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


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.


hip joint; injury; immunity


Гиммельфарб А.Л. Патогенетическое влияние межвертельной остеотомии при коксартрозе // Коксартроз: патогенез, клиника, лечение. — Л., 1980. — С. 39-47.

Оценка иммунного статуса человека / Р.В. Петров, Ю.М. Лопухин, А.Н. Чередеев [и др.]. — М., 1984. — 36 с.

Chelnokov A.N. Closed nailing in valgus intertrochanteric osteotomy / A.N. Chelnokov, A. Shalin, A. Bogatkin // Injury, Int. J. Care Injured. — 2012. — № 43. — P. 3.

Dynamic hip screw in the management of reverse obliquity intertrochanteric neck of femur fractures / R. Willoughby // Injury, Int. J. Care Injured. — 2005. — № 36. — P. 105-109.

Intertrochanteric partial osteotomy for posterior hip approach / H.A. Caviglia, G.A. Galatro, V. Vatani [et al.] // Injury, Int. J. Care Injured. — 2012. — № 43. — P. 55-58.

Gadegone W.M. Valgus intertrochanteric osteotomy and fibular strut graft in the management of neglected femoral neck fracture / W.M. Gadegone, A.A. Ramteke, V. Lokhande, Y. Salphade // Injury, Int. J. Care Injured. — 2013. — № 44. — P. 763-768.

Hazeldine J. The impact of trauma on neutrophil function / J. Hazeldine, P. Hampson, J. Lord // Injury, Int. J. Care Injured. — 2014. — № 45. — Р. 1824-1833.

Managing failed fixation: Valgus osteotomy for femoral neck nonunion / D.E. Deakin, P. Guy, P.J. O’Brien [et al.] // Injury, Int. J. Care Injured. — 2015. — № 46. — P. 492-496.

Osteosynthesis and primary valgus intertrochanteric osteotomy in displaced intracapsular fracture neck of femur with osteoporosis in adults / N.K. Magua, R. Singha, R. Mittala [et al.] // Injury, Int. J. Care Injured. — 2005. — № 36. — P. 110-122.

Surgical dislocation of the adult hip A technique with full access to the femoral head and acetabulum without the risk of avascular necrosis / R. Ganz, T.J. Gill, E. Gautier [et al.] // J. Bone Joint Surg. — 2001. — № 83-B. — Р. 1119-1124.

Copyright (c) 2016 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2018


   Seo анализ сайта