Факторы риска и причины осложнений при эндопротезировании тазобедренного сустава (обзор литературы)

Автор: Лапин Д.В., Паршиков М.В., Гурьев В.В., Ярыгин Н.В.

Журнал: Кафедра травматологии и ортопедии @jkto

Статья в выпуске: 1 (47), 2022 года.

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Эндопротезирование тазобедренного сустава является одним из самых распространенных хирургических вмешательств в травматологии и ортопедии. С каждым годом количество выполненных операций в России и мире растет. Несмотря на эффективность данного метода лечения, количество осложнений велико и не имеет тенденции к снижению. В представленном обзоре рассматриваются распространенность, причины и факторы риска осложнений эндопротезирования тазобедренного сустава. Мы не стали рассматривать осложнения общехирургического характера (тромбоэмболия легочной артерии, острая сердечно-сосудистая недостаточность и т.д.) и инфекционные осложнения, а сфокусировались на локальных неинфекционных осложнениях эндопротезирования, а именно: вывихах, асептической нестабильности, перипротезных переломах и проблемах, связанных с имплантами. С целью обобщения имеющихся сведений проведен систематический поиск литературных источников по англоязычным (PubMed, Scopus, Sciencedirect) и русскоязычным (eLIBRARY, CyberLeninka) базам данных. По результатам анализа литературы можно сделать вывод, что существует множество факторов, влияющих на результат лечения, среди которых можно выделить факторы, связанные с пациентом, такие как возраст, пол, вес, сопутствующая патология и др. и не связанные с пациентом, а именно, техника оперативного вмешательства и технические характеристики имплантов. Знание факторов позволяет прогнозировать возможные осложнения и предпринимать меры профилактики.

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Эндопротезирование тазобедренного сустава, осложнение, вывих эндопротеза, асептическое расшатывание, перипротезный перелом

Короткий адрес: https://sciup.org/142235279

IDR: 142235279 | DOI: 10.17238/2226-2016-2022-1-66-75

Список литературы Факторы риска и причины осложнений при эндопротезировании тазобедренного сустава (обзор литературы)

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