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Orthopaedic department №8
Chief of the dept.
Mikhail P. Tioplenkij |
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Specialization
- congenital and acquired dislocation and subluxation of the femur in children
- pathological dislocation, defect of the proximal femur
- dysplastic coxarthrosis and gonarthrosis
- osteochondropathy of the hip joint
- posttraumatic aseptic necrosis of the femoral head
- juvenile epiphyseolisis of the femoral head
- coxa vara, coxa plana
- contractures of the knee and elbow joints
- ankylosis in malposition
- paraarticular deformities accompanied by functional disorders in joints
- joint instability
- joint diseases of rheumatoid etiology
- functional malpositions of limb segments in joints
- partial defects of the articular bone ends
- congenital developmental anomalies in the upper and lower limbs
- arthrogriposis
- malunited intra- and paraarticular knee joint fractures
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Staff
| M.P. Tioplenkij |
- head of department 9, MD, physician of the superior category |
| E.M. Parfionov |
- orthopaedic surgeon |
| N.E. Rapovets |
- orthopaedic surgeon |
Demonstrative cases
Case 1
| Patient A., age 4, diagnosis: congenital dislocation of the left hip joint. Closed reset of dislocation by Ilizarov apparatus was applied. The roof of acetabulum was formed. The dislocation was reseted, the length of legs became equal, function of hip joint and bearness of the left lower limb was restored |
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after treatment |
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Case 2
| Patient F., age 2 y. 8 m., diagnosis: epacetabular dislocation of the left thigh, adduction flexion contracture of the left hip joint, left lower limb shortening up to 2 cm. Three years after Ilizarov apparatus was removed, the patient walks with full loading, without limping. Duchenne-Trendelenburg's symptom on the left is negative. Length of lower limbs is equal. The motion in the left hip joint is in full range. |
| before treatment |
3 years after treatment |
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Case 3
| Patient Ch., 13 y.o. Deformity in the left proximal femur presented as varus deviation of the shortened neck accompanied by high position of the top of the greater trochanter and femoral head subluxation. The treatment reduced the subluxation, and restored the proximal femur shape. |
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after treatment |
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Case 4
| Patient K., age 11, diagnosis: congenital dislocation of the left thigh. Clnincal examination revealed comparative left lower limb shortening up to 4 cm, evident adduction flexion contracture of the left hip joint. Control examination after 8 months displayed the absence of pain in the joint; Trendelenburg's symptom on the left was negative. Patient could walk with one walking stick. Length of lower limbs was equal. The range of motion in sagittal plane was 130º, in frontal plane - 35º. The vicious placing in the joint was eliminated. |
| before treatment |
8 months after treatment |
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Case 5
| Patient U., age 15. Diagnosis: congenital dislocation of the right thigh, shortening up to 8 cm. Closed reposition of dislocation and surgical correction of joint components were carried out. As a result the shortening was compensated, function and bearing of the right lower limb were restored. |
| before treatment |
after treatment |
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Case 6
| Patient K., age 5. Diagnosis: congenital dislocation, defect of hean and neck of the left thigh. Control examination 5 years after surgical treatment. |
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after treatment |
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Case 7
| Patient M., age 8, diagnosis: congenital dislocation, defect of head and neck of the left femur. Before admission to RSC "RTO", the open reset of dislocation was applied, that entailed necrosis of head and neck of the left femur. One year after Ilizarov apparatus was removed, the patient walks with full loading. Length of lower limbs is equal. |
| before treatment |
after treatment |
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Case 8
| Patient P., age 8, diagnosis: Perthes' disease in the stage of fragmentation of the head of right femur. During the treatment by apparatus form and structure of the femur head were restored. Full anatomic and functional restoration of the right hip joint was achieved. Control examination after 8 years. |
| before treatment |
8 years after treatment |
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Case 9
| Female patient, 6 y.o. Deformity in the left proximal femur presented as varus deviation of the shortened neck accompanied by aseptic necrosis of the left femoral head. The treatment resulted in restoration of the head shape and structure, in correction of the left femoral neck length and proximal femur deformity. |
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Case 10
| Patient S., age 6. Suffered from congenital absence of the left shin-bone. The reconstruction of bones was carried out for easier prosthetics. Now she walks without additional support. Limb lengthening is planning. |
| before treatment |
after treatment |
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Case 11
| Patient S., age 6. Suffered from congenital absence of the left shin-bone. The reconstruction of bones was carried out for easier prosthetics. Now she walks without additional support. Limb lengthening is planning. |
| before treatment |
after treatment |
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