OUR EXPERIENCE IN THE SURGICAL TREATMENT OF RADIAL HEAD DISLOCATIONS IN CHILDREN

Аннотация

In this article is analyzed the result of treatment of 83 patients with radial bone head sprains. The joint capsule itself and the sections of the ring-shaped ligament, which is more anatomical and physiological concerning the elbow joint, were used for rehabilitation of the ring-shaped ligament. The results were evaluated on a scale of "Evaluation of elbow surgery". The scale allows us to determine the severity of pain syndrome, the amplitude of movements in the elbow joint, the condition of the joint, the strength of the arm and the degree of daily living activity. Good and excellent results with an evaluation after 6, 12 months (>70 points) were obtained in 56 patients, which was 57.4%, satisfactory results (50-69 points) were observed in 26 (31.3%). Keywords: dislocation of the radius head, annular ligament, Monteggia fracture. 147 Scientific research results in pandemic conditions (COVID-19) Relevance. At present, children's and adolescents' injuries are becoming one of the main problems of the medical and biological plan due to the increase in the number and severity of injuries. Elbow joint injuries in children, according to various authors, account for 40 to 50% of all musculoskeletal injuries. And post-traumatic complications as a result of elbow joint injuries occupy the first place and in 29.9% of cases lead to persistent disability of patients [1,3,4]. In terms of the frequency of errors and complications in the treatment of injuries in this area, they take the first place relative to other joints forming the elbow joint, which requires a more thorough and detailed study [2,5]. Unsatisfactory results of treatment of elbow joint injuries remain high to date, reaching 21% and have no tendency to decrease [6,7]. It is not uncommon to treat elbow joint injuries as concomitant lesions in a distant time when good results are no longer possible [8,9,10,11]. There is practically no scientific literature covering the tactics of treating old injuries to the shoulder-radial joint. All this indicates the need to further explore of more optimal options for surgical restoration of the annular ligament in case of its damage. The goal: restoration of the annular ligament in case of various dislocations of the head of the radial bone in children according to our