METHOD FOR SURGICAL TREATMENT OF DEFORMITIES IN PROXIMAL DIVISION OF FEMUR IN CHILDREN

摘要

A method for the surgical treatment of the deformities in the proximal division of femur in the children comprises the assessment of the range of the alterations in the angular parameters in the proximal division of femur, the neck-shaft angle and the torsion angle of the head of femur followed by the correction of this angle to the normal value. For the correction of the angular parameters of the proximal division of femur, epiphysis of then head of femur is connected with the bone tissue of the neck of femur with the aid of the brace installed at the epimetaphyseal area of the proximal division of femur within the projection of the epiphyseal plate. The location of the plate varies with the deformity type: on lower medial surface of the neck of femur in valgus deformity, on superior lateral surface in varus deformity, on the posterior surface in antetorsion, on the anterior surface in retrotorsion. The brace is installed in such a way that the spikes and the screws are located in bone and cartilaginous tissue of the head and the neck of femur, 2- proximal and distal to the growth zone. Postoperatively, the patients are examined in dynamics once in three months with X-ray imaging for the assessments the correction rate and the term of the removal of the brace.