ABSTRACT
The article analyzes results of treatment of 64 patients with sequelae of traumas of the hip joint. They showed that arthrodesis of the hip joint was indicated in treatment of young patients with severe posttraumatic coxarthrosis, destruction of the cotyloid cavity or the femur head including those after fighting injuries of the joint, purulent complications after traumas or preceding operations. Intertrochanteric osteotomy of the femur is reasonable in treatment of young patients with the initial stages of coxarthrosis and preserved amplitude of movement of the joint. Endoprosthesis of the hip joint is the operation of choice in patients older than 40-45 years with posttraumatic coxarthrosis and aseptic necrosis of the femur head, as well as in patients with the recurrent pain syndrome after intertrochanteric osteotomy.
Subject(s)
Arthrodesis , Femur Head Necrosis/surgery , Hip Dislocation/complications , Hip Dislocation/surgery , Hip Fractures/complications , Hip Fractures/surgery , Hip Prosthesis , Osteoarthritis, Hip/surgery , Adolescent , Adult , Age Factors , Female , Femoral Neck Fractures/surgery , Femur Head , Follow-Up Studies , Fracture Fixation, Internal , Humans , Male , Middle Aged , Osteotomy , Time FactorsABSTRACT
The effectiveness of the regional arterial infusion in prophylaxis of complications was studied in 14 patients after reconstructive-restorative operations upon the hip joint. The method and program of the complex infusion therapy are proposed which facilitate the correction of disturbed microcirculation and oxygen regimen in the tissues after operation (trauma) on the hip joint.
