[Total hip replacement in elderly and senile patients with initial femur neck fractures]. / Total'noe éndoprotezirovanie tazobedrennogo sustava u bol'nykh pozhilogo i starcheskogo vozrasta co svezhimi perelomami sheiki bedrennoi kosti.

We carried out researches with the purpose of comparison of operative treatment results of femur neck fractures in elderly and senile patients with those in other countries. Total hip replacement technique was used over the period of 1991-2002 yy. for 123 patients with femur neck fractures. We have used "Smith & Nephews" or "Zimmer" prostheses with "Polacos" or "Osteobond" acrylcements. Surgical approach tactics is very important for prophylaxis of early and late postoperative complications. Active and of sound mind patients with femur neck fractures should undergo total hip replacement procedure. Rehabilitation is also an important factor in preventive early and late postoperative complications.

[Our view on the problem of treating patients with fractures of the proximal segment of the femur]. / Nash vzgliad na problemu lecheniia bol'nykh s perelomami proksimal'nogo segmenta bedrennoi kosti.

The purpose of this study is to elucidate and analyze causes of difficulties encountered in dealing with fractures of the proximal segment of the femur and to set out our idea of solving these problems. An analysis is performed of classifications, an assessment is given of studying the adequate choice of a treatment modality, an attempt is made at formulating a doctrine of delivering qualified and specialized emergency medical service to those persons having been disabled for work, which could take account of all aspects of the injury under study. Indications for hemiarthroplasty are outlined, with the policy of primary sparing the joint elements by atraumatic osteosynthesis techniques being chosen in preference to any other policy.