Affiliation:
1. Derzhavin Tambov State University; Kotovsk City Clinical Hospital
Abstract
At present, there is a demographic trend towards a decrease in the population all over the world, with a relative increase in the proportion of elderly and senile people, among whom the incidence of osteoporosis is steadily increasing. The relevance of the problem of osteoporosis is determined by its complications: a progressive decrease in bone density and, as a result, fractures, which are most often in the nature of low-energy trauma. Of these, the most unfavorable are fractures of the proximal femur, which are not only a medical problem but also a social problem all over the world. The tactic of choice for hip fractures is surgical intervention, but the use of osteosynthesis does not always provide a favorable outcome: the process of consolidation in the postoperative period is determined by a combination of factors, among which the mineral density of the patient's bone tissue plays a significant role. The aim of the study is to study the relationship between the fusion of femoral neck fractures depending on the bone mineral density. Materials and methods: the study involved 266 patients with hip fractures who underwent osteosynthesis with various metal structures. The analysis of the results of the postoperative period of the selected patients was carried out on the basis of clinical and X-ray examination and determination of bone density. The statistical analysis was performed using the SPSS Statistics 21 program. It was shown that in the groups with a decrease in bone mineral density, the consolidation of the fracture occurred later than in the group where patients did not have concomitant osteopenia or osteoporosis.
Publisher
Tambov State University - G.R. Derzhavin
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