Results of primary hip endoprosthesis replacement at fractures of trochanteric region of the femur in elderly patients
https://doi.org/10.24884/1607-4181-2016-23-1-54-58
Abstract
To track longterm outcomes of primary total hip replacement in elderly patients with various fractures of the trochanteric region. We studied the retrospective results of surgical treatment of 62 patients with fractures of the trochanteric region of the femur, who underwent primary total hip replacement. Patients were divided into two groups. 1–58 (72.5 %) patients with stable fractures, 2–22 (27.5 %) patients with unstable fractures. The functionality results have been evaluated on Harris scale before the injury and after surgery. Satisfactory functional parameters detected in all 44 patients operated on in the first group. In the second group: satisfactory performance were observed in 16 (88.8 %) of 18 patients. The results of hip replacement in elderly patients with stable fractures pertrochanteric allow to speak about the effectiveness of this type of surgery. Endoprosthesis of transtrochanteric unstable fractures requires further study because of the extremely high frequency of postoperative complications (up 88.8 %). Reconstruction of the large and small trochanter is important to improve the biomechanics of periprosthetic fractures in transtrochanteric arthroplasty. Locking of 8shaped wire loop around the bone fragments of the large and small trochanter ensures the stability of the endoprosthesis.
About the Authors
A. K. Dulaev
Pavlov First State Medical University of St. Petersburg
Russian Federation
Russian Federation
A. N. Tsed
Pavlov First State Medical University of St. Petersburg
Russian Federation
Russian Federation
K. N. Usubaliev
Pavlov First State Medical University of St. Petersburg
Russian Federation
Russian Federation
K. G. Iljushchenko
Pavlov First State Medical University of St. Petersburg
Russian Federation
Russian Federation
N. E. Mushtin
Pavlov First State Medical University of St. Petersburg
Russian Federation
Russian Federation
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Review
For citations:
Dulaev A.K., Tsed A.N., Usubaliev K.N., Iljushchenko K.G., Mushtin N.E. Results of primary hip endoprosthesis replacement at fractures of trochanteric region of the femur in elderly patients. The Scientific Notes of the Pavlov University. 2016;23(1):54-58. (In Russ.) https://doi.org/10.24884/1607-4181-2016-23-1-54-58
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