METHOD FOR PREVENTION OF EARLY DISLOCATIONS OF ENDOPROTHESIS IN PATIENTS WITH II-III DEGREE DYSPLASTIC COXARTHROSIS
Keywords:
degenerative diseases, endoprosthesis dislocation, posterior capsulotomy, total endoprosthetics, preoperative planningAbstract
Currently, hip replacement has become a standard operation in traumatological and orthopedic practice. Indications for total hip replacement include severe gait disturbances, severe pain, shortening of the limb with pelvic distortion, etc. However, with the increase in the number of these interventions, a significant number of complications are revealed, the frequency of which is up to 60%.
One of the common complications of hip replacement surgery is dislocation of the head of the endoprosthesis. This complication occurs at various times in the postoperative period and is based on weakness of the capsular apparatus of the joint. Because of this, if the supporting load on the joint is untimely or movements of the lower limb are performed - rotation or adduction - the head of the endoprosthesis is dislocated.
References
Akhtyamov I.F., Kuzmin I.I. Errors and complications during hip replacement: A guide for doctors. Kazan, 2006; 3(2), 260-295.(in Russ).
Voloshin V.P. Surgical treatment of degenerative-dystrophic lesions of the hip joint in adults: abstract. dis. Dr. med. Sci. 2009; 10(2), 51-54.(in Russ).
Zakharyan N.G. Dislocations after total hip replacement: abstract. dis.cand. honey. Sci. 2008; 3(5), 17.(in Russ).
Nadev Al.A., Nadev A.A., Shesternya N.A. Rational hip replacement. M.: Binom. Laboratory of Knowledge, 2004; 1(6), 172-173. (in Russ).
Bourne R., Mehin R. The dislocating hip: what to do, what to do?. The Journal of Arthroplasty. 2004; 19(4):111-114.
Dewal H., Maurer S.L., Tsai P., Su E., Heibert R., Di Cesare P.E. Efficiacy of abduction bracing in the management of total hip arthroplasty dislocation . J. Arthroplasty. 2004; 19 (6):733-738.
Zagorodniy N.V., Makunin V.I., Kardanov A.A., Zakharyan N.G., Elkin D.V., Khachatryan A.A., Maysigov M.N., Panteleeva A.S. Influence of the position of the acetabular component on the frequency of dislocations after total hip arthroplasty // Endoprosthetics in Russia. Kazan; St. Petersburg, 2008; 4(8), 232-247. (in Russ).
Zagorodniy N.V., Kagramanov S.V., Chragyan G.A. Revision hip replacement with cementless components of the Zweimuller endoprosthesis (BICON, SL, and SLR-PLUS) // Travmatol. orthopedist. 2012; (63), 66-72. (in Russ).
Klyuchevsky V.V., Danilyak V.V., Belov M.V. and others. Dislocations after total hip replacement: risk factors, treatment methods // Travmatol. orthopedist. 2009; 3(3), 136-138. (in Russ).
