Вывихи после эндопротезирования тазобедренного сустава (обзор литературы)

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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)»

Автор, ответственный за переписку.
Email: drsereda@gmail.com

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

Москва

Россия

С. М. Сметанин

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

Email: fake@neicon.ru

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

Москва

Россия

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