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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">jkto</journal-id><journal-title-group><journal-title xml:lang="ru">Кафедра травматологии и ортопедии</journal-title><trans-title-group xml:lang="en"><trans-title>Department of Traumatology and Orthopaedics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2226-2016</issn><publisher><publisher-name>ПРОФИЛЬ — 2С</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17238/2226-2016-2024-4-59-67</article-id><article-id custom-type="elpub" pub-id-type="custom">jkto-96</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group></article-categories><title-group><article-title>ПРЕДОПЕРАЦИОННОЕ ПЛАНИРОВАНИЕ ЭНДОПРОТЕЗИРОВАНИЯ ТАЗОБЕДРЕННОГО СУСТАВА С УЧЁТОМ ОСОБЕННОСТЕЙ СТРОЕНИЯ ПОЯСНИЧНО-ТАЗОВОГО КОМПЛЕКСА</article-title><trans-title-group xml:lang="en"><trans-title>PREOPERATIVE PLANNING FOR HIP ARTHROPLASTY CONSIDERING THE STRUCTURAL FEATURES OF THE SPINOPELVIC COMPLEX</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8026-5919</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Козлова</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozllova</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Козлова Юлия Андреевна – к.м.н., доцент кафедры хирургии</p><p>125993, Москва;</p><p>Зав. рентгеновским отделением</p><p>125284, Москва</p></bio><bio xml:lang="en"><p>Yulia A. Kozllova - Cand. Sci. (Med.), Assistant Professor of Surgery</p><p>Moscow;</p><p>Head of X-ray diagnostic Department</p><p>2nd Botkinsky pr-d, 5, 125284 Moscow</p></bio><email xlink:type="simple">uakozlova@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7829-0031</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павлив</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavliv</surname><given-names>M. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Павлив Мария Павловна – врач-ординатор рентгенолог</p></bio><bio xml:lang="en"><p>Maria P. Pavliv - The resident radiologist</p><p>2nd Botkinsky pr-d, 5, 125284 Moscow</p></bio><email xlink:type="simple">marya.pavliv@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5753-8926</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мурылев</surname><given-names>В. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Murylev</surname><given-names>V. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мурылев Валерий Юрьевич – д.м.н., профессор, профессор кафедры травматологии, ортопедии и хирургии катастроф</p><p>119991, Москва;</p><p>заведующий Московским городским центром эндопротезирования костей и суставов</p><p>125284, Москва</p></bio><bio xml:lang="en"><p>Valery  Yu.  Murylev — Dr. Sci (Med.), Professor, Department of Traumatology, Orthopaedic and Disaster Surgery</p><p>St.Trubetskaya, 8/2, 119991 Moscow;</p><p>Head of Moscow City Arthroplasty Centre, Botkin Moscow City Hospita</p><p>2nd Botkinsky pr-d, 5, 125284 Moscow</p></bio><email xlink:type="simple">nmuril@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0217-2434</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Елизаров</surname><given-names>П. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Elizarov</surname><given-names>P. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елизаров Павел Михайлович – к.м.н., доцент, доцент кафедры травматологии, ортопедии и хирургии катастроф</p><p>119991, Москва;</p><p>врач-травматолог-ортопед</p><p>125284, Москва</p></bio><bio xml:lang="en"><p>Pavel M. Elizarov — Cand. Sci. (Med.), Assistant Professor, Department of Traumatology, Orthopaedics and Disaster Surgery</p><p>St.Trubetskaya, 8/2, 119991 Moscow;</p><p>Orthopaediс Surgeon</p><p>2nd Botkinsky pr-d, 5, 125284 Moscow</p></bio><email xlink:type="simple">elizarov_07@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6700-0222</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куковенко</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kukovenko</surname><given-names>G. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Куковенко Григорий Андреевич – к.м.н., доцент кафедры безопасности жизнедеятельности и медицины катастроф</p><p>119991, Москва;</p><p>врач-травматолог-ортопед</p><p>125284, Москва</p></bio><bio xml:lang="en"><p>Grigory A. Kukovenko — Cand. Sci. (Med.), Assistant Professor, Department of Life Safety and Disaster Medicine</p><p>St.Trubetskaya, 8/2, 119991 Moscow;</p><p>Orthopaediс  Surgeon</p><p>2nd Botkinsky pr-d, 5, 125284 Moscow</p></bio><email xlink:type="simple">gkukovenko@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3933-672X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Музыченков</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Muzychenkov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Музыченков Алексей Владимирович – к.