New technologies in the surgical treatment of elderly patients with some -and intraarticular fractures of the proximal femur
Based on the analysis of conservative (101) and surgical (261) treatment of 362 patients older age group who were hospitalized in the casualty department number 1 MBU "Central City Clinical Hospital № 24” from 2007 to 2011 determined the optimal tactics of the rehabilitation process in elderly patients with near- and intra-articular fractures of the proximal femur, which is based on hightech methods of minimally invasive osteosynthesis and to banish a stable total hip. The application of the algorithm of examination and preoperative, early surgical treatment using modern implant systems, active thromboprophylaxis, early activation of patients and directed exercise therapy can yield positive results of treatment in 79,6% of cases, to reduce mortality of hip fractures in this age group to 1,3%.