Abstract
Background. Large joint diseases are a major cause of disability, functional impairment, and reduced quality of life among older adults. Population aging has increased the prevalence of 'osteoarthritis and osteoporotic fractures, highlighting the importance of effective postoperative follow-up. The aim is evaluating the clinical characteristics of geriatric patients with large joint diseases and the organization oftheir postoperative follow-up. Materials and Methods. A retrospective-prospective observational study included 2,244 patients with large joint diseases treated between 2014 and 2024 at the National Hospital of the Medical Center of the Administrative Department of the President of the Republic of Kazakhstan, Demographic characteristics, fracture patterns, surgical activity, and postoperative follow-up were analyzed. Additionally, 124 patients completed a structured que: naire assessing follow-up quality. Descriptive statistics and Pearson's x? test were applied. Results, Geriatric patients accounted for 91.6% of the study population, with the largest proportion aged 75-89 years (58.9%. Surgical treatment was performed in 55.6% ofp: ents. Proximal ferur (30.0%) and vertebral (20.8%I fractures were the most common injuries. Joint replacement significantly reduced pain (VAS: 7.8+ 1.2 vs. 3.1 # 1.0) and improved quality of life in 72.6% of patients. However, only 42.7% received regular postoperative follow-up, and 38.7% underwent scheduled control examinations (p < 0.05}. Conclusion. Osteoporotic fractures predominated among geriatric patients. Although surgical treatment achieved favorable clinical outcomes, inadequate postoperative follow-up 'may compromise recovery. These findings support optimizing postoperative monitoring in geriatric orthopedic practice.