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SURGICAL TREATMENT FOR SLIPPED CAPUT FEMORAL EPIPHYSIS

https://doi.org/10.38181/2223-2427-2022-2-51-59

Abstract

Aim: improvement of outcomes of slipped caput femoral epiphysis.

Materials and methods: This article analyses the treatment of 198 patients with different stages of slipped caput femoral epiphysis.

Results: due to the high rate of disability in patients with slipped caput femoral epiphysis and the variety of methods of surgical treatment of this pathology, the analysis of the most common treatment options for slipped caput femoral epiphysis, depending on the stage of the disease, was carried out and the algorithm to determine the most appropriate surgical treatment option was developed.

Conclusions: The developed algorithm for surgical treatment choice in juvenile slipped caput femoral epiphysis makes it possible to decide on the treatment of slipped caput femoral epiphysis as quickly as possible and to perform surgical treatment at an early stage, immediately after the pathology is identified.

The treatment methods used in the development of the algorithm are for the most part technically simple to perform. The fixation methods make it possible to carry out early activation and rehabilitation of the patient, which considerably improves the patient's quality of life.

About the Authors

K. A. Egiazaryan
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Karen A. Egiazaryan – Dr. Sc., Professor, Head of the Department of Traumatology and Orthopedics and Military Field Surgery

Moscow



A. V. Grigoriev
State Budget Health Institution of the Moscow Region «Moscow Regional Clinical Traumatology and Orthopedic Hospital»
Russian Federation

Alexander V. Grigoriev – Chief Physician

101000, Moscow, Cross Prosek, 3



A. P. Ratyev
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Andrey P. Ratyev – MD, PhD, professor of the Department of Traumatology, Orthopedics and Military Field Surgery

Moscow



D. S. Ershov
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Ershov Dmitry Sergeevich – PhD (Med.), Accociate of Professor of the Department of Traumatology and Orthopedics and Military Field Surgery

Moscow



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Review

For citations:


Egiazaryan K.A., Grigoriev A.V., Ratyev A.P., Ershov D.S. SURGICAL TREATMENT FOR SLIPPED CAPUT FEMORAL EPIPHYSIS. Surgical practice (Russia). 2022;(2):51-59. (In Russ.) https://doi.org/10.38181/2223-2427-2022-2-51-59

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ISSN 2223-2427 (Print)