TOTAL HIP ARTHROPLASTY IN PATIENTS WITH ANKYLOSING HIP JOINT

Abstract

Surgical treatment for ankylosing hip joint is an urgent problem in orthopedics. There were 250 patients with ankylosing hip under our supervision from 2010 to 2021 in the Department of Orthopedics Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics. From them: Idiopathic - 90, post-traumatic - 40 and ankylosing spondylitis - 120 patients. Males - 90, females - 120. Most of the patients 67% were from 35 to 65 years old. All patients underwent hip arthroplasty. The number of patients with and cementless endoprostheses was carried out in the main group of 221 patients, a good result in the main group was obtained in 121 (93.1%) patients, in the control group in 100 (83.3%) patients. A satisfactory result out of 25 patients, in the main group was obtained in 8 (6.1%) patients, in the control group in 17 (14.2%) patients. An unsatisfactory result out of 4 patients, in the main group was obtained in 1 (0.8%) patients, in the control group in 3 (2.5%) patients. The average value in points in the long-term periods before hip arthroplasty was 7-7.5 points. After the operation, the average value in the main group became 10.1 points, in the control group it was 8.9 points. These indicators indicate the effectiveness of total hip arthroplasty.