Аутори:

Апстракт:
CHONDROGENIC EFFECT OF THE SULPHURIC PELOID FROM BANJA KOVILJACA IN REMODELING OF THE FEMORAL HEAD IN CHILDREN WITH M.PERTHES (Empirical knowledge) AUTHORS: N. STOJKOVIĆ, N.JEVTIĆ, N. SREMČEVIĆ- The Specialized Rehabilitation Hospital, Banja Koviljaca, Serbia D. ABRAMOVIĆ – the Children's University Clinic, Belgrade, Serbia ABSTRACT INTRODUCTION Perthes disease is characterized by osteonecrosis of the femoral head in a child in development. The disease may affect epiphyseal plate and metephysis, resulting in the secondary changes of acetabulum. It occurs at the age of 3-12, more often in boys (4:1), and the most possible cause is generalized disorder of the skeletal maturity. AIMS The aim of this study was to present chondrogenic effect of the sulphuric peloid from Banja Koviljaca in remodeling of the femoral head in children with M.Perthes in during the 22 years time period of observation. MATERIALS AND METHODS In the time period between 1989 and 2011, at the Children's Department of the Specialized Rehabilitation Hospital, 1,136 children were treated after being operated on for Morbus Perthes. There were 892 boys and 244 girls. Most children were operated on for M.Perthes, and 8 children had bilateral M.Perthes, Catterall groups III et IV. THE SULPHURIC PELOID FROM BANJA KOVILJACA WAS APPLIED IN ALL CHILDREN ADMITTED FOR THE PHYSICAL TREATMENT, AND PARAFFIN WAS APPLIED IN THE CONTROL GROUP, WHERE APPLICATION OF PELOID WAS CONTRAINDICATED (SMA, TRAUM. PARAPLEGIA, MYOTONIA..) 12 IN TOTAL. AFTER THE PHYSICAL TREATMENT 1. Most children (1,104) were allowed to gradually lean on the operated leg completely. 2. The motion range was increased in all directions to full. 3. The circumference of the limbs was increased for 2.5 cm on average in comparison to the healthy leg. 4. The muscle strength according to MMT was increased to the score being 4 to 4+ on average. 5. THE RADIOLOGY REPORT INDICATED REMODELING OF THE FEMORAL HEAD CARTILAGE, and the sites of osteotomy completely healed up. CONCLUSIONS 1. Application of the sulphuric peloid in M.Perthes has significant chondrogenic effect in remodeling of the femoral head, being observed empirically, because it is very complicated for proving it »in vivo«. 2. The treatment should be started immediately after the surgical treatment. 3. The treatment has to be long enough in order to achieve remodeling of the femoral head. 4. Remodeling of the femoral head was not achieved for a longer time period, up to one year, in cases where the sulphuric peloid was not applied on the operated hip. 5. THEREFORE, THE AUTHORS PLEAD FOR USING SULPHURIC PELOID IN M.PERTHES IN ORDER TO ACHIEVE MUCH FASTER REMODELING OF THE FEMORAL HEAD, AND TO REHABILITATE CHILDREN FOR WALK AND EVERYDAY ACTIVITIES AS SOON AS POSSIBLE. 6. Some scientific research has been

Тематска област:
Балнеотерапија

Уводни рад:
Да

Датум пријаве сажетка:
08.05.2012.

Бр. отварања:
504

Конференцијa:
4. Kongres fizijatara BiH