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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Traumatology and Orthopedics of Russia</journal-id><journal-title-group><journal-title xml:lang="en">Traumatology and Orthopedics of Russia</journal-title><trans-title-group xml:lang="ru"><trans-title>Травматология и ортопедия России</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2311-2905</issn><issn publication-format="electronic">2542-0933</issn><publisher><publisher-name xml:lang="en">Vreden National Medical Research Center of Traumatology and Orthopedics</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">265</article-id><article-id pub-id-type="doi">10.21823/2311-2905-2012--3-51-56</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>CLINICAL STUDIES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="zh"><subject>Clinical studies</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">ACETABULAR DEVELOPMENT AFTER SUPRAACETABULAR TUNNELIZATION IN CHILDREN WITH HIP CONGENITAL DYSPLASIA</article-title><trans-title-group xml:lang="ru"><trans-title>РАЗВИТИЕ ВЕРТЛУЖНОЙ ВПАДИНЫ ПОСЛЕ ТУННЕЛИЗАЦИИ НАДВЕРТЛУЖНОЙ ОБЛАСТИ У ДЕТЕЙ С ВРОЖДЕННОЙ ДИСПЛАЗИЕЙ ТАЗОБЕДРЕННОГО СУСТАВА</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Teplenkiy</surname><given-names>M. P.</given-names></name><name xml:lang="ru"><surname>Тепленький</surname><given-names>М. П.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>TeplenkiyMP@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Makushin</surname><given-names>V. D.</given-names></name><name xml:lang="ru"><surname>Макушин</surname><given-names>В. Д.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>office@ilizarov.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Chirkova</surname><given-names>N. G.</given-names></name><name xml:lang="ru"><surname>Чиркова</surname><given-names>Н. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>office@ilizarov.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">The Russian Ilizarov Scientific Center of Restorative Traumatology and Orthopaedics, Kurgan</institution></aff><aff><institution xml:lang="ru">ФГБУ «Российский научный центр «Восстановительная травматология и ортопедия им. акад. Г.А. Илизарова» Минздравсоцразвития России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2012-09-30" publication-format="electronic"><day>30</day><month>09</month><year>2012</year></pub-date><volume>18</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>51</fpage><lpage>56</lpage><history><date date-type="received" iso-8601-date="2016-11-01"><day>01</day><month>11</month><year>2016</year></date></history><permissions><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://journal.rniito.org/jour/article/view/265">https://journal.rniito.org/jour/article/view/265</self-uri><abstract xml:lang="en"><p>Introduction. The technology of wire tunnelization of joint elements is used at RISC “RTO” for treatment of young children (10-30 months) with the hip dysplasia of various forms. Aim - to assess the effect of supraacetabular tunnelization on the formation of dysplastic acetabula. Material and methods. The results of treatment 18 children (21 joints) with the hip congenital dysplasia of II (14 joints) and III (7 joints) degree according to Tonnis have been analyzed. Gradual closed reduction of the dislocation has been performed in all the cases. Mean age at the time of reduction was 8,2±0.56 months (5-14 months). Supraacetabular tunnelization was made six months after dislocation reduction. Indications for intervention were considered in view of the x-ray parameters and signs of acetabulum showing its potential developmental delay. Results. The initial value of the acetabular index on the side of dislocation amounted to 43±0.8°. The impairment of the shape of acetabular vault and its upper-and-outer edge of moderate (9 joints) and severe (12 joints) degree has been observed in all the joints involved. The mean value of the acetabular index amounted to 22.1±0.947° (P&lt;0.01) 3 years after the first tunnelization procedure. In the mentioned period the pathological value of AI remained for seven joints, the value conformed to the norm in 11 observations, and it was considered as a boundary state in three cases. Correct vault shape recovered in 19 joints involved, formation of roof sharp-pointed upper-and-outer edge was observed in 14 cases. The signs of moderate acetabular roof underdevelopment remained in the other observations. Conclusion. The wire tunnelization of the supraacetabular parts adjacent to acetabular cartilage in the patient group analyzed had a stimulating effect on acetabulum development, which manifested itself in the roof slope decrease, the change in acetabular contour and upper-and-outer edge shape.</p></abstract><trans-abstract xml:lang="ru"><p>Введение. При лечении детей младшего возраста (10-30 мес) с различными формами дисплазии тазобедренного сустава в РНЦ «ВТО» используется технология спицевой туннелизации суставных элементов. Цель исследования - оценка влияния туннелизации надвертлужной области на формирование диспластичной вертлужной впадины. Материал и методы. Проанализированы результаты лечения 18 детей (21 сустав) с врожденной дисплазией тазобедренного сустава II (14 суставов) и III (7 суставов) степени по Tonnis. Во всех случаях произведено постепенное закрытое вправление вывиха. Средний возраст на момент репозиции составил 8,2±0,56 месяцев (5-14 мес.). Через 6 месяцев после вправления вывиха выполняли туннелизацию надацетабулярной области. Показания к вмешательству устанавливали с учетом рентгенологических показателей вертлужной впадины и признаков, указывающих на возможную задержку ее развития. Результаты. Исходная величина ацетабулярного индекса на стороне вывиха 43±0,8°. Во всех пораженных суставах отмечено нарушение формы свода и верхненаружного края средней (9 суставов) и тяжелой (12 суставов) степени. Через 3 года после первой туннелизации средний показатель ацетабулярного индекса составил 22,1±0,947° (P&lt;0,01). В указанный срок в 7 суставах сохранилось патологическое значение АИ, в 11 наблюдениях показатель соответствовал норме, в 3 случаях - расценен как пограничное состояние. В 19 пораженных суставах восстановилась правильная форма свода, в 14 случаях отмечено формирование заостренного верхненаружного края крыши. В остальных наблюдениях сохранились признаки умеренного недоразвития крыши впадины. Выводы. В анализируемой группе пациентов спицевая туннелизация прилежащих к ацетабулярному хрящу участков надвертлужной области оказала стимулирующее воздействие на развитие вертлужной впадины, которое проявилось в виде уменьшения угла наклона крыши, изменения формы контура и верхнелатерального края впадины.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>врожденная дисплазия тазобедренного сустава</kwd><kwd>туннелизация надацетабулярной области</kwd><kwd>congenital dysplasia of the hip</kwd><kwd>supraacetabular tunnelization</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Патент 311884 РФ МПК7А61В17/56. Способ лечения врожденной дисплазии вертлужной впадины. Макушин В.Д., Логинова Н.Г., Тепленький М.П. ; РНЦ "ВТО" им. акад. Илизарова. № 2006113051 ; Заявл. 18.04.06. ; опубл. 10.12.07. Бюл № 34.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Шевцов В.И., Макушин В.Д., Тепленький М.П., Атманский И.А. 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