Acute Hematogenic Osteomyelitis of the Bones of the Hip Joint in Children: Modern Aspects of Diagnostics and Treatment

Abstract

We examined 134 patients with osteomyelitis of the bones of the hip joint at the age from 6 to 18 years. All patients were divided into two groups according to the type of surgical treatment performed. 1a group of 33 children who underwent traditional treatment, arthrotomy of the hip joint according to Gunther. 1b group of 20 patients who, after arthrotomy, used the original method of applying the Ilizarov apparatus to immobilize and unload the joint.In group 2, 81 patients were used the original method of drainage osteoperforations of the acetabular roof, which we introduced. When analyzing long-term results, it was revealed that the use of the developed method of treatment led to early activation and a decrease in the length of hospital stay from 43 to 22 bed-days, a relatively low proportion of orthopedic complications (from 68.9% to 15.3%), to reduce the transition of the disease to a chronic form (from 31% to 0) and mortality (from 9.1% to 0). Good and satisfactory results were obtained in 85% of children in the long-term period.