SYSTEMATIC APPROACH TO HIP ARTHROPLASTY IN DESTRUCTIVE-DYSTROPHIC LESIONS
Hip arthroplasty is considered the most effective method ensuring social and home reintegration at destructive-dystrophic lesions. The key challenge for today arthroplasty is the solution of problems to increase the survival rate of implants, the life of which is limited and is associated with a number of unavoidable complications. The purpose of research is to analyze the results of hip arthroplasty in patients with destructive-dystrophic lesions of proximal hip part taking into account phase condition of connective tissue. We investigated 710 patients, the main group consisted of 304 people, the control one - 406 patients. Each group was divided into 3 subgroups depending on nosology: osteoarthritis (1 subgroup), aseptic necrosis of the femoral head (2 subgroup), posttraumatic lesions (3 subgroup). The results were evaluated 3 years after arthroplasty. Analysis of the immediate and long-term results of arthroplasty showed high efficiency of the developed concept of surgical treatment and monitoring of the phase state of the connective tissue at destructive-dystrophic lesions of the hip joint on the basis of systemic approach in the form of reduction of pain, improvement of functional capacity and quality of life of patients.