jktoКафедра травматологии и ортопедииDepartment of Traumatology and Orthopaedics2226-2016ПРОФИЛЬ — 2С10.17238/2226-2016-2024-3-82-81jkto-79Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWПерсонифицированные импланты в реконструкции вертлужной впадины. Будущее уже наступило. Обзор литературы)Personalized 3D Implants in Acetabular Reconstruction. The Future is Nowhttps://orcid.org/0000-0001-5753-8926МурылевВ. Ю.MurilevV. Y.

Мурылев Валерий Юрьевич — д-р мед. наук, профессор кафедры травматологии, ортопедии и хирургии катастроф, ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский университет) Минздрава России; заведующий Московским городским центром эндопротезирования на базе ГБУЗ ММНКЦ Боткинская больница ДЗ г. Москвы.

Ул Трубецкая, д. 8. стр. 2 119991, Москва; 2-й Боткинский п-зд, д.5. 125284, Москва

Valery Yu. Murylev — Dr. Sci (Med.), Professor, Department of Traumatology, Orthopaedic and Disaster Surgery, Sechenov First MSMU; Head of Moscow City Arthroplasty Centre, Botkin Moscow City Hospital.

Moscow

nmuril@yandex.ruhttps://orcid.org/0000-0002-0217-2434ЕлизаровП. М.ElizarovP. M.

Елизаров Павел Михайлович — канд. мед. наук, доцент кафедры травматологии, ортопедии и хирургии катастроф, ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский университет) Минздрава России; врач травматолог-ортопед, ГБУЗ ММНКЦ Боткинская больница ДЗ г. Москвы.

Ул Трубецкая, д. 8. стр. 2 119991, Москва; 2-й Боткинский п-зд, д.5. 125284, Москва

Pavel M. Elizarov — Cand. Sci. (Med.), Assistant Professor, Department of Traumatology, Orthopaedics and Disaster Surgery, Sechenov First MSMU; Orthopaediс Surgeon, Botkin MCH.

Moscow

elizarov_07@mail.ruhttps://orcid.org/0000-0001-6700-0222КуковенкоГ. А.KukovenkoG. A.

Куковенко Григорий Андреевич — канд. мед. наук, доцент кафедры безопасности жизнедеятельности и медицины катастроф, ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский университет) Минздрава России; врач травматолог-ортопед, ГБУЗ ММНКЦ Боткинская больница ДЗ г. Москвы.

Ул Трубецкая, д. 8. стр. 2 119991, Москва; 2-й Боткинский п-зд, д.5. 125284, Москва

Grigory A. Kukovenko — Cand. Sci. (Med.), Assistant Professor, Department of Life Safety and Disaster Medicine, Sechenov First MSMU; Orthopaediс Surgeon, Botkin MCH.

Moscow

gkukovenko@gmail.comhttps://orcid.org/0000-0002-3933-672XМузыченковА. В.MuzichenkovA. V.

Музыченков Алексей Владимирович — канд. мед. наук, ассистент кафедры травматологии, ортопедии и хирургии катастроф, ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский университет) Минздрава России; врач травматолог-ортопед, ГБУЗ ММНКЦ Боткинская больница ДЗ г. Москвы

Ул Трубецкая, д. 8. стр. 2 119991, Москва; 2-й Боткинский п-зд, д.5. 125284, Москва

Aleksey V. Muzychenkov — Cand. Sci. (Med.), Assistant Department of Traumatology, Orthopaedics and Disaster Surgery, Sechenov First MSMU; Orthopaediс Surgeon, Botkin MCH.

Moscow

amuzychenkov@inbox.ruhttps://orcid.org/0000-0001-7599-7472АлексеевС. С.AlekseevS. S.

Алексеев Семен Сергеевич — канд. мед. наук, врач травматолог-ортопед.

2-й Боткинский п-зд, д.5. 125284, Москва

Semen S. Alekseev — Orthopaediс Surgeon.

Moscow

semen.alekseev.92@mail.ruhttps://orcid.org/0000-0003-4490-2922РудневА. И.RudnevA. I.

Руднев Александр Игоревич — ассистент кафедры безопасности жизнедеятельности и медицины катастроф, ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский университет) Минздрава России; врач травматолог-ортопед, ГБУЗ ММНКЦ Боткинская больница ДЗ г. Москвы.

Ул Трубецкая, д. 8. стр. 2 119991, Москва; 2-й Боткинский п-зд, д.5. 125284, Москва

Aleksander I. Rudnev - Assistant Professor, Department of Life Safety and Disaster Medicine, Sechenov First MSMU; Orthopaediс Surgeon, Botkin MCH.

Moscow

ruda310895@gmail.comhttps://orcid.org/0000-0002-4811-5718ЕлизаровМ. П.ElizarovM. P.

Елизаров Михаил Павлович — канд. мед. наук, доцент кафедры травматологии, ортопедии и хирургии катастроф.

Ул Трубецкая, д. 8. стр. 2 119991, Москва

Mikhail P. Elizarov - Cand. Sci. (Med.), Assistant Professor, Department of Traumatology, Orthopaedics and Disaster Surgery.

Moscow

elizarovm07@gmail.comhttps://orcid.org/0009-0008-8558-7643ЯковлевК. Г.YakovlevK. G.

Яковлев Константин Гарриевич — врач, аспирант кафедры травматологии, ортопедии и хирургии катастроф ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский университет) Минздрава России, врач травматолог ГБУЗ ММНКЦ Боткинская больница ДЗ г. Москвы.

Ул Трубецкая, д. 8. стр. 2 119991, Москва; 2-й Боткинский п-зд, д.5. 125284, Москва

Konstantin G.Yakovlev - Assistant Professor.

Moscow

Konstantinyakovlev2503@mail.ruБобровД. С.BobrovD. S.

