Сравнение вариантов хирургического лечения перелома проксимального отдела бедренной кости у пациентов пожилого возраста при ожирении

Abstract

The purpose — to investigate the efficiency of surgical treatment of proximal femur fractures in obese elderly patients. Material and methods. We conducted a prospective analysis of the treatment outcomes of 230 patients aged 60 to 93 years between 2016 and 2019. 115 patients with proximal trochanteric fractures underwent arthroplasty and 115 patients with similar fractures were treated with the method of intramedullary blocked osteosynthesis. Conclusion. As shown by our experience in the treatment of trochanter femoral fractures using intramedullary pin and arthroplasty in obese patients, at the inpatient stage of treatment there are no fundamental differences (limitations) with patients with normal body weight. We believe that the use of both methods can improve the postoperative function of the hip joint. However, the overall positive outcome of the treatment of obese patients leaves no doubt about the need for joint replacement in case of indications in this group, taking into account the increased risk of complications in the studied group of patients and provided that possible intra- and postoperative risks are prevented.