THE SURGICAL TREATMENT OF PATIENTS WITH MEDIAL FRACTURES OF THE FEMORAL NECK
https://doi.org/10.17238/PmJ1609-1175.2018.1.19-25
Abstract
Objective. The study objective is a retrospective comparative analysis of the surgical treatment results of patients with medial fractures of the femoral neck. Methods. We analyzed the surgical management of 655 patients aged 32-94 with medial fractures of the femoral neck. The total and single-pole hip replacements, the osteosynthesis of the femoral neck with cannulated screws, with the system DHS, and the Targon were carried out. Results. There was no significant difference in the number of somatic and wound complications in patients after total and subtotal arthroplasty. Also, there were no specific complications associated with the use of bone cement. After total and subtotal arthroplasty, the mortality during the year was 0.6 and 3.6 %, respectively. Conclusions. Other things being equal, the choice of the surgical treatment method of medial femoral neck fractures should be based on the nature of the damage, the quality of the bone, the age of the patient, its somatic status, mental state and the expected prognosis of life expectancy. Osteosynthesis can be successful in elderly patients with type I and II hip fractures in the Garden. In young people the indications can be expanded in the case of surgery in the first 24-48 hours after the injury. In other situations, osteosynthesis can only be regarded as a palliative operation.
About the Authors
E. I. Solod
Национальный медицинский исследовательский центр травматологии и ортопедии им. Н.Н. Приорова; Городская клиническая больница им. А.К. Ерамишанцева; Российский университет дружбы народов
Russian Federation
Russian Federation
A. F. Lazarev
Национальный медицинский исследовательский центр травматологии и ортопедии им. Н.Н. Приорова
Russian Federation
Russian Federation
N. V. Zagorodny
Национальный медицинский исследовательский центр травматологии и ортопедии им. Н.Н. Приорова; Российский университет дружбы народов
Russian Federation
Russian Federation
E. P. Kostiv
Тихоокеанский государственный медицинский университет
Russian Federation
Russian Federation
A. B. Furtyk
Городская клиническая больница им. А.К. Ерамишанцева
Russian Federation
Russian Federation
R. S. Dendymarchenko
Городская клиническая больница им. А.К. Ерамишанцева
Russian Federation
Russian Federation
R. E. Kostiv
Тихоокеанский государственный медицинский университет; Владивостокская клиническая больница № 2
Russian Federation
Russian Federation
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Review
For citations:
Solod E.I., Lazarev A.F., Zagorodny N.V., Kostiv E.P., Furtyk A.B., Dendymarchenko R.S., Kostiv R.E. THE SURGICAL TREATMENT OF PATIENTS WITH MEDIAL FRACTURES OF THE FEMORAL NECK. Pacific Medical Journal. 2018;(1):19-25. (In Russ.) https://doi.org/10.17238/PmJ1609-1175.2018.1.19-25
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