Page 1 of 10
European Journal of Business &
Social Sciences
Available at https://ejbss.org/
ISSN: 2235-767X
Volume 07 Issue 05
May 2019
Available online:https://ejbss.org/ P a g e | 1413
UDC 617.581-089
Prevention Of Possible Complications Before And After Total
Endoprotesization Of The Combin
*Akhmedov Shamshod Shavkatovich, Akramov Vohidjon Rustamovich,
Khamraev Alisher Shahobovich, Khamraev Behzod Uktamovich.
Bukhara State Medical Institute, Bukhara
+998905124999
fadasa_1987@mail.ru
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European Journal of Business &
Social Sciences
Available at https://ejbss.org/
ISSN: 2235-767X
Volume 07 Issue 05
May 2019
Available online:https://ejbss.org/ P a g e | 1414
Abstract
Hip replacement with the use of high-quality implants is a radical and
promising surgical procedure, yielding very favorable results in most cases.
Strict adherence to the rules in the planning and implementation of end
prosthetics, as well as the use of protective, preventive and therapeutic
measures, both in the postoperative and rehabilitation periods, can
significantly reduce the formation of early and late complications.
Keywords.
Total end prosthetics, hip fracture, dysplastic coxarthrosis.
The relevance of research.
Currently, among the most pressing problems of traumatology and
orthopedics, the medical and social importance is retained in the problem of
treating patients with traumatic injuries and diseases of the large joints of the
lower extremities. One of the effective methods for reducing the frequency of
disability in patients with joint damage is end prosthesis [1].About 500,000
operations of this type on large joints of the limbs are performed annually in
the world. According to foreign authors, more than 2.5 million people are
currently living with artificial hip joints. The frequency of performing primary
arthroplasty of large joints of the lower extremities varies in different
countries, which may be due to differences in socio-economic development,
access to health care, patient preferences and / or the prevalence of
Page 3 of 10
European Journal of Business &
Social Sciences
Available at https://ejbss.org/
ISSN: 2235-767X
Volume 07 Issue 05
May 2019
Available online:https://ejbss.org/ P a g e | 1415
osteoarthritis deformans as the main cause of arthroplasty [5]. However, as the
number of such interventions increases, the number of complications
increases, which determines the need to study them in order to develop
effective preventive measures [2]. The authors of a review published in Lancet
in 2007 called total hip arthroplasty as a century surgery because it led to a
revolutionary improvement in treatment outcomes for elderly patients with
deforming osteoarthritis, ensuring the restoration of joint function for a long
time with a good value-to-treatment ratio. In patients suffering from severe
deforming osteoarthritis, total joint end prosthesis replacement has been
recognized as the most effective treatment method, which allows eliminating
pain syndrome and improving physical function [3, 4]. The average age of
patients requiring end prosthetic replacement of the joints of the lower limbs
is about 70 years [6].Estimation of the frequency of arthroplasty of the joints
in certain age groups showed that this indicator reaches its highest value in
patients aged 70–79 years, exceeding 400 cases per 100 thousand population
per year [7]. Women predominate among patients, their proportion is about
60% [8]. The frequency of hip arthroplasty in women aged 70–79 years can
reach 928 cases per 100 thousand population per year [7]. Together with age,
the number of associated diseases also increases [9]. In an observational study
that included more than 1.5 million patients who underwent hip joint
arthroplasty, over the past twenty years, a twofold increase in the number of
co morbidities has been identified. The most common co morbidities include
diabetes mellitus, chronic heart failure, obesity, and renal failure [8]. When
performing total hip arthroplasty with its arthrosis in the early and remote
periods after surgery, aseptic instability of the leg of the end prosthesis is
encountered. This type of complication is 10–15% among all failures of
