IMPROVEMENT OF SURGICAL TREATMENT OF PATIENTS WITH COMBINED DEGENERATIVE-DYSTROPHIC PATHOLOGY OF THE HIP JOINT AND SPINE WITH PREVALENCE OF MANIFESTATIONS OF COXARTHROSIS

Abstract

This article is devoted to the analysis of the treatment results of 60 patients with coxo-vertebral syndrome, which developed against the background of grade III deforming arthrosis of the hip joint, who were treated at the Department of Traumatology and Orthopedics of Bukhara Multidisciplinary Medical Center and its bases in the period from 2017 to 2020. These patients underwent primary total hip arthroplasty. When studying the outcomes of surgical treatment, special attention was paid to patient satisfaction with the achieved result, both from the point of view of the disappearance of pain in the hip joint and restoration of its functions and from the point of view of relief of pain in the lumbar region, restoration of posture and assessment of the achieved quality of life. A separate particular task of this section was to analyze the prerequisites for achieving certain outcomes of hip arthroplasty. Its results, along with the analysis of the treatment outcomes of patients with coxo-vertebral syndrome (CVS) with the prevalence of degenerative-dystrophic disease of the spine (DDDS), formed the basis for the algorithm for choosing rational surgical tactics for treating patients of this profile.