[Errors in reconstructive-rehabilitative operations on the hip joint]

Based upon the analysis of 1015 case records of patients, aged 16-70, with different hip joint pathology types, carried out during 1985-1990, there were revealed mistakes and complications after reconstructive-restorative operations. In the group of patients with dysplastic coxarthrosis they noted rather frequent (12% of cases) formation of "tectum" in supratrochanteric region that served as the cause of joint instability and development of arthrosis in future. Cartilaginous limbus, not removed at grave forms of dysplastic coxarthrosis, served as the cause of the pain syndrome in 63% of cases. Carrying out of "osteotomy-medicate" only in patients with aseptic necrosis of femoral head was ineffective in 38% of cases. Total removal of necrotization foci in thigh head with subsequent osseous plasty is necessary. In the process of mobilization operation in case of hyperplastic, coxarthrosis, removal of the lower edge of cotyloid cavity is the obligatory step. Thus, the important condition of favourable terminations of reconstructive-restorative operations is the correct selection of indications, carrying out of complete surgical intervention, rigorous observation of the patient control rules in near and distant postoperative period.