RESULTS OF PATIENTS’ COMPLEX EXAMINATION IN SURGICAL TREATMENT OF HIP JOINT INJURIES AND DISEASES

Abstract

Aim. To assess the results of complex examination of patients with hip joint injuries and diseases, to develop criteria of severity of socio-psychological disadaptation in this pathology. Materials and methods. Eighty patients aged 20–88 underwent surgical treatment (endoprosthesis). The following modern informative methods of investigation were used: clinical, laboratory, roentgenological, ultrasonic, Spilberger-Hanin as well as Zung experimental psychological methods. Results. Women (61,8%) prevailed among the examined patients, there was a high percentage of patients (79,2%) aged 55–65, high share of somatic diseases (5,1 per one patient). As a result of surgical treatment of patients with hip joint injuries and diseases, moderate and severe socio-psychological disadaptation was registered in 73,8% of observations. Conclusion. The criteria developed for the degree of severity of developing socio-psychological disadaptation are recommended to be used in postoperative rehabilitation programs that will permit to hasten patients’ reintegration and improve their quality of life.

Keywords

Hip joint / injury / diseases / hip joint endoprosthesis / socio-psychological disadaptation

References

[1] Айвазян В. П., Чарчан А. Г., Григорян А. С. Медицинская и социальная реабилитация больных пожилого и старческого возраста с переломами шейки бедренной кости. Актуальные вопросы клинической медицины. Ереван 1995; 220–222.

[2] Астапенко Д. С., Свешников А. А. Реабилитация больных с остеопаретическими преломами проксимального отдела бедра. Остеопороз и остеоартроз – проблема XXI века. М. 2009; 35–37.

[3] Ивачевва П. В. Социальная работа в системе здравоохранения: теоретические и методологические аспекты. Госпитальный вестник 2005; 4: 35–38.

[4] Кавалерский В. Г., Мурылев В. Ю., Якимов Л. А. и др. Эндопротезирование тазобедренного сустава у пожилого и старческого возраста. Русский врач 2007; 5: 60–63.

[5] Карасева Л. А., Коробова Я. В. Реабилитационный потенциал как индикатор определения мер комплексной реабилитации. Вестник гильдии протезистов-ортопедов 2002; 1: 74–75.

[6] Лазарев А. Ф. Особенности эндопротезирования тазобедренного сустава. Вестник травматологии и ортопедии 2003; 2: 3–8.

[7] Stromasoe K. Fracture fixation problems in osteoporosis injury. 2004; 35 (2): 107–113.

RIGHTS & PERMISSIONS

Trubin A.R.