It performed the analysis of the literature data on the peculiarities of the influence of type 2 diabetes mellitus on the endoprosthesis replacement of the steep joints in patients with diabetes mellitus outcomes. Reviewed the risk factors for complications of endoprosthetics, it is shown that in patients with diabetes mellitus operations on the hip joints are associated with higher rates of postoperative infection, the need for blood transfusion, the development of pneumonia and urinary tract infections, and increased hospital stays and higher rates nosocomial mortality. It was noted that in the course of making a decision on the performance of arthroplasty, surgical risk should be assessed for patients with diabetes, taking into account the possible complications of diabetes and the presence of other associated diseases. The basic principles of preoperative preparation, peri-and postoperative management of this cohort of patients are characterized.
Biomechanical parameters of the movements of patients with different stages of idiopathic, posttraumatic coxarthrosis and with avascular necrosis were studied. Low limb movements were recorded with electromagnetic system. Angular amplitudes, angular velocities and parameters of joint stiffness and joint flexibility were calculated using movement recordings and previously developed biomechanical model. It was shown that these parameters adequately describe the stage of hip joint injury. As for patients with early stages of coxarthrosis, these parameters describe the differences between the limb under suspicion and the intact limb. The proposed biomechanical parameters can be used as the numerical assessments of a functional state of the low limb under coxarthrosis: for a diagnostics, including early one, for an assessment of the results of operative interventions, for an assessment of the effectiveness of rehabilitation procedures
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