Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 25501
STAGING TREATMENT OF PATIENTS WITH COXARTHROSIS DEFORMANS
Aleh KEZLIA, Vladislav ERMOLOVICH, Alexandr BENKO
Belarusion Medical Academy of Post-Graduate Eduction, Minsk (BELARUS)
Total hip replacement is one of the options for treatment of chronic degenerative and
dystrophic diseases of various genesis. This operation results in certain limits on
patient’s motion and labor activity. Therefore, total hip replacement cannot be
considered an optimal option for young people. For the majority of patients with
coxarthrosis deformans stepped surgical therapy beginning with intertrochanteric
osteotomy and later, if considered necessary, endoprosthesis replacement can be
recommended as therapy allowing to achieve optimal endpoints.Materials and
methods. Surgeons of the BelMAPE clinic of traumatology and Orthopaedics have
performed 271 organs preserving reparative and recovery operations on hip joint.
The postoperative supervision period made up over 10 years. Results and
discussion.The results of the operations were as follows: 201 patients (74.2 per cent)
with good or satisfactory results, 70 patients (25.8 per cent) with unsatisfactory
results of organs preserving operation. Chirurgical treatment was not possible in
cases of 27 patients (9.9 per cent) because of severe co-morbidity and/or advanced
age. Hip joint replacement of 41 patients (15.1 per cent) were performed with
endoprosthesis SLPS produced by Altimed JSC (Republic of Belarus).Remote
postoperative supervision covered the period from 2 to 5 years for all operated
patients. The patients were satisfied with the quality of operation. Both types of
surgeon therapy (total hip replacement and stepped surgical therapy) are
recommended for treatment of coxarthrosis deformans. Adequate application of
surgical therapy helps to achieve optimal results.
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