Traumatology
doi: 10.25005/2074-0581-2019-21-4-632-637
HIP REPLACEMENT FOR HIP FRACTURES AND THEIR CONSEQUENCES IN POSTMENOPAUSAL OSTEOPOROSIS IN MULTIPAROUS WOMEN

A.A. Razzokov, A.S. Ekhsonov

Department of Traumatology, Orthopedics and Military Surgery, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: Improving the treatment outcomes for hip fractures and their consequences in postmenopausal osteoporosis in multiparous women by applying hip replacement (HR).

Methods: Analyzed data on 126 patients with hip fractures and their consequences against the background of postmenopausal osteoporosis in multiparous women, whom applied HR. Patients are divided into main (65 patients (51.6%), in the comprehensive treatment of which were used drug therapy and other approaches implemented during the study) and control (61 patients (48.4%), treated by traditional methods without targeted diagnosis and treatment of osteoporosis) groups. Clinical and X-ray methods, densitometry, objective methods of assessing the severity of patients’ condition on the Gumanenko scale, point objective method of complex Harris’ hip function assessments, statistical methods were used.

Results: Long-term results studied in 111 patients. It was found that excellent results (90-100 points) were noted in 17 (15.3%) of the patients, good (80-89 points) – in 56 (50.5%), satisfactory (70-79 points) – in 30 (27.0%) and unsatisfactory (less than 70 points) – in 8 (7.2%) patients. The frequency of unsatisfactory results with total cement-free HR was 3.7%, with total cement HR – 7.7%, with hybrid – 11.8%, with bipolar HR – 29.6%. In the main group, the frequency of instability of endoprosthesis components under the influence of basic pathogenetic drug therapy of osteoporosis decreased by 3.2 times compared to the control group (4.6% and 14.8%, respectively, p<0,05).

Conclusion: A significant correlation between treatment results, on the one hand, and the severity of patients’ condition, the nature of the main pathology, the type of replacement and the tactics of comprehensive treatment of osteoporosis, on the other hand, was obtained. The most favorable results are stated in the implementation of the proposed approaches in the complex treatment of the pathology under consideration. In general, positive outcomes were noted in 92.8% of observations, which gives grounds for their widespread use in clinical practice.

Keywords: Postmenopausal osteoporosis, hip replacement, hip fracture, consequences of hip fractures, multiparous women , osteoporosis baseline drug therapy.

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Authors' information:

Razzokov Abduvali Abdukhamitovich
Doctor of Medical Sciences, Full Professor, Head of the Department of Traumatology, Orthopedics and Military Surgery, Avicenna Tajik State Medical University
Researcher ID: G-2628-2019
ORCID ID: 0000-0001-6429-1116
E-mail: rfiruz@mail.ru

Ekhsonov Abdushokir Safarmatovich
Applicant of the Department of Traumatology, Orthopedics and Military Surgery, Avicenna Tajik State Medical University
Researcher ID: G-4743-2019
ORCID ID: 0000-0002-4592-2629
E-mail: ehsonov28@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Razzokov Abduvali Abdukhamitovich
Doctor of Medical Sciences, Full Professor, Head of the Department of Traumatology, Orthopedics and Military Surgery, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (915) 046001

E-mail: rfiruz@mail.ru

Materials on the topic:
  1. RISK FACTORS ASSOCIATED WITH IN-HOSPITAL MORTALITY AND PREDICTING OUTCOMES IN SEVERE ACUTE COMPOSITE TISSUE INJURIES
  2. COMPARATIVE EVALUATION OF THE RESULTS OF TREATMENT OF UNSTABLE UNCOMPLICATED SPINAL FRACTURES
  3. PREVENTION OF POSTOPERATIVE COMPLICATIONS OF CALCANEUS FRACTURES
  4. AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIES
  5. COMPREHENSIVE PREVENTION OF INSTABILITY IN HIP REPLACEMENT FOR HIP FRACTURES AND THEIR CONSEQUENCES IN POSTMENOPAUSAL OSTEOPOROSIS IN MULTIPAROUS WOMEN
  6. EVALUATION OF THE EFFICIENCY OF ANTIRESORPTIVE THERAPY FOR OSTEOPOROSIS IN MULTIPAROUS WOMEN
  7. INVESTIGATION OF CALCIUM-PHOSPHORIC EXCHANGE IN WOMEN WITH THE MENOPAUSE STATE SUFFERING FROM OSTEOARTHROSIS AND CONCOMITANT OSTEOPENIC SYNDROME
  8. THE RESULTS OF TOTAL HIP JOINT ENDOPROSTHESIS FOR CONGENITAL HIP DISLOCATION
  9. COMPLICATIONS OF HIP JOINT ENDOPROSTHESIS
  10. OPTIMIZING MEDICAL REHABILITATION IN TRAUMAS OF LOCOMOTORIUM IN CONDITIONS OF POLYCLINIC

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