Burin M D
Ortop Travmatol Protez. 1989 Apr(4):24-6.
The author has analysed the results of the treatment of 214 patients aged 6 to 14 years with acute hematogenous osteomyelitis of the hip. The peculiarities of development of orthopaedic complications of acute hematogenous osteomyelitis of the hip have been regarded in the age aspect at various stages of the course of the inflammatory process. A classification of complications has been proposed. Among the causes of pathophysiological character contributing to the development of early orthopaedic complications, activity of of the contracted muscles and disturbances in haemodynamics in the focus of inflammation have been marked. As for the organizational causes, a positive role of early diagnosis and early sparing surgical intervention in the conditions of a department of orthopaedics and traumatology for children has been pointed out.
作者分析了214例6至14岁髋关节急性血源性骨髓炎患者的治疗结果。从年龄角度,在炎症过程的不同阶段考虑了髋关节急性血源性骨髓炎骨科并发症的发展特点。提出了并发症的分类。在导致早期骨科并发症发生的病理生理因素中,已注意到挛缩肌肉的活动以及炎症病灶血流动力学的紊乱。至于组织学原因,已指出在儿童骨科和创伤科条件下早期诊断和早期微创外科干预的积极作用。