Total Hip Arthroplasty in Patients With Juvenile Arthritis

Ivanov, D.; Макаров, С. А.; Каратеев, Дмитрий Евгеньевич; Павлов, В. П.; Макаров, М. А.; Логунов, А. Л.; Nikishina, Irina; Шелепина, Т. А.; Амирджанова, В. Н.

doi:10.14412/1995-4484-2015-323-328

Cited by 2 publications

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References 18 publications

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“…При этом происходит асинхронное развитие эпифиза и закрытие зоны роста в неправильном положении, что в свою очередь приводит к формированию типичной для ЮРА coxa valga. При этой деформации шеечно-диафизарный угол не изменяет свое значение от 145° и антеверсии 26° до нормальных средних значений взрослого человека -соответственно 125° и 8° [24]. Для выбора компонентов эндопротеза тазобедренного сустава следует учитывать эти ана-Р е в м о о р т о п е д и я и р е а б и л и т а ц и я Рис.…”

Section: результатыunclassified

Intraoperative periprosthetic fractures during total hip arthroplasty in patients with rheumatic diseases

Khramov¹,

Макаров²,

Макаров³

et al. 2019

Naučno-praktičeskaâ revmatologiâ

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Surgical treatment in patients with rheumatic diseases (RDs) is associated with the higher risk of complications due to the presence of the inflammatory process, to long-term therapy with glucocorticoids, disease-modifying antirheumatic drugs, and biologic agents (BA), to decreased physical activity, and the severity of functional disorders, and to obvious osteoporosis. All this increases the risk of intraoperative complications, including periprosthetic fractures.Objective: to comparatively analyze intraoperative periprosthetic fractures of the greater trochanter, acetabulum, and proximal femur during total hip arthroplasty (THA) in patients with RDs.Subjects and methods. From 1998 till 2017, a total of 1569 THA were performed in patients with RA, including 464 patients with rheumatoid arthritis (RA), 396 with juvenile rheumatoid arthritis (JRA) and systemic lupus erythematosus (SLE), and 709 with osteoarthritis (OA).Results and discussion. Periprosthetic fractures after THA were diagnosed in a total of 68 (4.33%) patients, including 23 (4.96%) patients with RA, 27 (6.82%) with JRA and SLE, and 18 (2.54%) with OA; 42 (61.8%) patients with periprosthetic fractures underwent osteosynthesis. Statistical analysis of the findings revealed significantly higher rates of complications in patients with RA and JRA with SLE (p < 0.005).Conclusion. The findings confirm that the risk of periprosthetic fractures is higher in patients with inflammatory diseases, including RA, JRA, and SLE. These patients require a special approach that involves medical correction of impaired bone metabolism and proper individual selection of endoprosthetic components, by taking into account the anatomical features of female patients and delicate bone handling during surgery.

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Section: результатыunclassified

Intraoperative periprosthetic fractures during total hip arthroplasty in patients with rheumatic diseases

Khramov¹,

Макаров²,

Макаров³

et al. 2019

Naučno-praktičeskaâ revmatologiâ

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“…Таким образом, ЭПТБ у взрослой группы пациентов с ЮА через год в значительной степени улучшает функцию оперированного сустава, уменьшает боль и повышает качество жизни [6].…”

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Orthopedic Rheumatology in Russia: History and Contemporaneity

Павлов¹

2020

Naučno-praktičeskaâ revmatologiâ

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The lecture considers the main stages of the creation and development of orthopedic rheumatology in Russia. It summarizes some results of the scientific and practical activities of orthopedic rheumatologists of the V.A. Nasonova Research Institute and discusses prospects for further scientific developments and the possible development of minimally invasive surgery, such as arthroscopic surgery of the large and small joints. Emphasis is placed on the rehabilitation of patients with rheumatic diseases, by using high-tech treatments.

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Total Hip Arthroplasty in Patients With Juvenile Arthritis

Abstract: Р е в м о о р т о п е д и я ФГБНУ Научноисследовательский институт ревматологии им. В.А. Насоновой,

Cited by 2 publications

References 18 publications

Intraoperative periprosthetic fractures during total hip arthroplasty in patients with rheumatic diseases

Intraoperative periprosthetic fractures during total hip arthroplasty in patients with rheumatic diseases

Orthopedic Rheumatology in Russia: History and Contemporaneity

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