S.F. GNETETSKIY¹·², A.M. FAYN¹·², A.YU. VAZA¹, YU.A. BOGOLYUBSKIY¹, M.V. PARSHIKOV²

 ¹Scientific-Research Institute for Emergency Medical Care named after N.V. Sklifosofskiy, Moscow

²Moscow State Medical and Dentistry University named after A.I. Evdokimov, Moscow

 Contact details:

Gnetetskiy S.F. — MD, leading researcher of the Department of Emergency Traumatology, Associate Professor of the Department of Traumatology, Orthopedics and Medicine of Catastrophes

Address: 3 Bolshaya Sukharevskaya square, Moscow, Russian Federation, 129090, tel.: +7-910-479-1071, e-mail: sgnetetskii@mail.ru

The paper is dedicated to improving the treatment outcomes and their consequences in elderly patients with femoral neck fracture by developing a diagnostic procedure and performing the total hip arthroplasty. The main causes and factors influencing the complication rates and final treatment outcomes in elderly patients with femoral neck fracture were identified. The evidence based diagnostic and treatment algorithm for such patients was designed. The proposed treatment system helped to reduce lethality, general and local complications among patients. The active surgery helps to solve massive healthcare problems by easing the pain in elderly patients, restoring the hip joint mobility and supportive ability of extremity, enhancing independent living skills, and improving vitality and psychological state.

Key words: femoral neck fracture, total hip arthroplasty.

REFERENCES

1. Lirtsman V.M., Zorya V.I., Gnetetskiy S.F. The problem of treatment of fractures of the femoral neck at the turn of the century. Vestnik travmatologii i ortopedii im. N.N. Priorova, 1997, no. 2, pp. 12–19 (in Russ.).
2. Zorya V.I, Gur’ev V.V., Gnetetskiy S.F. On the issue of total hip joint replacement in elderly people. Byulleten’ Vostochno-Sibirskogo nauchnogo tsentra Sibirskogo otdeleniya Rossiyskoy akademii meditsinskikh nauk, 2006, no. 4, pp. 117–122 (in Russ.).
3. Titov R.S., Fayn A.M., Vaza A.Yu., Bogolyubskiy Yu.A., Mazhorova I.I., Bondarev V.B., Sergeev A.Yu. Comparative analysis of the treatment of patients with fractures of the femoral neck. Fizicheskaya i reabilitatsionnaya meditsina, meditsinskaya reabilitatsiya, 2019, vol. 4, no. 4, pp. 20–26 (in Russ.).
4. Fayn A.M., Vaza A.Yu., Gnetetskiy S.F., Titov R.S., Bogolyubskiy Yu.A., Bondarev V.B., Kungurtsev E.V., Skuratovskaya K.I. Optimization of treatment of patients with fractures of the femoral neck. Deutsche international Zeitschrift für zeit genössische Wissenschaft, 2021, no. 13, pp. 6–15 (in Russ.).