jktoКафедра травматологии и ортопедииDepartment of Traumatology and Orthopaedics2226-2016ПРОФИЛЬ — 2С10.17238/2226-2016-2023-2-84-94jkto-120Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWСовременные подходы к оценке результатов и удовлетворенности пациентов после первичного и ревизионного эндопротезирования тазобедренного сустава (обзор литературы)Current concepts in clinical results and patient satisfaction assessment after primary and revision arthroplasty: a reviewЯковлевВ. В.YakovlevV. V.

Яковлев Вадим Валерьевич – заведующий травматолого-ортопедическим отделением

Чебоксары, 428020

Vadim V. Yakovlev – M.D., Head of Trauma and Orthopedic Department

Cheboksary, 428020

yvv-doc@mail.ruНиколаевН. С.NikolaevN. S.

Николаев Николай Станиславович – д-р мед. наук, главный врач

Чебоксары, 428020

Nikolay S. Nikolaev – M.D., PhD, chief physician

Cheboksary, 428020

nikolaev@orthoscheb.comМалюченкоЛ. И.MalyuchenkoL. I.

Малюченко Леонид Игоревич – врач-травматолог ортопед

Чебоксары, 428020

Leonid I. Malyuchenko – orthopedic surgeon, M.D.

Cheboksary, 428020

lmalyuchenko@orthoscheb.comБилыкС. С.BilykS. S.

Билык Станислав Сергеевич – к.м.н. младший научный сотрудник

Санкт-Петербург, 195427

Stanislav S. Bilyk – M.D., PhD, Junior Researcher

St. Petersburg, 195427

bss0413@gmail.comЧеркасовМ. А.CherkasovM. A.

Черкасов Магомед Ахмедович – к.м.н, лаборант-исследователь

Санкт-Петербург, 195427

Magomed A. Cherkasov – M.D., PhD, Researcher

St. Petersburg, 195427

drmedik@gmail.comШубняковИ. И.ShubnyakovI. I.

Шубняков Игорь Иванович – д-р мед. наук, профессор кафедры травматологии и ортопедии

Санкт-Петербург, 195427

Igor I. Shubnyakov – M.D., PhD, Professor of the Traumatology and Orthopedics Chair

St. Petersburg, 195427

shubnyakov@mail.ruФГБУ «Федеральный центр травматологии, ортопедии и эндопротезирования» Министерства здравоохранения Российской Федерации (г. Чебоксары)РоссияFederal Center for Traumatology, Orthopedics and Arthroplasty, Ministry of Health of the Russian Federation (Cheboksary)Russian FederationФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава РоссииРоссияVreden National Research Center of Traumatology and Orthopedics, Ministry of Health of RussiaRussian Federation202317032026028494Copyright © Яковлев В.В., Николаев Н.С., Малюченко Л.И., Билык С.С., Черкасов М.А., Шубняков И.И., 20262026Яковлев В.В., Николаев Н.С., Малюченко Л.И., Билык С.С., Черкасов М.А., Шубняков И.И.Yakovlev V.V., Nikolaev N.S., Malyuchenko L.I., Bilyk S.S., Cherkasov M.A., Shubnyakov I.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jkto.moscow/jour/article/view/120

Тотальное эндопротезирование тазобедренного сустава, будучи успешной во всем мире, является таковой и в России, показывая большое число операций ежегодно. Это приводит не только к росту числа ревизионных операций, но и к увеличению удельного веса ранних ревизий. В этой связи понимание современных подходов к оценке результатов и удовлетворенности пациентов после первичного и ревизионного эндопротезирования тазобедренного сустава, а также экономическая эффективность послеоперационной оценки являются ключом к систематизации полученных данных и оптимизации имеющихся инструментов наблюдения. Цель исследования — проанализировать описанные в научной литературе инструменты наблюдения за пациентами после первичного и ревизионного эндопротезирования тазобедренного сустава и их экономическую эффективность.Материалы и методы. В работе проанализированы публикации зарубежных и отечественных авторов, отобранных для обзора в базах данных PubMed и eLIBRARY.Выводы. Несмотря на достаточный объем имеющихся данных литературы, экономически эффективный систематизированный подход к оценке результатов и удовлетворенности после первичного и ревизионного эндопротезирования суставов все еще является нерешенной задачей. Необходимы исследования, сравнивающие затраты на выполнение рутинного наблюдения пациентов, с затратами на ревизионные операции по поводу нестабильности компонентов эндопротеза у бессимптомных пациентов, которые были выполнены на раннем сроке.Частота и сроки наблюдения после ревизионных операций так же остаются нерешенным вопросом, и очевидно, должны отличаться от таковых при первичных операциях, поскольку ревизионные операции технически сложнее, а их результаты, как правило, менее обнадеживающие.

Total hip arthroplasty, being a success procedure all over the world, is also success in Russia, with many procedures every year. This leads not only to an increase in the number of revision surgeries, but also to an increase in the proportion of early revisions. In this regard, understanding the current approaches to the assessment of outcomes and patient satisfaction after primary and revision hip and knee arthroplasty as well as their cost-effectiveness is an important key to the systematization of the obtained data and optimization of the available monitoring tools. The aim of the study is to analyze the tools of patient follow-up described in the scientific papers after primary and revision hip arthroplasty and their cost-effectiveness.Materials and methods. The results of the studies of foreign and native authors, using the PubMed and eLIBRARY search engines were analyzed in the work.Conclusions. Despite the sufficient volume of the available literature data, the cost-effective systematized approach to the evaluation of results and satisfaction after the primary and revision joint replacement is still an unsolved problem. Studies comparing the costs of performing routine follow-up of patients with the costs of revision surgeries for instability of arthroplasty components in asymptomatic patients that were performed at an early date are needed.The frequency and timing of follow-up for revision surgeries also remains an unresolved issue and should obviously be different from that for primary surgeries, since revision surgeries are technically more complicated, and their results are usually less encouraging.

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