Rationale for Time of Reconstructive Operations on the Proximal Femur in Hip Joint Traumatic Injuries

А.I. Каnziuba, V.H. Klimovitskyi, M.A. Каnziuba, L.I. Donchenko, L.D. Honcharova, R.V. Klimovitskyi

Abstract


Purpose is rationale for time of reconstructive operations in traumatic injuries of the hip joint on the basis of clinical and laboratory testing dates. Material and methods. The work is based on the results of a retrospective analysis of the dynamics of the reparative process in proximal femur and complications after reconstructive surgery in 32 patients in different periods after the injury. The concept of study is based on clinical results depending on the state of immunological response of patients before reconstructive surgery. The immune status of 63 patients with hip traumatic injuries before surgical treatment was studied after 1st, 2nd, 3rd, 4th, 5th, 6th, 7th weeks after injury. Results. It was found that the immune status of the patients is an objective criterion for rationale time for femur intertrochanteric osteotomy. Immunodeficiency cell type is a contraindication for reconstructive surgery. Application of femur intertrochanteric osteotomy in patients with hip joint injury is efficient to be carried out in 7–8 weeks after the injury, that reduces the risk of complications and promotes the favorable course of reparative processes in the hip.


Keywords


hip joint; injury; immunity

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DOI: https://doi.org/10.22141/1608-1706.2.17.2016.74644

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