Open AccessCOMPREHENSIVE PREVENTION OF INSTABILITY IN HIP REPLACEMENT FOR HIP FRACTURES AND THEIR CONSEQUENCES IN POSTMENOPAUSAL OSTEOPOROSIS IN MULTIPAROUS WOMEN
Author(s) -
Abduvali Abdukhamitovich Razzokov,
Abdushokir Safarmatovich Ekhsonov
Publication year - 2020
Publication title -
paëmi sino
Language(s) - English
Resource type - Journals
eISSN - 2959-6327
pISSN - 2074-0581
DOI - 10.25005/2074-0581-2020-22-1-91-97
Subject(s) - osteoporosis , medicine , hip fracture , osteopenia , hip replacement , postmenopausal women , postmenopausal osteoporosis , rehabilitation , physical therapy , densitometry , surgery , orthopedic surgery , bone mineral
Objective: To reduce instability rate after hip replacement (HR) in postmenopausal osteoporosis in multiparous women. Methods: Analyzed data of HR performed by 126 multiparous women with postmenopausal osteoporosis and hip fractures and their consequences. In the main group (n=65; 51.6%) of patients prevention of instability of endoprosthesis components was carried out using the proposed measures, in the control group (n=61; 48.4%) of patients – with traditional approaches. Clinical and X-ray methods, densitometry, a comprehensive method of assessing hip function by Harris, statistical methods are used in the implementation of the work. Results: In the main group influenced by proposed approaches in the dynamics have seen a decrease in the frequency of osteoporosis and due to this – an increasing osteopenia. In addition, there was a decrease in the frequency of instability of endoprosthesis components compared to the control group from 14.8% to 4.6% (p<0.005). Conclusions: Rational operation planning, and its implementation taking into account the peculiarities of the current of osteoporosis, continuous medication and rational post-operative rehabilitation are effective ways to reduce the frequency of instability in hip replacement in considered pathology. Keywords: Postmenopausal osteoporosis, hip replacement, hip fractures, multiparous women, baseline treatment for osteoporosis