Comparative characteristics of the effective ness of surgical treatment of patients with femoral neck fractures using a locked intramedullary rods and total hip replacement
To determine the optimal tactics of surgical intervention in patients with fractures of the femoral neck performed a comprehensive clinical study. The material of the research was the analysis of medical records, radiographs, and clinical examination 100 patients with femoral neck fractures who underwent operative treatment on the basis of the traumatological Department of the Poltava regional hospital in the period from 2006-2015. We determined the following clinical and radiographic and anamnestic parameters: gender, age, duration of surgery, intraoperative blood loss, type of fracture according to the classification of Gardner and the stage of deforming arthrosis of the hip joint according to the classification of J.H.Kellgren and J.S.Lawrence. All patients were divided into two groups, depending on the operating procedure. The first (control) group consisted of 50 patients with femoral neck fractures who underwent total hip arthroplasty. The second (experimental) group consisted of 50 patients with femoral neck fractures, which was performed mainly minimally invasive osteosynthesis using a locked intramedullary osteosynthesis. Conducted comprehensive research identified a statistically significant (p<0.01) reduction of blood loss and duration of operative intervention in patients who underwent osteomyelitis locked intramedullary rods, which is especially important in elderly and senile age. Performing total hip arthroplasty in patients with femoral neck fractures should be performed for certain indications, which include an accompanying 4- stage coxarthrosis and in unstable fractures (Gardner III-IV) aid. Locked intramedullary fixation can be recommended as one of the main methods of surgical treatment of patients with fractures of the femoral neck.