelling	oai:doaj.org-article:b958cf629b254a528dfe7f73f4777f9f2021-11-23T06:14:25ZClinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree2541-94202587-9596https://doaj.org/article/b958cf629b254a528dfe7f73f4777f9f2013-02-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/1403https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596CIinicodiagnostic researches included. 73 patients with dysplastic coxarthrosis who were examined and treated in orthopedic ward of Scientific Center of Reconstructive and. Restorative Surgery SB RAMS during 2001-2010 years. The aim. of the research is to specify clinic-radiologic criteria of hip joint with dysplastic changes at the arthrosis of III-IV degree. The diagnosis was set on the basis of clinicodiagnostic criteria. The main signs that characterize dysplastic joint were: anteversion of femoral neck; deflection of acetabulum anterior from sagittal plane; disorder of center of the head in horizontal plane; change of cervical-diaphyseal angle and. the angulation of acetabulum (more than 60°). Acetabulum becomes shallow and. head's embedding into it is Iess than 1/3 (1/2 as a norm). Main clinical manifestations of all examined patients were bending-adduction and rotation contractures of hip joints, shortening of extremities concerned with pathoIogic process, stabIe pain syndrome, gross Iimping with disorder of support function of extremity and Iocomotor act of waIking. In aII 73 patients we reveaIed. different disorders of anatomic interreIations of components of hip joint that are typicaI for grave forms of dyspIastic coxarthrosis. Ensuring of stabiIity of an impIant is extremeIy important at totaI hip joint repIacement. Prediction of measures of postoperative compIications prevention that allow to determine right tactics of operative treatment is the first to reaIize. If the indices of dyspIasia (ratio between thickness of acetabuIum's bottom and its depth) at dyspIastic coxarthrosis of III-IV degree is Iess than 0,6, it's possibIe to predict appearance of instabiIity of hip component of an impIant. VaIues of these indices can be used for forming impIant bed at the pIacing of impIant cup without additionaI ways of fixation.V. F. LebedevL. A. DmitrievaL. I. ArsentievScientific Сentre for Family Health and Human Reproduction Problemsarticlecoxarthrosisendoprosthesis replacementradiodiagnosisclinicScienceQRUActa Biomedica Scientifica, Vol 0, Iss 1, Pp 49-53 (2013)
institution	DOAJ
collection	DOAJ
language	RU
topic	coxarthrosis endoprosthesis replacement radiodiagnosis clinic Science Q
spellingShingle	coxarthrosis endoprosthesis replacement radiodiagnosis clinic Science Q V. F. Lebedev L. A. Dmitrieva L. I. Arsentiev Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree
description	CIinicodiagnostic researches included. 73 patients with dysplastic coxarthrosis who were examined and treated in orthopedic ward of Scientific Center of Reconstructive and. Restorative Surgery SB RAMS during 2001-2010 years. The aim. of the research is to specify clinic-radiologic criteria of hip joint with dysplastic changes at the arthrosis of III-IV degree. The diagnosis was set on the basis of clinicodiagnostic criteria. The main signs that characterize dysplastic joint were: anteversion of femoral neck; deflection of acetabulum anterior from sagittal plane; disorder of center of the head in horizontal plane; change of cervical-diaphyseal angle and. the angulation of acetabulum (more than 60°). Acetabulum becomes shallow and. head's embedding into it is Iess than 1/3 (1/2 as a norm). Main clinical manifestations of all examined patients were bending-adduction and rotation contractures of hip joints, shortening of extremities concerned with pathoIogic process, stabIe pain syndrome, gross Iimping with disorder of support function of extremity and Iocomotor act of waIking. In aII 73 patients we reveaIed. different disorders of anatomic interreIations of components of hip joint that are typicaI for grave forms of dyspIastic coxarthrosis. Ensuring of stabiIity of an impIant is extremeIy important at totaI hip joint repIacement. Prediction of measures of postoperative compIications prevention that allow to determine right tactics of operative treatment is the first to reaIize. If the indices of dyspIasia (ratio between thickness of acetabuIum's bottom and its depth) at dyspIastic coxarthrosis of III-IV degree is Iess than 0,6, it's possibIe to predict appearance of instabiIity of hip component of an impIant. VaIues of these indices can be used for forming impIant bed at the pIacing of impIant cup without additionaI ways of fixation.
format	article
author	V. F. Lebedev L. A. Dmitrieva L. I. Arsentiev
author_facet	V. F. Lebedev L. A. Dmitrieva L. I. Arsentiev
author_sort	V. F. Lebedev
title	Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree
title_short	Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree
title_full	Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree
title_fullStr	Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree
title_full_unstemmed	Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree
title_sort	clinico-diagnostic peculiarities of dysplastic coxarthrosis of iii-iv degree
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2013
url	https://doaj.org/article/b958cf629b254a528dfe7f73f4777f9f
work_keys_str_mv	AT vflebedev clinicodiagnosticpeculiaritiesofdysplasticcoxarthrosisofiiiivdegree AT ladmitrieva clinicodiagnosticpeculiaritiesofdysplasticcoxarthrosisofiiiivdegree AT liarsentiev clinicodiagnosticpeculiaritiesofdysplasticcoxarthrosisofiiiivdegree
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Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree

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