PERIPROSTHETIC FRACTURES OF THE PROXIMAL FEMORAL BONE. OSTEOSYNTHESIS METHODS AND RESULTS: COMPARATIVE CHARACTERISTICS

Abstract

The subject of research in this work is the methods and results of osteosynthesis in the surgical treatment of periprosthetic fractures of the proximal femur. The purpose of research is to compare osteosynthesis methods and the results of surgical treatment. The research used clinical and instrumental methods. A schematic representation of the aforementioned methods of osteosynthesis is provided. A special bone plate allows the screws to “converge” from 5º to 15º from the vertical, which will allow them to bypass the endoprosthesis leg and pass through the cortical wall or bicortically through the cement mantle. The results of surgical treatment of patients using standard bone plates and a special bone plate have been analyzed. A comparative description of the results is made. The scientific value of the results obtained lies in the fact that it can serve as a basis for further improvement of methods for fixing fragments. The practical significance of the obtained result is early rehabilitation of the limb and restoration of the patient’s ability to work. The work can be recommended to medical practitioners in the regions of the republic.