CLINIC AND TREATMENT OF BECHTEREW'S DISEASE

We monitored 135 patients with Bechterew's disease of rhizomic form. There were 25 patients of the 1-2 degree and 110 patients of the 3-4 degree. There were 85 men and 50 women. At the initial stage, patients were treated as outpatients by a general practitioner and received conservative treatment. After surgical treatment in the control group of 75 patients, very good result was obtained in 28 (40%) patients, good in 29 (41.5%) patients, average in 15 (17%) patients, unsatisfactory in 3 (1.5%) patients. The average score in the distant period after HJR was 8-9 points. In the main group of 35 patients: very good result was obtained in 12 (34.5%) patients, good in 20 (57%) patients, average in 2 (6%) patients, unsatisfactory in 1 (2.5%) patient. The average score in the distant period after HJR was 9-10. The mean value in both groups was 9-10. In the patients’ treatment with Bechterew's disease, the use of cementless endoprostheses provides opportunities for the widespread introduction of HJR. In BD patients with severe osteoporosis, protrusion coxitis, and acetabular wall defects, THJR with bone cement is a justified method.

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