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Reconstructive and restorative interventions at the proximal end of the thigh and pelvic bones in destructive pathological dislocation of the hip in children after hematogenous osteomyelitis

Khojaakhmed Shaykhislamovich AlpysbaevHead of the Department of Hip Pathology of the Republican Center for Pediatric Orthopedics of the Ministry of Health of the Republic of UzbekistanAkhror Makhmutovich DjuraevChief of the Department of Pediatric Orthopedics of the Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics of the Ministry of Health of the Republic of UzbekistanElyar Abduvalievich TapilovDepartment of Pathology of the Hip Joint of the Republican Center for Pediatric Orthopedics of the Ministry of Health of the Republic of Uzbekistan
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It is generally known that children tend to get injured more easily than adults. Moreover, these injuries they get in growing period may leave for long in the forms of disability. This paper is about reconstructive and restorative interventions at the proximal end of the thigh and pelvic bones in destructive pathological dislocation of the hip in children after hematogenous osteomyelitis. After hematogenous osteomyelitis of the proximal end of the femur, destruction of the head and neck of the femur is often observed, up to their destruction. The optimal age for surgical treatment of pathological dislocation of the hip, according to our data, is 4-5 years of age of the child, because by this time the process of ossification of the structures of the hip joint ends in most patients, and early surgical intervention often causes severe secondary deformities, up to their destruction.

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