[Ortho] Прошу совета - врожденный вывих бедра

[eidelman mark]

Yv Dr Rykov,
Naskolko moghno sudit po recontruction view of CT sleva sustav vpodvyvihe(subluxation),proximal femur in varus and avteversion, medial joint space widening isamoe glavnoe acetabular dysplasia.Obychno open reduction ne delaetsya vvozraste 6 mesyacev,dostatochno closed reduction +spica.
Vvashem sluchae varus osteotomy nichego putnogo ne dast.Prishlite obycnye AP +frog of pelvis, mo mne kaghetsya chto nughno sdelat : re open reduction, shortening of the femur +_ derotation +pelvic osteotomy.
Poezghaite ktem kto umeet eto delat, tot kto predlagaet delat varus osteotomy skoree vsego ne umeet.
Mark Eidelman
Pediatric orthopedic unit, Rambam Hospital,Haifa, Israel.
PS.Esli nughna pmoch budu rad pmoch vam kak kollege po 972-5o-2061090
eidelman mark