Cover Page

Cite item


Objective: Our aim was to determine the dynamics of reparative tissue changes in the surgical treatment of hip dysplasia it using autograft in conditions of use external fixation. Methods: The experiment was performed on 12 mongrel dogs of both sexes between the ages of 7 to 15 months. Preliminary data of the animals (before the closure of the growth zones of the acetabulum) was performed surgery to obtain acetabular dysplasia. After the formation of the standard pattern of dysplastic 2 degree (subluxation) was performed according to the animal treatment, which combined the use of a semicircular incomplete osteotomy in the supra-acetabular area, an autologous bone graft and the Ilizarov external fixation. The conditions of external fixation provided autograft stability, simultaneous unloading of the articular surfaces and allowed for dosed joint motion during the treatment by releasing the hinge units thus contributing to the prevention of cartilage degeneration. The external apparatuses were dismounted on day 21 after the operation. The animals for histological study were euthanized on day 14, 21, 51 and 111 after the operation. We used clinical and experimental, radiographic and histological methods. Results: It is found that after 90 days after the frame removal there is a complete replacement of the newly formed bone graft. This maintains a full cartilaginous acetabular coverage presented hyaline cartilage, which revealed minor structural and functional changes in reactive and reparative nature. Conclusion: The hip joint has a high adaptive potential. There is a strong trend towards the restoration of hip joint in new conditions created by an external fixation device. Nevertheless, given the suppression of its own regenerative capabilities of the articular cartilage at the dysplastic process, its maximum possible recovery in the treatment is impossible without the participation of external stimulants chondrogenesis.


About the authors

A. Yu. Kirsanova

Russian Ilizarov Scientific Centre of Restorative Traumatology and Orthopaedics, Kurgan, Russian Federation

Author for correspondence.

кандидат биологических наук, младший научный сотрудник клинико-эксперимен- тальной лаборатории патологии осевого скелета и нейрохирургии РНЦ «ВТО» им. акад. Г.А. Илизарова Адрес: 640014, Курган, ул. М. Ульяновой, д. 6, тел.: +7 (3522) 41-52-73

Russian Federation


  1. Некачалов В.В. Патология костей и суставов: Руководство. СПб.: Сотис. 2000. 285 с.
  2. Миронов С.П. и соавт. Остеоартроз: современное состояние проблемы (аналитический обзор). Вестник травматологии и ортопедии им. Н.Н. Приорова. 2001; 2: 96–99.
  3. Osteoarthritis: diagnosis and medical/surgical management. 4th edn. R.W. Moskowitz (ed.). Philadelphia: Lippincott Williams and Wilkins. 2007. 528 p.
  4. Ахтямов И.Ф., Соколовский О.А. Хирургическое лечение дисплазии тазобедренного сустава. Казань. 2008. 370 с.
  5. Сустав: Морфология, клиника, диагностика, лечение. Под ред. В.Н. Павловой, Г.Г. Павлова, Н.А. Шостак, Л.И. Слуцкого. М.: МИА. 2011. 552 с.
  6. Millis M.B., Murphy S.B., Poss R. Osteotomies about the hip for the prevention and treatment of osteoarthrosis. J. Bone Joint Surg. Am. 1995; 77-A (4): 626.
  7. Ramani N., Patil M.S., Mahna M. Outcome of surgical management of developmental dysplasia of hip in children between 18 and 24 months. Indian J. Orthop. 2014; 48 (5): 458–462.
  8. Yoo W.J., Moon H.J., Cho T.J., Choi I.H. Does shelf acetabuloplasty influence acetabular growth and remodeling? Clin. Orthop. Relat. Res. 2012; 470 (9): 2411–2420.
  9. Clohisy J.C., Nunley R.M., Curry M.C, Schoenecker P.L. Periacetabular Osteotomy for the Treatment of Acetabular Dysplasia Associated with Major Aspherical Femoral Head Deformities. J. Bone Joint Surg. Am. 2007; 89: 1417–1423.
  10. Haverkamp D., Marti R.K. Intertrochanteric osteotomy combined with acetabular shelfplasty in young patients with severe deformity of the femoral head and secondary osteoarthritis. A longterm follow-up study. J. Bone Joint Surg. Brit. 2005; 87-B (1): 25–31.
  11. Pogliacomi F., Stark A., Wallensten R. Periacetabular osteotomy: Good pain relief in symptomatic hip dysplasia, 32 patients followed for 4 years. Acta Orthop. 2005; 76 (1): 67–74.
  12. Carsi B.L., Al-Hallao S., Wahed K., Page J., Clarke N.M. Incomplete periacetabular acetabuloplasty. Acta Orthop. 2014; 85 (1): 66–70.
  13. Gunel U., Daglar B., Tasbas B.A., Delialioglu O., Bayrakci K. Results of Tönnis-type acetabuloplasty in patients with developmental hip dysplasia. J. Orthop. Sci. 2012; 17 (6): 705–709.
  14. Кирсанова А.Ю., Ступина Т.А. Морфофункциональное состояние суставного хряща и субхондральной кости при экспериментальном моделировании диспластического коксартроза у собак раннего возраста. Вестник ветеринарии. 2014; 1 (68): 59–64.
  15. Способ моделирования дистрофического поражения тазобедренного сустава: патент 2344486. Росийская Федерация. № 2007133773/14: заявление от 10.09.2007. Опубл. 20.01.2009. Бюлл. № 2. 4 с.
  16. Мельников В.П., Тихоненков Е.С. Полукружная неполная остеотомия надацетабулярной области тазобедренного сустава и ее исходы. Ортопедия, травматология и протезирование. 1990; 2: 6–10.
  17. Способ лечения дисплазии тазобедренного сустава у мелких домашних животных: патент 2427347. Российская Федерация. № 2010112165/21: заявление от 29.03.2010. Опубл. 27.08.2011. Бюлл. № 24. 5 с.
  18. Аппарат для лечения патологии тазобедренного сустава у мелких домашних животных: патент 67437. Российская Федерация. № 2007123640/22: заявление от 22.06.2007. Опубл. 27.10.2007. Бюлл. № 30.
  19. Европейская конвенция по защите позвоночных животных, используемых для экспериментальных и других научных целей. Вопросы реконструктивной и пластической хирургии. 2003; 4: 34–36.

Copyright (c) 1970 "Paediatrician" Publishers LLC

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies