genortГений ортопедииGenij Ortopedii1028-44272542-131XЦЕНТР ИЛИЗАРОВА10.18019/1028-4427-2021-27-4-481-486genort-35Research ArticleОригинальные статьиOriginal articlesРеконструктивные вмешательства при вывихе бедра у детей с церебральным параличомReconstruction surgery for dislocated hips in children with cerebral palsyhttps://orcid.org/0000-0002-8996-867XПопковД. А.PopkovD. A.

Попков Дмитрий Арнольдович, д. м. н., профессор РАН, член‑корр. Французской Академии медицинских наук,

г. Курган

Dmitry A. Popkov, M.D., Ph.D., Professor of RAS, correspondent member French Academy of Medical Sciences,

Kurgan

dpopkov@mail.ruЧибировГ. М.ChibirovG. M.

Чибиров Георгий Мирабович, к. м. н.,

г. Курган

Georgy M. Chibirov, M.D., Ph.D.,

Kurgan

georgii_chibirov@mail.ruТомовА. Д.TomovA. D.

Томов Ахмед Даутович,

г. Москва

Ahmed D. Tomov, M.D.,

Moscow

dpopkov@mail.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр травматологии и ортопедии имени академика Г.А. Илизарова» Министерства здравоохранения Российской ФедерацииРоссияIlizarov National Medical Research Centre for Traumatology and OrthopedicsRussian FederationГосударственное бюджетное учреждение здравоохранения «Морозовская детская городская клиническая больница департамента здравоохранения города Москвы»РоссияMorozov Children's City Clinical Hospital of the Moscow City Health DepartmentRussian Federation202128082021274№ 4 (2021)481486Copyright © Попков Д.А., Чибиров Г.М., Томов А.Д., 20212021Попков Д.А., Чибиров Г.М., Томов А.Д.Popkov D.A., Chibirov G.M., Tomov A.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ilizarov-journal.com/jour/article/view/35Введение

Введение. Статья посвящена обзору литературы по проблеме хирургической реконструкции при вывихе бедра у детей с ДЦП.

Материалы и методы

Материалы и методы. В данное исследование включены публикации в изданиях, индексированных Scopus, PubMed, РИНЦ за последние 20 лет по вопросу вывиха бедра у детей с ДЦП.

Результаты и обсуждение

Результаты и обсуждение. Статья включает обсуждение вопросов распространенности данного ортопедического осложнения церебрального паралича, патогенеза, диагностики, показаний к операции, выбора хирургической техники, ранней реабилитации, отдаленных результатов лечения. Работа построена на материале доклада, подготовленного для образовательной конференции European Pediatric Orthopaedic Society в Центре Илизарова в 2021 году.

Заключение

Заключение. Хирургические вмешательства при вывихе бедра у детей с ДЦП являются комплексными, производятся по принципам одномоментных многоуровневых вмешательств, подразумевают реконструкцию тазобедренного сустава, устранение контрактур и деформаций нижележащих сегментов и создание условий для послеоперационного постурального менеджмента. Критичным является выполнение такого типа операций по строго установленным показаниям в благоприятные возрастные периоды и с использованием адаптированных ортопедических имплантов и приемов.

Introduction

Introduction. The article is a literature review focusing on reconstruction surgery for dislocated hips in children with cerebral palsy (CP).

Material and methods

Material and methods. Publications in Scopus, PubMed, RSCI indexed journals over the past 20 years were reviewed for hip dislocation in children with CP.

Results and discussion

Results and discussion. The article discusses the prevalence of the orthopaedic complication of cerebral palsy, pathogenesis, diagnosis, indications to surgery, choice of surgical technique, early rehabilitation and long-term outcomes. A report made for the first educational meeting of the European Pediatric Orthopaedic Society held in Russia at the Ilizarov Center in 2021 was used for the contribution.

Conclusion

Conclusion. Surgical treatment is indicated for hip dislocation in children with CP using holistic approach and principles of single-event multilevel surgery that suggest hip reconstruction, addressing contractures and deformities of the subjacent segments and creating conditions for postoperative postural management. Standardized indications, patient selection and optimal time for intervention are to be carefully considered for the procedure with the use of customized orthopaedic implants and techniques.

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The authors declare that there are no conflicts of interest present.