Questions of diagnosis and treatment of acute hematogenous osteomyelitis of the hip joint bones in children

Abstract

This article presents an analysis of both domestic and international publications, focusing on the aspects, diagnostics, and treatment of acute hematogenous osteomyelitis of the hip joint bones in children. While the etiology and pathogenesis of acute hematogenous osteomyelitis have generally been well-studied, the literature scarcely covers the early diagnosis and treatment of this disease as it impacts the bones of the hip joint in children. Modern diagnostic methods are often effective only after the disease has been present for three days, which is why traditional diagnostic methods continue to hold significance. The surgical treatment of acute hematogenous osteomyelitis of the hip joint bones in children remains an unresolved issue. The choice of surgical tactics is primarily complex because the disease often comes with complications such as osteomyelitic coxitis, which exacerbates the treatment process and hinders the prevention of orthopedic complications. Therefore, the selection of optimal surgical and preventive care, based on the stage of the disease, the extent of the purulent process, and the degree of destruction and compression of the osteoarticular system, is of utmost importance.