RESUMO
The authors present their methods of working out the movements in the first days after the arthroplasty of the hip joint performed according to A. C. No. 1058493 (1982). The peculiarities of the management of the patients with bilateral pathology with a steady flexion and adduction contracture or ankylosis with a faulty posture of the extremity in the opposite unoperated joint have been pointed out.
Assuntos
Artroplastia/reabilitação , Terapia por Exercício , Articulação do Quadril/cirurgia , Adolescente , Adulto , Idoso , Artroplastia/efeitos adversos , Artroplastia/métodos , Feminino , Lesões do Quadril , Humanos , Doença de Legg-Calve-Perthes/cirurgia , Masculino , Pessoa de Meia-Idade , Osteoartrite do Quadril/cirurgiaRESUMO
The author analyses the results of 40 experimental operations on cadavers to work through and to improve the approach for the hip joint arthroplasty performed by means of intertrochanteric osteotomy of the femur. The main parameters of the approach at various stages of the procedure have been evaluated according to O. Y. Sozon--Yaroshevich, the traumatizing factors of the operation have been determined and the peculiarities of mobilization of the proximal part of the femur and the possibility of displacement of the femoral head in various directions have been studied. Variations of the approach have been proposed taking into consideration the degree of limitation of the movements and the character of pathologic changes in the joint for performing hip joint arthroplasty in clinical practice. An approach to the supraacetabular area from the part of the joint cavity has been worked out which preserves the gluteal muscles, at the same time allowing to perform the arthroplasty and to reconstruct the supraacetabular area.