Assessment of the hip structure and functional status in patients with coxa vara

Structural characteristic of the hip involved, as well as functional condition of sore limb weight-bearing was studied in 30 patients with infantile dystrophic varus deformity of the femoral neck for the purpose of treatment-and-rehabilitative process objectivization using stabilometry and sonography methods. It was established that before treatment structural changes were registered mainly in femoral neck subchondral layer apart from destruction focus. Instability of the projection of general pressure centre, when its localization is close to norm, is a result of body posture disorders, caused by unequal legth of lower limbs and redistribution of postural activity of the muscles, controlling the changed postural stereotype. After surgical limb reconstruction and creation of anatomical conditions the result of treatment can be judged only 6 months after the end of the second limb reconstruction not earlier in patients with unilateral pathology and after 2 years not earlier in patients with bilateral pathology.