Хирургическое лечение детей с ишемическими деформациями проксимального отдела и головки бедра (литературный обзор)
https://doi.org/10.52420/umj.24.6.136
EDN: QHQSIV
Аннотация
Введение. Дистрофические изменения различной этиологии в проксимальном отделе бедренной кости, вызванные локальной ишемией, сопровождаются частичным или полным разрушением зоны роста, что приводит к ее преждевременному блокированию и формированию сложных специфических деформаций. Своевременное восстановление измененных анатомо-морфологических суставных соотношений или их максимально возможная компенсация, улучшение биомеханических условий функционирования тазобедренного сустава могут отсрочить начало коксартроза или замедлить его прогрессирование. В статье представлена проблема ишемических деформаций проксимального отдела и головки бедра, проанализированы иностранные и отечественные источники литературы, отражены основные вопросы этиологии и патогенеза ишемических деформаций, представлены известные классификации, методы обследования и хирургические техники лечения.
Цель обзора – анализ отечественных и зарубежных литературных источников: уточнение этиологии, патогенеза, основных классификаций, клинических проявлений, методов диагностики и вариантов хирургического лечения.
Материалы и методы. Поиск материала проводился в открытых литературных источниках: eLibrary.ru, PubMed, Google Scholar (1969–2025).
Результаты и обсуждение. Формирование деформаций проксимального отдела и головки бедренной кости способствует раннему развитию коксартроза у пациентов молодого возраста и детей. Существующие вне- и внутрисуставные методики оперативного лечения пациентов с ишемическими деформациями проксимального отдела бедра направлены на восстановление геометрии проксимального отдела бедренной кости и профилактику раннего эндопротезирования тазобедренного сустава.
Заключение. В настоящий момент единый стандарт хирургического лечения детей с ишемическими деформациями проксимального отдела и головки бедра отсутствует.
Об авторах
А. В. Акимова
Национальный медицинский исследовательский центр травматологии и ортопедии имени академика Г. А. Илизарова
Россия
Конфликт интересов:
Россия
Алина Викторовна Акимова – аспирант, травматолог-ортопед травматолого-ортопедического отделения № 11
Курган
Конфликт интересов:
Авторы заявляют об отсутствии явных и потенциальных конфликтов интересов.
М. П. Тепленький
Национальный медицинский исследовательский центр травматологии и ортопедии имени академика Г. А. Илизарова
Россия
Конфликт интересов:
Россия
Михаил Павлович Тепленький – доктор медицинских наук, заведующий
Курган
Конфликт интересов:
Авторы заявляют об отсутствии явных и потенциальных конфликтов интересов.
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Рецензия
Для цитирования:
Акимова АВ, Тепленький МП. Хирургическое лечение детей с ишемическими деформациями проксимального отдела и головки бедра (литературный обзор). Уральский медицинский журнал. 2025;24(6):136–156. https://doi.org/10.52420/umj.24.6.136. EDN: QHQSIV
For citation:
Akimova AV, Teplenkiy MP. Surgical Treatment of Children with Ischemic Deformities of the Proximal Femur and Head of the Hip (Literature Review). Ural Medical Journal. 2025;24(6):136–156. (In Russ.) https://doi.org/10.52420/umj.24.6.136. EDN: QHQSIV
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