Clinical and radiological evaluation of patients with degenerative and dystrophic hip joint diseases at long-term period after revascularization of the femur neck and head

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Abstract


41 patients after revascularization of neck and head of the femur were examined in the long term postoperative period (7—26 years). The deterioration of radiographic have 18 people who had surgery in the later stages of the process, not accompanied by clinical deterioration. Hip radiogramms in the anteroposterior in intertrochanteric region determined the hole through which the vascular complex was implanted. The so called ‘foramina nutricia’ is visualized in patients for the entire follow-up period (up to 26 years). X-ray computed tomography in these patients defined a canal inside the neck and head of the femur where the vascular complex was implanted. Part of the canal coming from a subtrochanteric intertrochanteric region formed during the operation is filled with the bone tissue due to lack of complex vascular transplant. The same situation is observed after tunneling operations. Due to revascularization of necrotized areas in the neck and head of the femur a new bone tissue develop which is accompanied by an increase of its mineral density.

E A Nazarov

Ryazan State Medical University n.a. I.P. Pavlov

Department of traumatology, orthopaedics, and military field surgery

V Yu Kolesov

Ryazan State Medical University n.a. I.P. Pavlov

Department of phthisiopulmonology with the course of radiodiagnostics

M N Ryabova

Ryazan State Medical University n.a. I.P. Pavlov

Department of traumatology, orthopaedics, and military field surgery

R F Musaeva

Ryazan State Medical University n.a. I.P. Pavlov

Department of traumatology, orthopaedics, and military field surgery

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Copyright (c) 2013 Назаров Е.А., Колесов В.Ю., Рябова М.Н., Мусаева Р.Ф.

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