EXPERIENCE OF SURGICAL TREATMENTOF LEGG-CALVE-PERTES DISEASE IN CHILDREN

Abstract

Introduction. The article presents the result of treatment of a patient with Perthes ' disease. The main goal is to share
the experience of using a rod external fixation device (EFD) for osteochondropathy of the femoral head in children, which
allows significantly reducing the treatment time with the maximum possible restoration of the structure and shape of the
femoral head.
Aim. Improve the results of surgical treatment of Perthes ' disease in children.
Materials and methods. The design of the study is to describe a single case. We studied the immediate and long-term
results of treatment of a patient with Perthes ' disease in the fragmentation stage who was in the Department of pediatric
orthopedics and rehabilitation, city children's hospital N2, Nur-Sultan. The age of the patient during the operation is 11 years
4 months, male. The surgical intervention included the installation of a rod external fixation device using the technology
developed by us, a correct dosed system of distarction, using telescopic rods. The semi-rings of the Ilizarov apparatus were
used as support elements.

Results. The follow-up period was 15 months. Full recovery of mobility in the joint was achieved in 2.5 months. There
was no pain syndrome. Partial restoration of the shape and structure of the head was observed during the first 6 months
after the operation. At the time of the last examination, the epiphyseal index was 0.4. The continuity of the Shenton line was
maintained. X-ray results were evaluated according to Herring criteria: group B. the Joint corresponds to class II according to
Stulberg.
Conclusions. This device will create favorable conditions for painless unloading of the hip joint, thereby improving blood
circulation, which provides nutrition to soft tissues, the head of the hip and will reduce the recovery time of the head of the hip.