Authors
Yamshchikov O.N.1, 2, Emelyanov S.A.1, 2, Peregorodov A.N.3, Chumakov R.V.2, Pavlova K.A.2
1 City Clinical Hospital, Kotovsk
2 Tambov State University named after G.R. Derzhavin, Tambov
3 Regional Clinical Hospital, Saratov
Abstract
Introduction: Femoral neck fractures usually occur in older patients as a result of a decrease in the strength of bone tissue as the body naturally ages. In women, femoral neck fractures are detected twice as often as in men. For older people, a hip fracture is a serious injury because, due to age-related changes and existing chronic diseases, bone structures are characterized by a significantly lower ability to regenerate. Complications from prolonged immobilization and staying in bed after injury become life-threatening for an elderly patient. Nowadays, the most effective treatment for femoral neck fractures is endoprosthetics. Replacement of the hip joint with artificial implants ensures early getting out of bed, can significantly shorten the rehabilitation period and restore the supporting function of the lower limb.
Aim: to demonstrate the successful experience of treating a long-lived patient with fractures of the proximal femur, taking into account a differentiated approach to the choice of surgical tactics.
Materials and methods: to write the article, data from the medical documentation of the trauma hospital, data from instrumental research and the results of dynamic observation were used. A search was also conducted in the open electronic scientific databases PubMed of the US National Electronic Medical Library and the databases of the Russian scientific electronic library elibrary using keywords and phrases: femur fracture, proximal part, surgical treatment.
Results: as a result of osteosynthesis of the Gamma-3 fracture of the right femur and endoprosthetics of the left hip joint, the patient achieved early activation and the ability to move independently.
Conclusions: The use of intramedullary osteosynthesis reduces the length of hospital treatment, improves the quality of life of patients and returns the opportunity to restore motor activity from the first days after surgery. The described clinical case reflects the importance of a differentiated approach to planning surgical treatment, taking into account the somatic status of patients.
Keywords: femur fracture, proximal part, surgical treatment.
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