Surgical Treatment of Femoral Neck Fractures with Dynamic Derotation Оsteosynthesis

Дубров, В.Э.; Yudin, A. V.; Shcherbakov, I. M.; Ragozin, A O; Матвеев, А. Л.; Zyuzin, D. A.; Saprykina, K. A.

doi:10.32414/0869-8678-2016-4-5-11

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…У ній реалізується ідея біологічного остеосинтезу. За рахунок того, що динамічний гвинт, який вводиться в шийку і головку стегнової кістки, жорстко не пов'язаний із діафізарною частиною, після встановлення таких систем сили, що зрізають, на лінії перелому переводяться в сили міжфрагментарної компресії [10][11][12][14][15][16][17]. У нашому дослідженні представлені власні результати остеосинтезу вертлюгових переломів за допомогою системи PFNA.…”

Section: обґрунтування та опис методу хірургічного втручанняunclassified

Surgical Treatment of Fractures of the Trochanteric Zone of the Femur in Older Patients

Naumenko,

Kostrytsia,

Vaskivskyi

2023

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Summary. Treatment of fractures of the trochanteric zone of the femur in the elderly still remains one of the problems that need further study. Objective: to analyze clinical application of internal osteosynthesis for fractures of the trochanteric zone in older and senile patients. Materials and Methods. The results of treatment of 102 older patients with fractures of the trochanteric region of the femur were analyzed. All patients were treated surgically using a proximal femoral nail antirotation (PFNA); the indicators at the inpatient stage of treatment and long-term consequences up to 3 years after treatment were analyzed using improved standards for evaluating the quality of treatment of injuries and diseases of the organs of movement and resistance with modification. Results and Discussion. Analyzing the treatment of 102 patients with fractures of the trochanteric region type A1, A2, A3 according to the AO classification, it was found that surgical treatment with the use of PFNA proves its effectiveness due to minimally invasive access, minimal intraoperative blood loss, a short time of surgical intervention, and the possibility of early activation of patients and provides low rates of postoperative complications and mortality. Conclusions. 1. The conducted clinical study allows us to confirm the effectiveness of the PFNA system in the surgical treatment of older patients with fractures in the trochanteric zone in a trauma hospital. 2. In older patients with fractures of the trochanteric zone of the femur, PFNA osteosynthesis allows restoring the function of the hip joint in 54.6% (55% СІ 85.4-55.8) of cases. 3. PFNA can be recommended as a priority in the treatment of older patients with fractures of the trochanteric region of the femur in a trauma hospital.

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Section: обґрунтування та опис методу хірургічного втручанняunclassified

Surgical Treatment of Fractures of the Trochanteric Zone of the Femur in Older Patients

Naumenko,

Kostrytsia,

Vaskivskyi

2023

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Fractures of the proximal femur. Clinical features, diagnosis and treatment (Clinical guidelines, abridged version)

Дубров

Shelupaev

Arutyunov

et al. 2022

N.N. Priorov Journal of Traumatology and Orthopedics

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Proximal femoral fractures (PFF) are one of the most common reasons for admission of patients to a traumatological and orthopedic hospital. For the vast majority of patients with PFF, such injury means a loss of the previous degree of mobility. 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 proximal femoral fractures. In addition, they provide methods for the rehabilitation of patients with this pathology.

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Contemporary view of medical care of the elderly people with proximal femur fractures

Belov

Belova

2021

Rossiiskii zhurnal geriatricheskoi meditsiny

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Fractures of the proximal femur are a severe, life-threatening injury with enormous social, medical and economic consequences. Even with a well-organized system of medical care, up to 12-17% of patients die within the first year after injury, and the long-term risk of death doubles. Specially designed population-based studies in the Russian Federation have shown a high incidence of hip fractures in patients at the age of 50 and older. However, there is currently no unified system of medical care organization for all regions of Russia, which allows hospitalization and operation of patients with hip fractures during the first hours after trauma. Hip fracture in an elderly person is an absolute indication for the hospitalization. However most patients have severe comorbidities, osteoporosis, an increased risk of falls and mortality because of any reason. The main surgical treatments for hip fractures include osteosynthesis of the fracture or hip arthroplasty. It is well known that after the occurrence of any fragility fracture the risk of subsequent fractures increases by 2-3 times. To ensure the continuity of patient management, provide prescription of anti-osteoporotic drugs and long-term follow-up of patients it is necessary to manage them within the special Fracture Liaison Services (FLS). The article is devoted to the organization of medical care in patients of older age groups who have received hip fractures. A review of modern approaches to the treatment and organization of care for elderly patients with hip fractures is based on the methodological recommendations «Complex measures aimed at preventing falls and fractures in the elderly» developed in the framework of the federal project «The Older Generation», the draft national clinical guidelines «Fractures of the proximal femur», as well as the results of our own research.

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Surgical Treatment of Femoral Neck Fractures with Dynamic Derotation Оsteosynthesis

Cited by 3 publications

References 6 publications

Surgical Treatment of Fractures of the Trochanteric Zone of the Femur in Older Patients

Surgical Treatment of Fractures of the Trochanteric Zone of the Femur in Older Patients

Fractures of the proximal femur. Clinical features, diagnosis and treatment (Clinical guidelines, abridged version)

Contemporary view of medical care of the elderly people with proximal femur fractures

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