Features of rehabilitative treatment of elderly patients after fractures of the proximal femur: analysis of methods and approaches

Objective of the study: Th s study aims to compare the effectiveness of different treatment methods in elderly patients who have suffered a fracture of the proximal femurMaterials and methods: The research was conducted between 2022 and 2024 at the state autonomous healthcare institution “City Clinical Hospital No. 7 named after M.N. Sadykov” (Kazan, Russia). The study included 150 patients randomised to four groups. Group 1: patients after osteosynthesis with restorative treatment (n=37), Group 2: patients after osteosynthesis without restorative treatment (n=38), Group 3: patients after endoprosthesis with restorative treatment (n=38), Group 4: patients after endoprosthesis without restorative treatment (n=37). Rehabilitation treatment included physical therapy (PT) and physiotherapy. All patients received basic medical therapy, including non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics.Results: The mean pain scores (VAS) at baseline were 8.0±0.5 (group 1), 7.9±0.4 (group 2), 7.8±0.3 (group 3) and 7.7±0.4 (group 4). After one month oftreatment, the values decreased to 3.9±0.3, 5.4±0.4, 4.1±0.3 and 5.8 ± 0.5, respectively. After three months, the values were 1.5±0.2, 3.7±0.3, 1.8±0.2 and 4.2±0.4, respectively. The analysis showed a signifi ant improvement in patients who received restorative treatment compared to those who did not receive restorative treatment (pConclusion: Our study confi med a signifi ant improvement in outcome in patients with proximal femoral fractures treated with surgery combined with physiotherapy and exercise. These data are important for developing clinical recommendations and optimising standards of care for this group of patients.