PSEUDOARTHROSIS OF THE FEMORAL NECK: FEATURES OF THE ORIGIN AND TACTICS OF TREATMEN

Pseudoarthrosis of the femoral neck is a severe lesion of the hip joint area, the outcome of which in most cases is persistent disability of patients, a significant decrease in the quality of life, a violation of their ability to maintain and self-service ability. The frequent development of pseudoarthrosis in this segment is primarily due to the peculiarities of trophic proximal femur and poor bone quality, which is common in elderly and senile patients. Currently, the preferred method of surgical treatment of patients with pseudoarthrosis of the femoral neck is currently hip arthroplasty. Objective - to summarize the tactical and technical difficulties in the preparation of patients, as well as possible ways to improve the quality of treatment for patients with pseudoarthrosis of the femoral neck. Materials and methods. According to foreign and domestic literature, all available studies on the problem of treatment of pseudoarthrosis of the femoral neck. Results. The development of a false joint significantly complicates the intraoperative development of osteoporosis, the expressed shortening of the limb, the formation of the flexion-leading contracture of the hip joint, and the expressed cicatricial degeneration of the soft tissues in the affected area. Arguments in favor of treatment of patients with this pathology by the method of total hip arthroplasty are presented. Conclusion. The problem of improving the quality of treatment for patients with pectoral pseudoarthrosis is topical and deserves close attention.