TECHNOLOGIES OF PLASTIC AND RECONSTRUCTIVE MICROSURGERY IN TREATMENT OF PATIENTS WITH PATHOLOGY OF HIP REGION

Objective: This study aimed to determine the capabilities of plastic and reconstructive microsurgery in treatment of patients with traumas and diseases of hip. Material and methods: We have studied the results of surgical treatment of 10 patients with pathology of hip. All the patients were treated in Vreden Russian Research Institute of Traumatology and Orthopedics (Saint-Petersburg, Russia) within the period from 2000 to 2011. All the patients had pedicled flap transfer (10 cases) or free tissue transfer (1 case). 6 patients had additionally primary or revision total hip replacement. Results and conclusions: Microsurgical operations mainly aimed to correct various pathological changes of soft tissues and to cure infectious process in hip area. It was stated that microsurgical operations themselves is an effective method of treatment of wide neurotrophic sores located in the area of hip joint as well as hematogenic osteomyelitis of hip joint. Only microsurgical technologies provide opportunities for successful total hip replacement in patients with combined pathology of para-articular soft tissues and bones.

тазобедренный сустав, реконструктивная микрохирургия, пластика островковыми лоскутами, свободная пересадка комплексов тканей, тотальное эндопротезирование, hip, reconstructive microsurgery, pedicled flap, free tissue transfer, total hip replacement