To Evaluate the Effectiveness of The Proposed Method of Surgical Treatment of Patients With Early Stages of Aseptic Necrosis of the Femoral Head from the Standpoint of Evidence-Based Medicine

The relevance of the topic. One of the urgent problems of modern orthopedics is the development of effective treatment methods for patients with aseptic necrosis of the femoral head. This is due both to the high incidence of the disease (from 1.2 to 4.7%) among all destructive dystrophic pathology of the hip joint and to the involvement of young people of working age. The high socio-economic importance of the problem is given by the fact of a significant frequency of early disability in patients of this category and the need for radical surgical interventions (Zulkarneev R.A. and co-authors, 2010; Yakupov R.R. and co-authors, 2016; Zhang Y., 2014). The use of modern diagnostic methods, such as computed tomography, magnetic resonance imaging, and scintigraphy, makes it possible to detect the onset of a pathological process in the femoral head at an early stage, when radiological verification is technically impossible. This, in turn, makes it possible to carry out early and effective surgical treatment (Nazarov E.A. 2013; Ildar F.A., 2014; Bryukhanov A.V., 2014; Venugopal V., Prabhu A., 2014).