Features total hip replacement in patients previously undergone surgical intervention for femoral neck fractures

Abstract


The article analyzes the results of treatment of 48 patients with complications (failure of union and aseptic necrosis of the femoral head). Total hip arthroplasty, they were held after osteosynthesis of the various latches. Date hip replacement ranged from several months to several years of receiving a fracture of the femoral neck. When treating patients with fractures of the
femoral neck were applied total endoprosthesis import manufacturers (De Puy, MATHYS, Zimmer). Cement-free fixation implants (press-fit) set 29 (60,4%) patients, cement fixation - 19 (39,6%). To select the type of implant used a system of clinics Lahey (U.S.). The results of arthroplasty in the period from 1 to 2 years were studied in 46 patients (95,8%) patients. In all 48 patients, when performing hip, had problems as expressed by scar tissue. These difficulties eventually led to an increase in the duration of the operation, that arthroplasty is undesirable, because it increases the risk of infectious complications. But despite the above difficulties, we believe that only the hip joint during the development of complications can rehabilitate the patient as quickly as possible and to restore its quality of life.


Yaroslavl state medical Academy

Author for correspondence.
Email: author@vestnik-surgery.com

Russian Federation doctor of medical Sciences, Professor, head of Department of traumatology and orthopedics of the Yaroslavl state medical Academy, honored scientist of the Russian Federation, chief traumatologist of the Yaroslavl region

Voronezh state medical Academy named. N. N. Burdenko

Email: author@vestnik-surgery.com

Russian Federation doctor of medical Sciences, Professor, head of Department of traumatology and orthopedics, Voronezh state medical Academy named. N. N. Burdenko

Voronezh state medical Academy named. N. N. Burdenko

Email: author@vestnik-surgery.com

Russian Federation postgraduate student of the Department of traumatology and orthopedics, Voronezh state medical Academy named. N. N. Burdenko

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