N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and OrthopedicsВестник травматологии и ортопедии им. Н.Н. Приорова0869-86782658-6738Eco-Vector4727210.17816/vto201724147-57ArticlesСтатьиScientific ReportDraft Recommendations. Pharmacotherapy for the Prevention of Repeated Fractures in Patients with Osteoporosis after Surgical Treatment of Pathologic Proximal Femur FractureПроект рекомендаций. Фармакотерапия для профилактики повторных переломов у больных остеопорозом после хирургического лечения патологического перелома проксимального отдела бедренной костиMironovS. PМироновС. П

академик РАН, доктор мед. наук, профессор, директор ЦИТО им. Н.Н. Приорова

RodionovaS. SРодионоваСветлана Семеновна

доктор мед. наук, профессор, рук. Центра остеопороза ЦИТО им. Н.Н. Приорова

rod06@inbox.ruTorgashinA. NТоргашинА. Н

канд. мед. наук, научный сотрудник Центра остеопороза ЦИТО им. Н.Н. Приорова

N.N. Priorov Central Institute of Traumatology and OrthopaedicsФГБУ «Центральный научно-исследовательский институт травматологии и ортопедии им. Н.Н. Приорова» Минздрава России15032017241NO1 (2017)№1 (2017)475719102020Copyright ©; 2017, Eco-VectorCopyright ©; 2017, ООО "Эко-Вектор"2017Eco-VectorООО "Эко-Вектор"https://journals.eco-vector.com/0869-8678/article/view/47272

Treatment of pathologic proximal femur fractures complicating the course of systemic osteoporosis is most often limited by surgical intervention as until now trauma and orthopaedic surgeons have no concrete recommendations on pharmacologic correction of metabolism disorders typical to the pathology, that aggravate in the postoperative period due to operative trauma. Proposed draft recommendations are a part of National clinical recommendations “Treatment for pathologic fractures of skeleton bones complicating the course of osteoporosis”. This issue of recommendations is only applicable to pharmacotherapy directed to the correction of bone tissue remodeling with regard for the fracture localization and volume of surgical intervention. Present recommendations are intended for the improvement of patients’ life quality, reduction of present and future losses from pathologic fracture as well as the prevention of repeated fractures.

Лечение патологических переломов проксимального отдела бедренной кости, осложняющих течение системного остеопороза, чаще всего ограничивается хирургическим вмешательством, так как травматологи-ортопеды до настоящего времени не имеют четких рекомендаций по фармакологической коррекции нарушений метаболизма, присущих заболеванию, которые в послеоперационном периоде усугубляются операционной травмой. Предлагаемый для обсуждения проект рекомендаций является частью Национальных клинических рекомендаций «Лечение патологических переломов различных костей скелета, осложняющих течение системного остеопороза». Этот раздел рекомендаций касается только фармакотерапии, направленной на коррекцию ремоделирования костной ткани с учетом локализации перелома и объема хирургического вмешательства. Данные рекомендации имеют своей целью повышение качества жизни пациентов, уменьшение настоящих и будущих экономических и социальных потерь от патологического перелома и профилактику повторных переломов.

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