Total left hip arthroplasty for an old pertrochanteric fracture of the left femur

DOI: https://doi.org/10.29296/25877305-2021-06-14
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Issue: 
6
Year: 
2021

Professor A. Lazarev(1), MD; Professor E. Solod(1), MD; A.A. Antonov(1); D. Vychuzhanin(2),
Candidate of Medical Sciences; A. Antonov(4), Candidate of Medical Sciences; R. Gorenkov(3, 4), MD;
Professor A. Simonova(4), MD; K. Antonov(1), N. Sinyukova(3) (1)N.N. Priorov National Medical Research
Center for Traumatology and Orthopedics, Moscow (2)S.S. Yudina City Clinical Hospital, Moscow (3)I.M.
Sechenov First Moscow State Medical University (Sechenov University) (4)M.F. Vladimirsky Moscow Regional
Research Clinical Institute, Moscow

The paper presents a clinical case of treatment in an elderly (96-years-old) female patient (born on June 2, 1923), who was injured at home when falling from a height on her left hip. After the injury, she was admitted to a city clinical hospital, where she underwent left hip joint computed tomography. Surgical treatment was not performed because of high risks. The patient stayed in hospital for 16 days, whereupon she was discharged to continue outpatient treatment. The patient suffered from persistent pain in the left hip joint and spent much time in the supine position, which increased the risk of hypodynamia and pulmonary complications. Following a month, the patient’s relatives applied on their own to the N.N. Priorov National Medical Research Center for Traumatology and Orthopedics, Ministry of Health of Russia. After being examined and prepared for surgery, the patient underwent total left hip arthroplasty. To prevent and rule out postoperative infectious complications and to optimize the early postoperative period, the patient was prescribed the immunomodulator thymalin and human immunoglobulin. The postoperative wound was treated with an antiseptic sodium hypochlorite solution. The patient was up walking on a walker on day 2 after her operation. The wound healed by primary intension after surgical treatment; the shortening of the left lower limb was eliminated; and the range of motion in the left hip joint improved. The patient was discharged from the hospital on day 7 for outpatient treatment.
Keywords: 
injury
old pertrochanteric fracture of the left femur
the immunomodulator thymalin
human immunoglobulin
sodium hypochlorite
arthroplasty

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