METHOD OF SURGICAL TREATMENT Perthes disease in children

摘要

1. A method of surgical treatment of Perthes disease, comprising a femur osteotomy and fixation of its fragments by metal osteosynthesis, characterized in that the two osteoperforation produced by the outer and inner surface of the distal metadiaphysis, hold two flexible elastic intramedullary rod outer predyzgibayut in a plane at 20-30º existing apical bending rod; Bending length is determined considering the level of the osteotomy and the intended size of the greater trochanter; then from 1.5 cm incision is carried subtrochanteric oblique wedge osteotomy at an angle to the axis of the femur with the base of the wedge 0.5-1.0 cm medially produce hip flexion of the hip joint, the outer shaft is advanced above the osteotomy toward the small trochanter, deploying pin on 180º, and varus medializiruyut proximal predyzgiba the magnitude and angle of the wedge base; rod is carried to the inner cortical of the greater trochanter, the inner core is carried above the osteotomy line without turning or changing its konfiguratsii.2. A method of surgical treatment of Perthes' disease of claim 1, characterized in that the necessary Mediatization varization and proximal fragment of the femur is carried out simultaneously, but the fixation of the proximal femur is carried out by two flexible elastic rods.