medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2021-33-48-52medalphabet-2326Research ArticleРЕВМАТОЛОГИЯRHEUMATOLOGYОсобенности эндопротезирования коленного сустава у пациентов с ревматоидным артритомPeculiarities of knee replacement in patients with rheumatoid arthritishttps://orcid.org/0000-0003-2553-2436ВолченкоД. В.VolchenkoD. V.

Волченко Денис Вячеславович, к. м. н., врач – травматолог-ортопед травматолого-ортопедического отделения центра спортивной травматологии и реабилитации

Москва

Volchenko Denis V., PhD Med, traumatologist-orthopedist of Dept of Traumatology and Orthopedics of the Centre for Sports Traumatology and Rehabilitation

Moscow

den4099@yandex.ruhttps://orcid.org/0000-0002-4910-8835АхтямовИ. Ф.AkhtyamovI. F.

Ахтямов Ильдар Фуатович, д. м. н., проф., зав. кафедрой травматологии, ортопедии и хирургии экстремальных состояний

г. Казань

Akhtyamov Ildar F., DM Sci (habil.), professor, head of Dept of Traumatology, Orthopedics and Surgery of Extreme Conditions

Kazan

https://orcid.org/0000-0001-5474-8565ЛапшинаС. А.LapshinaS. A.

Лапшина Светлана Анатольевна, к. м. н., доцент кафедры госпитальной терапии

г. Казань

Lapshina Svetlana A., PhD Med, associate professor at Dept of Hospital Therapy

Kazan

https://orcid.org/0000-0003-4329-6510ГильмутдиновИ. Ш.GilmutdinovI. Sh.

Гильмутдинов Ильдар Шавкатович, врач – травматолог-ортопед ортопедического отделения травматологического центра

г. Казань

Gilmutdinov Ildar Sh., traumatologist-orthopedist of Orthopedic Dept of Trauma Centre

Kazan

ФГБУ «Государственный научный центр Российской Федерации – Федеральный медицинский биофизический центр имени А. И. Бурназяна» ФМБА РоссииРоссияState Scientific Centre of the Russian Federation – Federal Medical Biophysical Centre n. a. A. I. BurnazyanRussian FederationФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РоссииРоссияKazan State Medical UniversityRussian FederationГАУЗ «Республиканская клиническая больница» Минздрава Республики ТатарстанРоссияRepublican Clinical HospitalRussian Federation202113122021033Ревматология в общей врачебной практике (2)4852Copyright © Волченко Д.В., Ахтямов И.Ф., Лапшина С.А., Гильмутдинов И.Ш., 20212021Волченко Д.В., Ахтямов И.Ф., Лапшина С.А., Гильмутдинов И.Ш.Volchenko D.V., Akhtyamov I.F., Lapshina S.A., Gilmutdinov I.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2326Введение

Введение. Ревматоидный артрит как неуклонно прогрессирующее заболевание, приводящее к суставной деструкции и функциональным нарушениям со стороны коленных суставов, зачастую требует ортопедической коррекции.

Цель обзора

Цель обзора. Анализ тактических и технических особенностей эндопротезирования коленного сустава (ТЭКС) у пациентов с ревматоидным артритом (РА).

Основные положения

Основные положения. РА характеризуется целым рядом нарушений, не только обусловленных эрозивным артритом и активным персистирующим синовитом, но и снижением минеральной плотности кости, поражением капсульносвязочного аппарата и надколенника, образованием костных дефектов, а также высоким риском послеоперационных осложнений. Все эти факторы должны быть учтены при выборе хирургической тактики и техники ТЭКС. В статье представлены оптимальные подходы при проведении ТЭКС у пациентов РА с учетом особенностей имеющихся структурных и функциональных нарушений.

Заключение

Заключение. ТЭКС у пациентов с РА требует персонифицированного подхода, включающего учет болезнь-ассоциированных факторов риска, влияющих на результаты ортопедической коррекции и вероятность развития осложнений.

Introduction

Introduction. Rheumatoid arthritis (RA), as a steadily progressive disease leading to joint destruction and functional instability of the knee joints, often requires orthopedic correction.

The aim

The aim. Of the review was to analyze the surgery strategy and technical features of knee arthroplasty and replacement in patients with RA.

Basic provisions

Basic provisions. RA is characterized by a number of abnormalities not only due to erosive arthritis and active persistent synovitis, but also caused by a decrease in bone mineral density, damage to the periarticular structures and patella, the formation of bone defects, as well as a high risk of postoperative complications. All these factors should be taken into account while choosing relevant surgical treatment and knee replacement technique. The article presents the optimal approaches for performing knee replacement in RA patients, taking into account the peculiarities of the existing structural and functional disorders.

Conclusion

Conclusion. TEC in patients with RA requires a personalized approach based on evaluation of disease-associated risk factors affecting the results of orthopedic correction and the likelihood of complications.

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