The role and the place of arthroscopy of the hip joint in treatment of aseptic necrosis of the femoral head
https://doi.org/10.25789/YMJ.2018.64.12
Abstract
Aseptic necrosis of the femoral head (ANFH) is one of current problems in orthopedics today. The arthroscopy of a hip joint in ANFH is a modern way of minimal-invasive surgery. We use the following staged means of arthroscopy: capsulotomy and synovectomy, debridement and sanation of a joint, revision of degenerative and dystrophic changes, resection of the affected cartilage, microfracturing, removal of free microscopic and macroscopic fragments of cartilage. The quality of life in operated patients before and after was estimated on Harris Hip Score (HHS). Arthroscopy of the hip joint has shown the positive clinical results and indeed improves quality of life in patients. It is necessary to revise more deeply all possibilities of arthroscopic surgery of the hip joint, to estimate all results, to improve treatment methods and to achieve long remission of a disease.
On the basis of the orthopedic department of the KGBUZ Regional Clinical Hospital No. 2 in Khabarovsk, an analysis of the frequency of occurrence of aseptic necrosis of the femoral head, its various diagnostic methods, conservative and operative treatment, and the pathological picture of the disease among the adult population in various age categories was made. The obtained positive results of treatment indicate the need for further study of the problem in order to achieve a long lasting remission, and possibly a complete recovery of the patient.
About the Authors
A. V. Antonov
Regional clinical hospital №2; Postgraduate Institute for Public Health Workers
Russian Federation
Russian Federation
Antonov Alexander – orthopedic surgeon of Territorial state educational Health facility “Regional clinical hospital №2” in Khabarovsk, post-graduate student of the Postgraduate Institute for Public Health Workers
V. E. Volovik
Regional State Budgetary educational Institution of additional professional education for Public Health Workers
Russian Federation
Russian Federation
Volovik Valery Evgenjevich - MD, prof., acad. of Russian Academy of Sciences and Russian Academy of natural Sciences, Vice-Rector of Regional State Budgetary educational Institution of additional professional education for Public Health Workers, head of Department
G. A. Palshin
NEFU named after M. K. Ammosov
Russian Federation
Russian Federation
Palshin Gennady Anatolyevich - MD, prof., head of Department of medical Institute
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Review
For citations:
Antonov A.V., Volovik V.E., Palshin G.A. The role and the place of arthroscopy of the hip joint in treatment of aseptic necrosis of the femoral head. Yakut Medical Journal. 2018;(4):42-44. https://doi.org/10.25789/YMJ.2018.64.12
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