Central Asian Journal of Medicine


The aim. To improve the results of treatment of patients with rheumatic lesions of the hip joint by choosing the best options for endoprosthetics and postoperative rehabilitation of pa-tients. Materials and research methods. The object of the study was 125 patients with RA with TBS lesion, who underwent TB TBS in the Department of Adult Orthopedics of the UzNII of Traumatology and Orthopedics and the Department of Traumatology of the Clinical Hospital No. 1 for the period 2011 to 2017. In the foreground of preoperative planning, patients received conservative treatment on an outpatient basis for 2 weeks from a rheumatologist. After normali-zation of the rheumatic test indices, the patients came to us for surgical treatment. All patients were divided into 2 groups - the main and control. The main group consisted of 75 patients; in addition to the traditional method of surgical treatment, they used a device developed by us to determine the depth of the acetabulum during surgery, which made it possible to atraumatically, accurately and quickly determine the landing depth of the acetabular component of the endoprosthesis. Also, after surgery, the developed splint was used to develop the TB joint. The control group included 50 patients who underwent traditional methods of surgical treatment and after surgery without using a tire to rehabilitate patients. The age of patients ranged from 18 to 75 years, on average - 38 years. Of the total number of 125 sick men, there were 50 (40%), women 75 (60%). Results. Evaluation of long-term treatment results showed that good results in the main group (81.5%) were significantly greater than the control group (75%). Unsatisfactory results were obtained in patients of the main (1.5%) and control groups (5%). Conclusion. In the treatment of patients with RA, the use of cementless endoprostheses provides the possibility of widespread introduction of TBS endoprosthetics. In patients with RA with severe osteoporosis, protrusive coxitis and defects in the walls of the acetabulum, the justi-fied method is TE TBS using bone cement.

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