Проблема периоперационного прогнозирования гнойных осложнений эндопротезирования тазобедренного и коленного суставов. Часть I

Проблема периоперационного прогнозирования гнойных осложнений эндопротезирования тазобедренного и коленного суставов. Часть I

Автор: Брагина Светлана Валентиновна, Москалв Валерий Петрович, Петрушин Александр Леонидович, Березин Павел Андреевич

Журнал: Гений ортопедии @geniy-ortopedii

Рубрика: Обзор литературы

Статья в выпуске: 5 т.27, 2021 года.

Бесплатный доступ

Введение. Прогнозируемое значительное увеличение количества выполняемых операций эндопротезирования тазобедренных и коленных суставов в мире к 2030-2050 годам влечёт за собой прогрессивный рост частоты возможных осложнений артропластики, в том числе гнойной инфекции. Руководствуясь данными о модифицируемых факторах риска развития этого грозного осложнения, имеется шанс в периоперационном периоде повлиять на уменьшение вероятности проявления неблагоприятного сценария осложнений хирургического вмешательства. Цель. Систематизация информации о модифицируемых факторах риска гнойных осложнений эндопротезирования тазобедренного и коленного суставов и возможности влияния на них. Материалы и методы. Поиск литературных источников проводился в открытых электронных базах данных научной литературы PubMed, eLIBRARY, Scopus, Dimensions. Глубина поиска - 30 лет. Результаты. В обзоре проанализированы модифицируемые факторы риска, связанные с состоянием пациента, анамнезом, настоящим статусом, интраоперационными и послеоперационными хирургическими возможностями. Среди них наиболее доказанными являются курение, злоупотребление алкоголем, избыточная масса тела, ожирение, недостаточное питание, длительность операции, гематома в области послеоперационной раны. Дискуссия. Своевременно диагностированные модифицируемые предикторы гнойной инфекции могут быть откорректированы на этапе подготовки и проведения артропластики, а также в послеоперационном периоде. Взаимодействие специалистов амбулаторного и стационарного этапов ведения пациента в периоперационном периоде - необходимое условие для снижения риска развития гнойных осложнений артропластики тазобедренного/коленного суставов.

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Эндопротезирование суставов, инфекция области хирургического вмешательства, перипротезная инфекция, прогнозирование, модифицируемые факторы риска

Короткий адрес: https://sciup.org/142231590

IDR: 142231590   |   DOI: 10.18019/1028-4427-2021-27-5-636-644

Список литературы Проблема периоперационного прогнозирования гнойных осложнений эндопротезирования тазобедренного и коленного суставов. Часть I

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