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Прибесцементномтотальномэндопротезированиитазобедренногосуставаположительные результаты получены в 93% наблюдений (отличные результаты –21%, хорошие результаты – 54,0%, удовлетворительные результаты – 18%).Проведение настоящих операций решает сложные проблемы по избавлениюлюдей старческого возраста от боли, позволяет восстановить подвижность втазобедренном суставе и опороспособность конечности, вернуть возможность ксамообслуживанию, поднять жизненный тонус и улучшить психологическоесостояние.The total hip arthroplasty in elderly patients with femoral neck fracture.Gnetetskiy Sergey Feliksovich (Russia)The paper is dedicated to improving the treatment outcomes and their consequences inelderly patients with femoral neck fracture by developing a diagnostic procedure andperforming the total hip arthroplasty. The main causes and factors influencing oncomplication rates and final treatment outcomes in elderly patients with femoral neckfracture were identified.
The evidence based diagnostic and treatment algorithm for suchpatients was designed. The total hip arthroplasty technique was improved.Using the proposed treatment system, both the mortality rate and amount of general andlocal complications were decreased: unsatisfactory results of the cement total hiparthroplasty accounted for 8.1% of cases, while the results of the cementless total hip34arthroplasty – for 7%. Due to the right choice of method for endoprothesis components’fixation and full rehabilitation treatment the positive result of the cement total arthroplastywere observed in 91.9% of cases (excellent results – 17.2%, good results – 56.9%,satisfactory results – 17.8%).
The positive results of the cementless total arthroplasty wereobserved in 93% of case (excellent results – 21%, good results – 54%, satisfactory results –18%).The surgeries solve massive healthcare problems by easing the pain in elderly patients,restoring hip joint mobility, support ability of extremity, independent living skills, vitalityand improving psychological state..