Development of the hip proximal part deformation after femoral avascular necrosis in children
The article provides the development analysis for 106 patients with the avascular necrosis of the femoral hip with total of 138 joints affected, developed after the conservative treatment of 800 children (1057 joints) with a complete (624) and a partial (433) congenital hip dislocation. The first type of Kalamchi disease was diagnosed in 56 cases (40,6%), the second one in 49 cases (35,5%), the third - in 25 cases (18,1%), the fourth - in 8 - (5,8%). Further development of the affected joints is being characterized by the development of problems in all components of joints and by further worsening of the situation; the severity of the problem is increased from the 1st type of Kalamchi disease to the 4th and that should be taken into consideration when choosing the treatment tactics.