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Клинико-рентгенологическая и морфологическая оценка отдаленных результатов операции реваскуляризации шейки и головки бедренной кости при дегенеративно-дистрофических заболеваниях тазобедренного сустава у взрослых

Клинико-рентгенологическая и морфологическая оценка отдаленных результатов операции реваскуляризации шейки и головки бедренной кости при дегенеративно-дистрофических заболеваниях тазобедренного сустава у взрослых

Abstract

В результате обследования 41 пациента в отдаленные (7 26 лет) сроки, после операции реваскуляризации шейки и головки бедренной кости выявлено, что 9 пациентов, прооперированных на ранней, дорентгенологической, стадии асептического некроза головки бедренной кости (АНГБК) здоровы. У 18 человек, которым оперативное лечение проведено на поздних стадиях дегенеративно-дистрофических заболеваниях тазобедренного сустава (ДДЗТС), ухудшение рентгенологической картины не сопровождается клиническим прогрессированием заболевания. При гистологическом исследовании из головок обнаружено, что сосудистый комплекс, имплантированный в шейку и головку бедренной кости функционирует до 22 лет, просвет артерии сохранен, кровообращение улучшается, что, по-видимому, ведет к благоприятному воздействию данного оперативного вмешательства на течение патологического процесса.

At assessment of 41 patients at late (7 to 26 years) terms after revascularization of the femoral head and neck, it was determined that 9 patients who underwent the surgery at the early, pre-radiological, stage of a vascular femoral head necrosis (AFHN) are healthy. In 18 patients who underwent the surgery at late terms of degenerative and dystrophic diseases of the hip joint (DDDHJ), worsening of the radiological picture was not associated with clinical progression of the disease. Histological investigation of the femoral heads showed that the vascular complex implanted into the head and neck of the femur functions for up to 22 years, and the lumen of the artery is patent, blood supply improves. The above mentioned, obviously, implies some favorable influence of this surgical intervention on the course of the pathological process.

Keywords

ДЕГЕНЕРАТИВНО-ДИСТРОФИЧЕСКИЕ ЗАБОЛЕВАНИЯ ТАЗОБЕДРЕННОГО СУСТАВА, РЕВАСКУЛЯРИЗАЦИЯ, РЕНТГЕНОГРАФИЯ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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