ОСТЕОГЕНЕЗА И РЕХАБИЛИТАЦИЈА КАЈ ПЕРТРОХАНТЕРНИ ФРАКТУРИ СО DYNAMIC HIP SCREW - ДХС

Abstract

Aim of the paper is to compare the effects of two physical modalities, magnetic therapy versus treatment with interferential currents in the physical treatment and rehabilitation of patients with surgically determined pertrohanteric femoral fracture with DHS and indicate the reasons for any differences. Material and methods: The study represents a prospective randomized clinical trial implemented at the Institute for Physical Medicine and Rehabilitation - Skopje. Include two groups with 90 participants with surgical pertochanteric femoral fracture, Kyle types I, II with dynamic fixation implant-DHS (Dynamic hip screw). Respondents are divided into two groups: Examined group - 45 patients is treated with kinesitherapy and Magnetic therapy and control group - which has 45 patients treated with kinesitherapy and interferential currents. Respondents were followed for one year, during which were performed three examinations, the first control on the day of discharge, 6 and 12 months, from the first review which is input for selected patients who meet the criteria for inclusion in research. Results: Tested difference between the two groups in terms of sex and age, for p> 0,05, indicated no statistically significant difference. After the analysis, patients in the experimental group have 4,125 times more likely, after 12 months have shaped callus compared to control group. Upon physical examination after discharge, 6 and 12 months. Conclusions: In the postoperative rehabilitation of pertrochanteric femoral fractures, Kyle type I, II with fixation dynamic implant-DHS, therapy of choice is magnetic therapy and kinesitherapy, from which improvement in functional status as well as in the stimulation of osteogenesis and quality of life in elderly patients