Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics12210.21823/2311-2905-2015-0-1-116-128ReviewsОбзорыReviewsModern aspects of diagnostic and surgical treatment of patients with hip periprosthetic infection (review)Современные аспекты диагностики и хирургического лечения пациентов с перипротезной инфекцией тазобедренного сустава (обзор литературы)PavlovV. V.ПавловВ. В.
Russian Federation
pavlovdoc@mail.ruSadovoyM. A.СадовойМ. А.
Russian Federation
ProkhorenkoV. M.ПрохоренкоВ. М.
Russian Federation
Tsivyan Novosibirsk Research Institute of Traumatology and OrtopaedicsФГБУ «Новосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна» Минздрава РоссииTsivian Novosibirsk Scientific Research Institute of Traumatology and OrtopaedicsФГБУ «Новосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна» Минздрава России12042015211116128120920162015https://journal.rniito.org/jour/article/view/122

Hip replacement is widespread surgical procedure in orthopedic surgery. Nether the less, the main and most costly problems in replacement of large joints with socially significant losses are infectious complications. The aim of this review is to analyze available data dedicated to infectious complications in orthopedy and to extract basic principles of diagnostics and treatment of the hip joint implant infection. It could be stated that early diagnostics and precise identification of causative agent, including evaluation of the microbiological, clinical, diagnostic imaging, immunological, histological and biochemical parameters, and also an adequate to the collected diagnostic data choice of surgical tactics and antibiotic treatment are the important components of successful treatment of periprosthetic infection.

Эндопротезирование тазобедренного сустава получило широкое распространение в ортопедической хирургии. Тем не менее одной из основных и наиболее затратных проблем эндопротезирования крупных суставов с социально значимыми потерями являются инфекционные осложнения. Целью настоящего обзора является систематизация информации по данной проблеме для определения основных принципов диагностики и лечения инфекции протезированного тазобедренного сустава. Опираясь на литературные сведения, можно говорить о том, что ранняя комплексная диагностика и точная идентификация возбудителя, включающая в себя оценку микробиологических, клинических, рентгенологических, иммунологических, гистологических, биохимических параметров, а также адекватный результатам диагностического поиска выбор хирургической тактики и антибиотикотерапии являются важными составляющими успешного лечения перипротезной инфекции.

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