Результаты тотального эндопротезирования тазобедренного сустава у больных с ложными суставами шейки бедренной кости

Abstract

Purpose Develop a complex of treatment and diagnostic measures in order to improve the results of total hip replacement in patients with femoral neck pseudarthrosis. Material and Methods Treatment results of 102 patients with pseudarthrosis of the femoral neck in the age range between 20 and 83 years who underwent total hip replacement were studied. Rehabilitation treatment for peripheral neuropathies according to the developed method was used in 38 (37.3 %) patients. Massage and exercise therapy only were administered in 64 (62.7 %) patients. Clinical, radiographic, electroneuromyography and densitometry methods were used in the current study. Results Before the operation, peripheral neuropathies of different severity grades were revealed in the lower extremities of 81 % of patients. Osteopenia was revealed in 16 %, and osteoporosis in 84 %. Diagnostic criteria of the level and severity of the lesions in the lower extremities nerves before and after total hip replacement were developed in order to distinguish a group of patients at risk of neurological complications. Conclusion The method of rehabilitative treatment developed by us provided good functional results in 91.3 % of patients.