Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics38310.21823/2311-2905-2013--4-97-102ReviewsОбзорыReviewsSubluxation and dislocation of the hip in children with spina bifida (review)Подвывих и вывих бедра у детей с последствиями спинномозговых грыж (обзор литературы)BaindurashviliA. G.БаиндурашвилиА. Г.
Russian Federation
turner01@mail.ruIvanovS. V.ИвановС. В.
Russian Federation
ortostas@mail.ruKenisV. M.КенисВ. М.
Russian Federation
kenis@mail.ruTurner Scientific and Research Institute for Children’s OrthopedicsФГБУ «Научно-исследовательский детский ортопедический институт им. Г.И. Турнера» Минздрава России301220131949710201112016https://journal.rniito.org/jour/article/view/383

Subluxation or dislocation of the hip joint develops in 30-50% children with spina bifida during the first 2-3 years of life. These problems results from force disbalance between muscle group and other structural changes of the hip and pelvis components of the joint. The goal of treatment subluxation and dislocation of the hip joint in children with spina bifida is to make comfortable daily functions, eliminate the pain, provide the mobility and social independent. Management of subluxation and dislocation in children with spina bifida had changed in the last years because of the analysis long-term results. Indications for surgical treatment were determined more clearly, what made the results of treatment better.

У 30-50% детей с последствиями спинномозговых грыж развивается подвывих или вывих в тазобедренном суставе в течение первых 2-3 лет жизни. Эти проблемы являются результатом дисбаланса сил между мышечными группами и другими ассоциированными структуральными изменениями бедренного и тазового компонентов сустава. Целью лечения подвывиха и вывиха бедра у пациентов с последствиями спинномозговой грыжи являются создание им удобства осуществления функций, ликвидация болевого синдрома, обеспечение мобильности и социальной независимости. Тактика лечения подвывиха и вывиха бедра у таких детей значительно изменилась в последние годы в связи проведенным анализом отдаленных результатов. Показания к оперативному лечению были определены более четко, что улучшило результаты.

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