vestimИзвестия Национальной академии наук Беларуси. Серия медицинских наукProceedings of the National Academy of Sciences of Belarus, Medical series1814-60232524-2350The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"10.29235/1814-6023-2020-17-2-203-210vestim-676Research ArticleКЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНАCLINICAL AND EXPERIMENTAL MEDICINEТотальное эндопротезирование тазобедренного сустава при остеонекрозе головки бедраTotal hip replacement in femoral head osteonecrosisМурзичА. Э.MurzichA. E.

Мурзич Александр Эдуардович – канд. мед. наук, заведующий лабораторией

ул. Кижеватова, 60/4, 220024, г. Минск

Alyaksandr E. Murzich – Ph. D. (Med.), Head of the Laboratory

60/4, Kizhevatov Str., 220024, Minsk

mae77@list.ruСердюченкоН. С.SerdiuchenkoN. S.

Сердюченко Николай Сергеевич – член-корреспондент, д-р мед. наук, профессор, академик-секретарь Отделения медицинских наук НАН Беларуси

пр. Скорины, 66, 220072, г. Минск

Nikolai S. Serdiuchenko – Corresponding Member, D. Sc. (Med.), Professor, Academician-Secretary of the Department of Medical Sciences of the National Academy of Sciences of Belarus

66, Nezavisimosti Ave., 220072

РабцевичВ. А.RabtsevichV. A.

Рабцевич Виктор Александрович – канд. физ.-мат. наук, доцент

Партизанский пр., 26, 220070,  г.  Минск

Victor A. Rabtsevich – Ph. D. (Phys. and Math.), Assistant Professor

26, Partizanski Ave., 220070

victsan62@rambler.ruРеспубликанский научно-практический центр травматологии и ортопедииRepublican Scientific-Practical Center of Traumatology and OrthopedicsПрезидиум Национальной академии наук БеларусиPresidium of the National Academy of Sciences of BelarusБелорусский государственный экономический университетBelarus State Economic University202005062020172203210Copyright © Мурзич А.Э., Сердюченко Н.С., Рабцевич В.А., 20202020Мурзич А.Э., Сердюченко Н.С., Рабцевич В.А.Murzich A.E., Serdiuchenko N.S., Rabtsevich V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestimed.belnauka.by/jour/article/view/676

В статье проанализирован опыт эндопротезирования тазобедренного сустава у молодых пациентов при остеонекрозе головки бедра. Проведено сравнение результатов операций в группах остеонекроза и остеоартрита через 3 года и 7 мес. В 97,5 % случаев использовали эндопротезы бесцементной фиксации с парой трения керамика–керамика (45 %) и керамика–полиэтилен (45 %). Применялись хирургические доступы Moore, Hardinge, методика AMIS.

Клинические результаты операций в изученных группах были схожи, однако «выживаемость» эндопротезов в группе остеонекроза составила 91,5 %, а в группе остеоартрита – 97,2 %. В группе остеонекроза наблюдалась повышенная частота осложнений (вывих головки эндопротеза, перипротезный перелом, перипротезная инфекция) и ревизионных операций. Это свидетельствует о влиянии факторов риска, сопутствующих заболеваний, уровня активности молодых пациентов на отдаленный результат эндопротезирования.

The experience of hip replacement in young patients with osteonecrosis of the femoral head was analyzed in the article. The results of operations in the osteonecrosis group and osteoarthritis group in 3 years and 7 months after operations were compared. In 97.5 % of cases, cementless fixation implants with a ceramic on ceramic friction pair (45 %) and ceramic on polyethylene friction pair (45 %) were used. Surgical approaches by Moore, Hardinge and AMIS technique were applied. The clinical results of operations in the studied groups were similar, but the survival rate of endoprostheses in the osteonecrosis group was 91.5 %, and in the osteoarthritis group 97.2 %. In the osteonecrosis group an increased frequency of complications (dislocation of the endoprosthesis head, periprosthetic fracture, periprosthetic infection) and revision operations were observed. Our results show the influence of risk factors, concomitant diseases, the level of activity of young patients on the long-term total hip arthroplasty result.

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The authors declare that there are no conflicts of interest present.