Surgical Treatment of the Avascular Necrosis of the Hip Development Disorder - Abstract
The purpose of this research is to evaluate the consequences of an operative treatment of hip developmental disorder in children and to analyze the research results and make a recommendation for the following treatment dilemma: when is the optimal time for an operative treatment of a hip development disorder? The research is a retrospective and observational analysis based on the classification of indirect radiological signs of local vascular disorder by the BuacholzOgden’s scale. Materials used for this research are medical records of treated patients at the Clinic for Orthopedics and Traumatology of the Sarajevo University Clinical Center. Using a random selection, two groups of 30 patients with hip development disorder have been formed. The first group is comprised of patients aged between 6 to 18 months and the second group of patients aged between 18 and 60 months. The medical records used for this research included all necessary anamnestic details and state treatments with clinical findings and regular radiological check-up findings that include the presence or absence of the ossification nucleus as well as its position. The results of this study show that the performance of a surgical treatment during the age between 12 and 20 months is burdened by the highest percentage of avascular necrosis. Even though AVN can be noticed in other age groups, according to the results of our research, it seems that vascular supply of the hip is the most vulnerable in the period between 12 and 20 months.