Comparative analysis of treatment of patients with neck fractures of the femur

Титов, Р. С.; Vaza, A. Yu.; Bogolubskii, Yu A; Mazhorova, I. I.; Bondarev, V. B.; SERGEEV, A. Yu.

doi:10.36425/2658-6843-2019-4-20-26

Cited by 3 publications

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“…The global modern trend for steady growth of primordial significant levels of musculoskeletal apparatus diseases and injuries has numerous medical and social consequences, such as a significant share of temporary and permanent disability and mortality, high economic losses, high prevalence and primary morbidity, significant levels of DALY, etc. [1,2]. Among all diseases of the musculoskeletal system and the consequences of trauma, the bone fractures occupy first places.…”

Section: Problem Descriptionmentioning

confidence: 99%

Forecasting of Quality of Life of Patients With Fractures of the Proximal Femur

Hurbanova

2020

ScienceRise

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The aim of the research: correlation levels of the psychological component of quality of life and medical-epidemiological characteristics of patients with fractures of the proximal thigh. Solved problem: to determine the possibility of predicting the impact of medical-epidemiological and anamnestic characteristics of patients with fractures of the proximal thigh on their quality of life after treatment of fractures of the proximal thigh. Main scientific results: natural increase in comorbidity in the presence of comorbidities, low functional status and an increase in age characteristics were established. The probable influence of comorbidity on the decrease of the functional state according to the ASA classification also stated. An increase in the duration of treatment of patients with surgical treatment and a longer period of injury marked. The decrease in the quality of life of patients with increasing age characteristics, increasing comorbidity and reducing the indicators of functional status according to the ASA classification have been established. Area of practical use of research results: medical institutions of traumatological profile. Innovative technological product: determining the ability to predict the quality of life of patients after treatment of fractures of the proximal thigh, which allows you to predict the results of treatment such patients. Scope of application of the innovative technological product: clinical medical traumatological practice of use of possibilities of forecasting of results of treatment of fractures of proximal hip department.

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Section: Problem Descriptionmentioning

confidence: 99%

Forecasting of Quality of Life of Patients With Fractures of the Proximal Femur

Hurbanova

2020

ScienceRise

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Causes of revision hip arthroplasty after hemiarthroplasty for femoral neck fracture

Tsed,

Mushtin,

Dulaev

2024

Traumatology and Orthopedics of Russia

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Purpose: analyze the unsatisfactory results of using hemieprostheses and compare them with similar outcomes of total hip replacement after a femoral neck fracture among patients of older age groups. Material and methods. A retrospective randomized study was conducted, which included 36 patients who underwent revision arthroplasty after various types of arthroplasty for a femoral neck fracture. The patients were divided into 3 groups. Group 1 included 10 patients who underwent artyhroplasty using hemiprostheses. Group 2 - 15 patients with cemented acetabular components. 3rd - 11 patients who had cementless fixation acetabular components. Results. The average age of patients in group 1 was 79 years and was statistically significantly different from patients in groups 2 and 3 (74.4 and 74.9 years, respectively). The average time for revision was 40.2 months and was significantly different from the time for revisions after total cemented (82.7) as well as total uncemented (86.6). The most common bone defects were types 2C and 3A (total 41.6% in all groups). In all 100% of cases of hemiarthroplasty, errors were made in choosing the size of the acetabular bipolar or monopolar component. The use of a larger hemiprosthesis cup compared to the femoral head led to early erosion of cartilage tissue. Smaller hemiendoprosthesis cups were complicated by early protrusions of the acetabulum floor. The main errors in total arthroplasty were malposition of the acetabular component (33.3%-54.5%) and inadequate cement mantle (20%). It should be noted that infections in total among patients of the 2nd and 3rd study groups occurred up to 24.7 months after primary arthroplasty. Conclusion. Errors associated with incorrect selection of the size of the acetabular component of the endoprosthesis during primary hemiarthroplasty lead to early complications: erosion and protrusion of the acetabulum. Severe pain syndrome due to incorrect selection of the size of the acetabular component of the hemiendoprosthesis develops on average after 13.9 months, and the time period for re-endoprosthetics is 40.2 months after the initial operation. With erosions of the acetabulum, there are no bone defects; with protrusions, bone defects of type 2C and 3A more often occur.

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Experience of total hip arthroplasty in a patient with post-traumatic aseptic necrosis of the femoral head

Yamshchikov,

Emelyanov,

Chumakov

et al. 2024

ВХ

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A hip fracture is a common injury in old age. It can be noted that the number of fractures is several times higher in women compared to men. Without surgical treatment, this pathology is highly likely to lead to complications and death of the patient within a year. High mortality rates in elderly people who have sustained a hip fracture can be attributed to various reasons. Due to prolonged forced bed rest in such patients, the risk of developing respiratory and cardiovascular complications, thrombosis, bleeding and infection significantly increases. In modern clinical practice, all fractures of the femoral neck are the reason for surgical intervention, according to vital indications. The only exception is the general severe condition of the patient in case of disruption of the normal functioning of the cardiovascular and respiratory systems, multiple organ failure and oncological diseases in the stage of decompensation.Purpose of a study: to demonstrate successful total arthroplasty of the left hip joint in elderly patient with posttraumatic avascular necrosis.Data from the medical documentation of the trauma hospital, data from instrumental research and the results of dynamic observation were used to write the article. The results were obtained using the equipment of the Center for Collective Use of Scientific Equipment of Tambov State University named after G.R. Derzhavin.As a result of total hip arthroplasty, the function of the patient's limb was restored.Conclusion. Total arthroplasty is an effective treatment method for patients with post-traumatic changes in the hip joint, allowing to restore the patient’s motor activity and prevent the development of hypostatic complications.

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Comparative analysis of treatment of patients with neck fractures of the femur

Cited by 3 publications

References 0 publications

Forecasting of Quality of Life of Patients With Fractures of the Proximal Femur

Forecasting of Quality of Life of Patients With Fractures of the Proximal Femur

Causes of revision hip arthroplasty after hemiarthroplasty for femoral neck fracture

Experience of total hip arthroplasty in a patient with post-traumatic aseptic necrosis of the femoral head

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