Evolution of coxarthrosis in the light of working ability expertise

Among the patients who for the first time called on MLEC for the evaluation of disablement group due to locomotor system pathology the patients with coxarthrosis were 35%. The results of clinical, X-ray, radionuclide examination as well as dynamics of medical social rehabilitation (by the data of capacity for work expertise) were analyzed in 200 patients with posttraumatic, idiopathic and dysplastic coxarthrosis. It was shown that existent methods of conservative and operative treatment gave efficient medical rehabilitation only in low percentage of cases, but the absense of clear medical social rehabilitation programme for those patients aggravated the matter. The best results were noted in patients operated for aseptic necrosis of the femur head. In all three forms of coxarthrosis the most efficient method of surgery was total replacement.