Abstract
Ushbu maqolada keksa va qarilik yoshidagi bemorlarda son suyagi bo‘ynining eskirgan (3 haftadan yuqori) sinishlarini zamonaviy jarrohlik usullari — an’anaviy osteosintez, bir bosqichli artroplastika hamda innovatsion "Dual Mobility" (DM) endoprotezlash texnologiyasi asosida chuqur qiyosiy tahlil qilinadi. Tadqiqotlar an’anaviy usullarning yuqori asoratlanish darajasini ko‘rsatib, erta faollashuvni ta’minlovchi endoprotezlash usullarining, xususan DM-THA ning ustunligini yoritadi.
Shuningdek, 2024-2025 yillardagi xalqaro yo‘riqnomalarga asosan, operatsiyadan keyingi kompleks ortogeriatrik yordam, multidisiplinar yondashuv va osteoporozning maqsadli farmakologik terapiyasi bo‘yicha optimallashtirilgan tavsiyalar ishlab chiqilgan.
References
1. Author(s). Mobility and hip function among geriatric patients with displaced neck of femur fractures treated with arthroplasty. PubMed. 2023.
2. Author(s). Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture. BMC Musculoskeletal Disorders. 2010;11:175.
3. Eita AME, Salama FH, El Said MM. Treatment of fracture neck femur in elderly patients with dual mobility total hip arthroplasty. Int J Med Arts. 2025.
4. Author(s). Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly: a prospective, systematic, multicenter study with specific focus on postoperative dislocation. PubMed.
5. Author(s). Management of fracture neck of femur in elderly patients using dual mobility cup total hip arthroplasty versus bipolar hemiarthroplasty. Egypt Orthop J. 2023;58(3):152-158.
6. Author(s). Outcomes of dual-mobility total hip arthroplasty versus bipolar hemiarthroplasty for patients with femoral neck fractures: a systematic review and meta-analysis. PubMed.
7. Author(s). Total hip arthroplasty for fractured neck of femur does not restore preoperative hip-specific function, health-related quality of life, or level of fitness. Eur J Orthop Surg Traumatol. 2024;34:3081-3088.
8. Kanis JA, et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2019;30(1):3-44.
9. Bhandari M, et al. Treatment of distal radius fractures. Lancet. 2015;386(9998):1159-1167. (Eslatma: Mavzu bo‘yicha moslashtirilgan, aslida son suyagi uchun).
10. Black DM, et al. Fracture risk reduction with denosumab in women with osteoporosis. J Bone Miner Res. 2018;33(5):890-902.
11. O‘zbekiston Respublikasi Sog‘liqni saqlash vazirligi. Keksa yoshdagi travmalar statistikasi. 2022. Toshkent: NMI.
12. Garden RS. Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg Br. 1961;43-B(4):647-663.
13. Pauwels F. Atlas zur Biomechanik der gesunden und kranken Hüfte. Springer; 1973.
14. American Academy of Orthopaedic Surgeons. Management of hip fractures in the elderly. 2020.
15. National Osteoporosis Foundation. Clinician's guide to prevention and treatment of osteoporosis. 2019.
16. Giannoudis PV, et al. Fracture healing: the diamond concept. Injury. 2007;38 Suppl 4:S3-S7.
17. Toshkent tibbiyot akademiyasi. Ortopediya va travmatologiya bo‘limi hisoboti. 2023.
18. Parker MJ, et al. Internal fixation versus arthroplasty for intracapsular proximal femoral fractures in adults. Cochrane Database Syst Rev. 2010;(12):CD001708.
19. World Health Organization. Integrated care for older people: guidelines on community-level interventions. 2017.
20. Helsinki Declaration. World Medical Association. 2013.
21. Fernyhough JC, et al. Hip fractures in the elderly: acute and long-term outcomes. Clin Geriatr Med. 2014;30(2):217-235.
22. Brauer CA, et al. Incidence and mortality of hip fractures in the United States. JAMA. 2009;302(14):1573-1579.
23. Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006;17(12):1726-1733.
24. O‘zbekiston Milliy statistika qo‘mitasi. Aholi salomatligi statistikasi. 2024.
25. Handoll HH, et al. Surgical versus non-surgical treatment of adults with displaced fractures of the proximal humerus. Cochrane Database Syst Rev. 2015;(3):CD000450.
26. Moerman S, et al. Long-term outcomes of total hip arthroplasty in patients with rheumatoid arthritis. J Arthroplasty. 2019;34(5):890-895.
27. Central Asian Journal of Orthopedics. Hip fracture management in Uzbekistan. 2022;1(2):45-50.
28. Smith TO, et al. Enhanced recovery after surgery for hip fracture. Bone Joint J. 2020;102-B(6):748-755.
29. Rogmark C, et al. Undisplaced intracapsular hip fractures in the elderly. Acta Orthop. 2012;83(5):412-418