Бобров Дмитрий Сергеевич — канд. мед. наук, доцент кафедры травматологии, ортопедии и хирургии катастроф.

Ул Трубецкая, д. 8. стр. 2 119991, Москва; 2-й Боткинский п-зд, д.5. 125284, Москва

Dmitrii S. Bobrov— Cand. Sci. (Med.), Assistant Professor, Department of Traumatology, Orthopaedics and Disaster Surgery, Sechenov First MSMU; Orthopaediс Surgeon, Botkin MCH.

Moscow

amuzychenkov@inbox.ruФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет) Минздрава России; ГБУЗ ММНКЦ Боткинская больница ДЗМ г. МосквыРоссияDepartment of Traumatology, Orthopaedics and Disaster Surgery, Sechenov First Moscow State Medical University; Orthopaediс Surgeon, Botkin Moscow City Hospital; Orthopaediс Surgeon, Botkin Moscow City HospitalRussian FederationГБУЗ ММНКЦ Боткинская больница ДЗМ г. МосквыРоссияOrthopaediс Surgeon, Botkin Moscow City HospitalRussian FederationФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет) Минздрава РоссииРоссияDepartment of Traumatology, Orthopaedics and Disaster Surgery, Sechenov First Moscow State Medical University; Orthopaediс Surgeon, Botkin Moscow City HospitalRussian Federation202413032026038281Copyright © Мурылев В.Ю., Елизаров П.М., Куковенко Г.А., Музыченков А.В., Алексеев С.С., Руднев А.И., Елизаров М.П., Яковлев К.Г., Бобров Д.С., 20262026Мурылев В.Ю., Елизаров П.М., Куковенко Г.А., Музыченков А.В., Алексеев С.С., Руднев А.И., Елизаров М.П., Яковлев К.Г., Бобров Д.С.Murilev V.Y., Elizarov P.M., Kukovenko G.A., Muzichenkov A.V., Alekseev S.S., Rudnev A.I., Elizarov M.P., Yakovlev K.G., Bobrov D.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.jkto.moscow/jour/article/view/79

Несoмненно, что тoтальнoе эндoпротезирование тазобедреннoгo сустава является эффективным метoдом лечения крайних стадий коксартроза, однако, рост первичных эндопротезирований, неизбежно, приводит к увеличению количества ревизионных вмешательств на тазобедренном суставе. Достаточно часто хирургу, в ходе ревизионной операции, приходится сталкиваться с большим костным дефектом впадины, диссоциацией костей таза, дефицитом ее стенок и ситуациями, когда имплантация серийных компонентов невозможна. На выручку приходят аддитивные технологии с использованием персонифицированных 3Д имплантов. Целью работы явилось уточнение роли 3Д имплантов в современной артропластике тазобедренного сустава, когда применение стандартных «промышленных» компонентов невозможно. В обзор литературы вошел проведенный поиск по доступным базам данных с анализом 54 актуальных статей, касающихся реконструкции дефектов вертлужной впадины, при этом 32 публикации охватывают период за последние 5 лет. На основании проведенного литературного анализа делается вывод о том, что именно нестандартные, сложные случаи повторного эндопротезирования являются показанием к использованию 3Д персонифицированных конструкций, указываются преимущества методики. В настоящее время данное направление в реконструктивной ортопедии тазобедренного сустава является перспективным. Данные аддитивные технологии, становятся последней хирургической возможностью, когда другие методы хирургического лечения исчерпаны.

There is no doubt that total hip replacement is an effective method for treating stage 3 coxarthrosis, however, the increase in primary endoprosthetics inevitably, sooner or later, leads to an increase in revision interventions on the hip joint. Quite often, during a revision operation, a surgeon has to deal with a large bone defect in the acetabulum, dissociation of the pelvic bones, a deficiency of its walls and situations when implantation of serial components is impossible. Additive technologies using personalized 3D implants come to the rescue. The aim of the work was to clarify the role of 3D implants in modern hip arthroplasty, when the use of standard "industrial" components is impossible. The literature review included a search of available databases with an analysis of 54 relevant articles related to the reconstruction of acetabulum defects, while 32 publications cover the period over the past 5 years. Based on the literature analysis, it is concluded that non-standard, complex cases of repeated endoprosthetics are an indication for the use of 3D personalized structures, and the advantages of the technique are indicated. At present, this direction in reconstructive orthopedics of the hip joint is a promising direction. These additive technologies may become the last surgical option when the possibilities of other surgical treatment methods are exhausted.

Тотальное эндопротезирование тазобедренного суставаревизионное эндопротезированиеперсонифицированные имплантыиндивидуальная печатьзамещение дефектов костиаугменты вертлужной впадиныTotal hip replacementrevision hip replacement3D implantscustom printingbone defect replacementacetabular augmentsИсследование не имело спонсорской поддержкиthe study had no sponsorshipReferencesBozic K.J., Kamath A.F., Ong K., Lau E., Kurtz S., Chan V. et al. Comparative Epidemiology of Revision Arthroplasty: Failed THA Poses Greater Clinical and Economic Burdens Than Failed TKA. Clin Orthop Relat Res. 2015;473(6):2131-2138. doi: 10.1007/s11999-014-4078-8.Bozic K.J., Kamath A.F., Ong K., Lau E., Kurtz S., Chan V. et al. Comparative Epidemiology of Revision Arthroplasty: Failed THA Poses Greater Clinical and Economic Burdens Than Failed TKA. Clin Orthop Relat Res. 2015;473(6):2131-2138. doi: 10.1007/s11999-014-4078-8.Shichman I, Roof M, Askew N, Nherera L, Rozell JC, Seyler TM, Schwarzkopf R. 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The authors declare that there are no conflicts of interest present.