Introduction. In patients with chronic loco-motor system diseases the pain often persists after arthroplasty and does not respond to symptomatic therapy.Purpose of study: to evaluate the efficacy of perioperative use of Meloxicam in patients after hip arthroplasty. Patients and methods. The follow-up covered 120 patients (mean age 64.4±5.23 years) after hip arthroplasty. In the main group (n=60) Meloxicam was given 7 days prior to and 3 weeks after surgery; after intervention narcotic analgesic was used on the request. In control group (n=60) the patients were only on narcotic analgesic on request after operation. Treatment results were assessed by 100-millimeter visual analog scale (VAS) and D’Aubigné-Postel Score.Results. Seven days before the surgery the pain severity in the main and control groups was comparable: 85±2.3 and 84±2.1, respectively. In 2 days after operation the pain relief was more pronounced in the main group — 69±2.1 mm versus 82±3.4 mm in the control group (p<0.05). In 3 months those indices made up 10±2.1 and 35±12.6 mm (p<0.001), respectively. In the main group the result was assessed as the excellent and good in 22 patients, in the rest of patients as satisfactory by d’Aubigné-Postel Score. In the control group the good result was recorded in 9, satisfactory — in 47 and poor — in 4 cases.Conclusion. Meloxicam may be considered as an effective perioperative analgesic in large joints arthroplasty.
Total hip arthroplasty is the most effective way of treating coxarthrosis at a late stage. Total hip arthroplasty is especial effective in case of expressed dysplasia of hip. More than 27% of the patients operated on total hip arthroplasty were diagnosed by dysplasia of the hip, characterized by double-sided pathological process [1]. In most cases, dysplastic coxarthrosis leads to a significant deformation of the hip violating the professional adaptation of the patients. The main aspects of radical treatment of the dysplastic coxarthrosis, special operation techniques, and types of the implants are considered in this article. The effectiveness of the single-stage bilateral total hip arthroplasty with double-side pathological process was proven practically, with further observation of the treatment results.
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