A dataset on an improved hardware-surgical method for the treatment of aseptic necrosis of the femoral head.

Published: 7 August 2023| Version 1 | DOI: 10.17632/g3sg5gr7gb.1
Ravshanbek Ibragimov


To determine the effectiveness of surgical intervention, we started with a clinical examination of patients: examination of the postoperative wound and the external fixation apparatus, measurement of the absolute and relative length of the limbs, edema, hyperemia, increase in local temperature and fistula passages from the hip joint wound area and the rods of the external fixation apparatus. The results were satisfactory, the wound in the hip joint was healed by primary tension, there were no postoperative complications. Determination of the volume of movements in the hip joint after removal of the external fixation device and after the first course of rehabilitation treatment using a goniometer are described in Tables 1 and 2. The analysis of the results showed an increase in the indicator depending on the rehabilitation period, which indicated a decrease in the severity of pain syndrome in patients after decompression of the hip joint by an external fixation device in combination with restoration of blood circulation of the femoral head by a vascularized bone graft taken from the iliac wing on the feeding vascular pedicle of M. Sartorius. At the same time, in the first 3 months, there was a jump in the volume of movement, which is most likely due to the additional intake of analgesics against the background of recovery, after removal of the external fixation device, followed by rehabilitation treatment aimed at increasing the volume of movement in the operated limb. According to postoperative radiographs, MRI and MSCT, there is a restoration of the structure of the femoral head with varying degrees of intensity from 40% to 95%. The average recovery rates are 68%, analyzed on instrumental indicators (radiography, MSCT, MRI).



Orthopedics, Health, Aural Rehabilitation