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Травматология и ортопедия России. 2012; : 5-16

СОВРЕМЕННЫЕ ТЕНДЕНЦИИ В ОРТОПЕДИИ: РЕВИЗИИ ВЕРТЛУЖНОГО И БЕДРЕННОГО КОМПОНЕНТОВ

Тихилов Р. М., Шубняков И. И., Коваленко А. Н., Цыбин А. В., Сементковский А. В., Карпухин А. С., Башинский О. А.

https://doi.org/10.21823/2311-2905-2012--4-5-16

Аннотация

На фоне постоянно увеличивающегося числа операций первичного эндопротезирования тазобедренного сустава наблюдается также увеличение абсолютного количества ревизионных вмешательств. Проблемы ревизий сопряжены с техническими трудностями их выполнения и высокой частотой неудовлетворительных результатов. Кроме проблем медицинского характера, совокупность ревизионных вмешательств оказывает финансовое давление на системы здравоохранения даже развитых стран, поднимая социально-экономические вопросы. В России, по мере улучшения финансирования здравоохранения, также наблюдается значительный рост количества операций эндопротезирования тазобедренного сустава. Представлены мировой опыт и прогнозы специалистов, занимающихся этой проблемой, а также современные тенденции в ревизионном протезировании тазобедренного сустава.
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Traumatology and Orthopedics of Russia. 2012; : 5-16

MODERN TRENDS IN ORTHOPEDICS: REVISION OF THE ACETABULAR AND FEMORAL COMPONENTS

Tikhilov R. M., Shubnyakov I. I., Kovalenko A. N., Tsybin A. V., Sementkovskiy A. V., Karpukhin A. S., Bashinskiy O. A.

https://doi.org/10.21823/2311-2905-2012--4-5-16

Abstract

The revision rate of total hip arthroplasty (THA) is increasing with growth of number primary THA. The problems of revision procedures are associated with high technical demands and high incidence of poor results. Besides of medical problems the cost of revisions has impact on health care system even in developed countries. With improving of funding Russian Health Care System there is significant growth of number of total hip arthroplasties in Russia. Hence it is interesting to find out about world experience, forecasts of experts involved in the issue and current trends in revision hip arthroplasty.
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17. Chang J.D., Kim T.Y., Rao M.B., Lee S.S., Kim I.S. Revision total hip arthroplasty using a tapered, press-fit cementless revision stem in elderly patients. J Arthroplasty. 2011 Oct;26(7):1045-9. Epub 2011 May 12.

18. Chelnokov A., Piven I. Treatment of Periprosthetic Femoral Fractures by Retrograde Stem Lengthening. Eur.J.Traum.Emerg.Surg. - Suppl. - 2011. - Vol. 37: Abstracts of the 12th European Congress of Trauma and Emergency Surgery, April 27-30 2011, Milan/Italy. - p.161.

19. De Menezes D.F., Le Beguec P., Sieber H.P., Goldschild M. Stem and osteotomy length are critical for success of the transfemoral approach and cementless stem revision. Clin Orthop Relat Res. 2012 Mar;470(3):883-8. Epub 2011 Aug 6.

20. Desai A.S., Dramis A., Board T.N., Hekal W., Farhan M.J. Acetabular revision surgery with the uncemented oblong BOFOR Cup - early to midterm results. Hip Int. 2012 May;22(3):280-5. doi: 10.5301/HIP.2012.9241.

21. Desbonnet P., Connes H., Escare P., Tricoire J.L., Trouillas J. Total hip revision using a cup design with a peg to treat severe pelvic bone defects. Orthop Traumatol Surg Res. 2012 May;98(3):346-51. Epub 2012 Apr 5.

22. Dorman T., Kmiec K., Pogonowicz E., Sibinski M., Synder M., Kozlowski P. Hip revision arthroplasty in massive bone loss of acetabulum with the use of reinforcement ring. Chir Narzadow Ruchu Ortop Pol. 2011 Jan-Feb;76(1):21-4. Polish.

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