The scientific review presents the treatment of coxarthrosis of various stages by the method of radiofrequency denervation (RFD). The authors provide information about the state of the problem according to domestic and world literature, with special attention being paid to the characteristics of various denervation protocols and the justification of the choice of target points for exposure from the standpoint of anatomy and innervation of the hip joint. RCD is a modern, interventional and effective solution to the main symptom, which is pain according to the results of numerous studies. The introduction of targeted effects on the articular branches of the locking and femoral nerves by radiofrequency denervation into the work of a practitioner can increase the period of remission of exacerbation of coxarthrosis and shorten the period of disability with a high level of intervention safety for the patient.

Possibilities of treatment by radiofrequency denervation in coxarthrosis of various stages.

One of the key conditions for preventing dysplastic coxarthrosis among infants and young children is the timely and effective treatment of developmental dysplasia of the hip. Despite numerous studies on this subject, the incidence of severe complications remains high, leading to dysplastic coxarthrosis in 40%–86.3% of patients and to disability in 11%–38%, indicating the social significance of the problem. This study reviewed international scientific data on the conservative treatment of developmental dysplasia of the hip in infants and young children available in open-access databases (i.e., PubMed, Science Direct, Google Scholar, and eLibrary) covering the period from 1830 to 2025. Over the years, conservative treatment of developmental dysplasia of the hip has remained a pressing issue in pediatric orthopedics. At present, the functional method is recognized as the optimal treatment approach for developmental dysplasia of the hip in infants and young children. It involves gradual centering of the femoral head within the acetabulum and immobilization of the lower limbs while preserving joint mobility. In the past decade, numerous studies have been published on this subject. Furthermore, many studies have proposed refinements to the functional method and have developed and implemented new splint designs that maintain motor activity in the hip joints while avoiding excessive abduction of the femurs (60°), thereby improving treatment quality and effectiveness. The evolution of conservative treatment methods for developmental dysplasia of the hip demonstrates fundamental principles of pediatric orthopedics that remain relevant today: early detection of condition, immediate initiation of functional treatment upon diagnosis, timely transition to surgical treatment in the absence of positive changes, timely identification of teratogenic dislocations requiring primary surgical correction, long-term follow-up until skeletal maturity, and rehabilitation to prevent early dysplastic coxarthrosis when indicated. 

Evolution of Conservative Treatment Methods for Developmental Dysplasia of the Hip: A Review

Coxarthrosis is a heterogeneous group of diseases with various etiologies and similar biological, morphological, clinical manifestations and outcomes, which are based on damage to all components of the joint: cartilage, subchondral bone, synovium, ligaments, capsule, and periarticular muscles. Clinical guidelines are the main working tool of a practicing physician, both a specialist and a narrow practice doctor. Conciseness, structuredness of information about a particular nosology, methods of its diagnosis and treatment, based on the principles of evidence-based medicine, allow to give in a short time one or another answer to a question of interest to a specialist, to achieve maximum efficiency and personalization of treatment. These clinical guidelines include data on the classification, clinical presentation, diagnosis, and treatment of coxarthrosis. In addition, they provide methods for the rehabilitation of patients with this pathology.

Coxarthrosis. Clinic, diagnosis and treatment: clinical guidelines (abridged version)

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Coxarthrosis. Clinic, diagnosis and treatment: clinical guidelines (abridged version)