Vol 2, No 4 (2014)

The scientifically based organizational system of diagnosis, treatment and rehabilitation of children with fractures of the vertebrae is accepted in the medical institutions of St. Petersburg, including inpatient, sanatorium and outpatient care. Stages of conservative treatment in patients with vertebral compression fractures in the emergency departments of children’s general hospitals in St. Petersburg are reported, the St. Petersburg State budgetary institution of health care Children’s Rehabilitation Center of Orthopedics and Traumatology “Ogonyok” and children’s outpatient clinics. The algorithm is presented in details to provide advice and high-tech The St. Petersburg SFHI Children’s Rehabilitation Center of Orthopedics and Traumatology “Ogonek”, Saint-Petersburg surgical emergency care to children with unstable and complicated fractures of the vertebrae, which is carried out by experts of the Federal Children’s Center of spine and spinal cord injuries at the base of the department of spinal pathology and neurosurgery of FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation.

Conservative treatment of congenital clubfoot is generally accepted standard in the world orthopedic practice. There are many techniques that basically include functional methods and techniques of passive correction of the deformity. We analyzed 10 years of experience in the treatment of primary clubfoot according to three techniques - Zatsepin’s method, author’s method and Ponseti method. The evaluation of treatment results in the short and long terms was carried out. Analysis of long-term results showed a statistically significant advantage of Pontseti method over the other used techniques.

The results of a complex evaluation and treatment of children with chronic osteomyelitis in age from 7 months to 18 years. Defines the methods of using the several forms of CollapAns. Minimal invasiveness the method of the using CollapAn-gel allows to implement surgery in detection of pathological center near zone growth. Almost all children have comorbid diseases and latent bacterial and viral infections. Therefore, surgery is necessary to supplement a full treatment of comorbidity.

Hip dysplasia in children is the subject of careful study by specialists both in our country and abroad. There are three basic variants of hip dysplasia: congenital acetabular dysplasia, congenital subluxation of the hip and congenital dislocation of the hip. However, treatment of congenital dislocation of the hip, which is the most severe form of hip dysplasia in children, currently remains one of the topical problems of children’s orthopedics, despite the significant achievements of modern medicine. In spite of the large amount of research in this field, treatment principles of hip dysplasia are still under discussion.

The diagnosis and treatment of inflammatory joint diseases is the pressing problem of pediatric rheumatology and orthopedics. Juvenile arthritis is the most frequent chronic inflammatory disease of the musculoskeletal system in children and adolescents. Still juvenile arthritis is often misdiagnosed. The article provides current knowledge on juvenile arthritis, its clinical manifestations, as well as diagnostic and treatment strategies, and differential diagnosis.