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Институт теоретической и экспериментальной биофизики Российской академии наук.

ООО "ИЦ КОМКОН".




Адрес редакции и реквизиты

199406, Санкт-Петербург, ул.Гаванская, д. 49, корп.2

ISSN 1999-6314

Российская поисковая система
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«
Vol. 13, Art. 63 (pp. 754-770)    |    2012       
»

Surgical treatment of femoral neck fractures
V.V.Khominets, I.G.Belenkiy, D.I.Kutyanov, A.L. Pechkurov

Military Medical Academy named after SM Kirov
Alexander City Hospital
National Medical Surgical Center. NI Pirogov



Brief summary

We have made an analysis of the current works dealing with the problem of surgical treatment of patients with femoral neck fractures. We have stated that nowadays in general the united concept is being formed, the concept of choosing one of its three modes. Internal fixa-tion is indicated for patients younger than 60, it is characterized by low level of injury though causeless enhancement of the indications for it may cause higher revision rates and less cost-effectiveness. Nowadays primary hemiarthroplasty is viewed as the treatment of choice for el-derly patients with functional limitations before the fracture. At the same time the final results of cemented unipolar and bipolar hemiarthroplasty are in fact the same. Primary total hip arthroplasty is considered to be the most effective method of treatment for older patients, espe-cially those who have initial pathology of the injured hip. Though details of choosing the ap-propriate method of surgical treatment of femoral neck fractures and the relative assessment of effectiveness of various methods are still a subject for active discussions and demand carrying out more careful scientific research.


Key words

femoral neck fracture, surgical treatment, internal fixation, hemiarthroplasty, total hip arthroplasty.





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