Kavalerskiy Gennadiy Mikhailovich (Ph.D., Professor, Head of Department of Traumatology, Orthopaedics and Surgery Disasters, First Moscow State Medical University named after I.M. Sechenov, Russia, Moscow)
Chenskiy Anatoliy Dmitrievich (Ph.D., Professor, First Moscow State Medical University named after I.M. Sechenov, Russia, Moscow)
Tarbushkin Anton Aleksandrovich (MD, orthopedist, trauma and orthopedic department, Ministry of Health Russian Federation Medical and Rehabilitation Center, Moscow)
Prokhorova Marina Yurievna (graduate student, First Moscow State Medical University named after I.M. Sechenov, Russia, Moscow )
Usmanov Damir Niyamovich (orthopedist, orthopedic department №2, Ministry of Health Russian Federation Medical and Rehabilitation Center, Moscow )
Mhitaryan Kristina Eduardovna (neurologist, Ministry of Health Russian Federation Medical and Rehabilitation Center, Moscow )
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This article presents the results of the work done on the bases of trauma and orthopedic Departments of the hospital№67 named after L.A.Vorohoba and Ministry of Health Russian Federation Medical and Rehabilitation Center, Moscow
in the period from January 2014 to June 2015. Given the trend of population ageing, the incidence of injury fracture of the proximal femur, mortality and frequency of complications in this cohort the topic presents to be extremely important. The study was divided into stages. The first, based on the known point estimates of the severity of the condition, together with retrospective analysis of 240 histories of the mathematical model assessing the risk of surgery in patients of elderly and senile with a fracture of the proximal femur. At the 2nd stage, prospective analysis of the effectiveness of the developed scales and recommendations in the treatment of 160 patients of elderly and senile age with fractures of the proximal femur. Analysis of the data showed that the application of the scale to estimate surgical risk leads to lower complications almost 3 times and deaths 4.5 times, which indicates their effectiveness and suitability for use. Thus, the proposed evaluation scale has shown excellent results and is recommended for use in the practice traumatology.
Keywords:hip fracture, gerontology, elderly, risk, arthroplasty
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Citation link:
Kavalerskiy G. M., Chenskiy A. D., Tarbushkin A. A., Prokhorova M. Y., Usmanov D. N., Mhitaryan K. E. Analysis of the efficiency of the developed risk assessment system surgery in elderly patients with fracture of the proximal femur // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2016. -№08. -С. 93-98 |
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