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Вывихи после эндопротезирования тазобедренного сустава (обзор литературы)

https://doi.org/10.21823/2311-2905-2020-26-2-180-200

Полный текст:

Аннотация

Одним из осложнений артропластики тазобедренного сустава является вывих головки эндопротеза. В подавляющем большинстве случаев причина вывиха многофакторна, и только адекватный анализ особенностей пациента, оперативного пособия и реабилитации поможет избежать его рецидива. Настоящий обзор литературы посвящен факторам риска вывихов и тактике их лечения. Среди факторов риска, связанных с пациентом, выделяют возраст, мужской пол, ожирение, сопутствующие заболевания, низкий уровень предоперационной физической активности, низкий комплайнс и ряд других. Заслуживает отдельного внимания проблема биомеханического соотношения в сегменте «позвоночник – таз – нижняя конечность». Кроме того, есть факторы риска, связанные с хирургом: выбранный доступ; тип, фиксация и положение компонентов эндопротеза; опыт и хирургическая техника ортопеда. Стратегия снижения частоты вывихов основана на детальном изучении причин возникновения, их коррекции, планировании адекватной хирургическое помощи, а лечение пациента с вывихами должно учитывать их мультифакторную этиологию.

Об авторах

А. П. Середа
Федеральное медико-биологическое агентство России; ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский университет)»
Россия

Середа Андрей Петрович — д-р мед. наук, заместитель руководителя ФМБА России; заместитель директора НОКЦ Инновационных технологий в травматологии и ортопедии

Москва



С. М. Сметанин
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский университет)»
Россия

Сметанин Сергей Михайлович — д-р мед. наук, врач травматолог-ортопед

Москва



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Для цитирования:


Середа А.П., Сметанин С.М. Вывихи после эндопротезирования тазобедренного сустава (обзор литературы). Травматология и ортопедия России. 2020;26(2):180-200. https://doi.org/10.21823/2311-2905-2020-26-2-180-200

For citation:


Sereda A.P., Smetanin S.M. Dislocations after Hip Arthroplasty (Review). Traumatology and Orthopedics of Russia. 2020;26(2):180-200. (In Russ.) https://doi.org/10.21823/2311-2905-2020-26-2-180-200

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