FREQUENCY AND STRUCTURE OF NEGATIVE CONSEQUENCES OF TOTAL HIP ARTHROPLASTY IN LONG TERMS
Today, the total hip arthroplasty (THA)is consided to be the operation of choice for severe stages of osteoarthritis, femoral neck fracture, osteonecrosis of the femoral head and a number of other diseases. At the same time, THA does not always lead to a positive effect. Instability following total hip arthroplasty is an unfortunately frequent and serious problem that requires thorough evaluation and preoperative preparation. The negative consequences of this surgical operation, according to different authors, range from 2 to 35% of all cases of THA. Complications can be local and general and can be verified both in the immediate postoperative period and in the remote period after the operation. The review is designed to analyze literature data concerning the incidence and structure of complications of hip arthroplasty. In recent decades the widespread use of THA was the reason for the appearance of patient dissatisfaction in relation to treatment outcomes. At scientific forums and in current literature, the issues related to improving the functional results and quality of life of patients undergoing THA are actively discussed. However, information of the incidence and structure of complications, as well as the possibilities of their prevention, were not able to evaluate treatment satisfaction in a valid way and remain contradictory. Every year after THA performance, the number of excellent and good results reduces, and the number of unsatisfactory results increases. The joint's function is limited, and the results of subsequent endoprosthetics are worse than during primary operations. There are more and more publications about unjustified hip arthroplasty. This circumstance is a stimulus to search for precise criteria to identify the indication and contraindications for total hip arthroplasty and to develop a set of preventive measures for the negative consequences of THA. The purpose of this paper is to carry out a literature review - to gather and summarize publications related to THA studies that have analyzed the effects of process orientation in this problem.