м.н., ассистент кафедры травматологии, ортопедии и хирургии катастроф</p><p>119991, Москва;</p><p>врач-травматолог-ортопед</p><p>125284, Москва</p></bio><bio xml:lang="en"><p>Aleksey V. Muzychenkov — Cand. Sci. (Med.), Assistant Department of Traumatology, Orthopaedics and Disaster Surgery</p><p>St.Trubetskaya, 8/2, 119991 Moscow;</p><p>Orthopaediс Surgeon</p><p>2nd Botkinsky pr-d, 5, 125284 Moscow</p></bio><email xlink:type="simple">amuzychenkov@inbox.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7599-7472</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеев</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseev</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексеев Семен Сергеевич – к.м.н., врач-травматолог-ортопед</p><p>125284, Москва</p></bio><bio xml:lang="en"><p>Semen S. Alekseev — Orthopaediс Surgeon</p><p>2nd Botkinsky pr-d, 5, 125284 Moscow</p></bio><email xlink:type="simple">semen.alekseev.92@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4490-2922</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Руднев</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Rudnev</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Руднев Александр Игоревич – ассистент кафедры безопасности жизнедеятельности и медицины катастроф</p><p>119991, Москва;</p><p>врач-травматолог-ортопед</p><p>125284, Москва</p></bio><bio xml:lang="en"><p>Aleksander I. Rudnev - Assistant Professor, Department of Life Safety and Disaster Medicine</p><p>St.Trubetskaya, 8/2, 119991 Moscow;</p><p>Orthopaediс  Surgeon,</p><p>2nd Botkinsky pr-d, 5, 125284 Moscow</p></bio><email xlink:type="simple">ruda310895@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3293-0918</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Голубкин</surname><given-names>Д. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Golubkin</surname><given-names>D. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Голубкин Дмитрий Олегович – студент</p><p>119991, Москва</p></bio><bio xml:lang="en"><p>Dmitriy O. Golubkin — student</p><p>St.Trubetskaya, 8/2, 119991 Moscow</p></bio><email xlink:type="simple">dima.golubkin02@yandex.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБОУ ДПО РМАНПО Минздрава России;&#13;
ММНКЦ имени С.П. Боткина</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education;&#13;
GBUZ City Clinical Hospital. S.P. Botkin of the Moscow Department of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ММНКЦ имени С.П. Боткина</institution><country>Россия</country></aff><aff xml:lang="en"><institution>GBUZ City Clinical Hospital. S.P. Botkin of the Moscow Department of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет);&#13;
ММНКЦ имени С.П. Боткина</institution><country>Россия</country></aff><aff xml:lang="en"><institution>First Moscow State Medical University named after I.M. Sechenov (Sechenov University), Ministry of Health of Russia;&#13;
GBUZ City Clinical Hospital. S.P. Botkin of the Moscow Department of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>First Moscow State Medical University named after I.M. Sechenov (Sechenov University), Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>14</day><month>03</month><year>2026</year></pub-date><volume>0</volume><issue>4</issue><fpage>59</fpage><lpage>67</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Козлова Ю.А., Павлив М.П., Мурылев В.Ю., Елизаров П.М., Куковенко Г.А., Музыченков А.В., Алексеев С.С., Руднев А.И., Голубкин Д.О., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Козлова Ю.А., Павлив М.П., Мурылев В.Ю., Елизаров П.М., Куковенко Г.А., Музыченков А.В., Алексеев С.С., Руднев А.И., Голубкин Д.О.</copyright-holder><copyright-holder xml:lang="en">Kozllova Y.A., Pavliv M.P., Murylev V.Y., Elizarov P.M., Kukovenko G.A., Muzychenkov A.V., Alekseev S.S., Rudnev A.I., Golubkin D.O.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.jkto.moscow/jour/article/view/96">https://www.jkto.moscow/jour/article/view/96</self-uri><abstract><p>Тотальное эндопротезирование тазобедренного сустава является клинически одной из самых успешных операций, частота которой постоянно увеличивается вследствие роста заболеваемости первичным коксартрозом [1,2]. Считается, что около 5% вмешательств осложняются нестабильностью и вывихами, несмотря на расположение бедренного компонента эндопротеза в "безопасной зоне" [15-18]. При таком позиционировании протеза наиболее часто осложнения встречаются у пациентов с ригидным позвоночником [<xref ref-type="bibr" rid="cit37">37</xref>]. Дооперационное обследование с обязательным проведением рентгенографии поясничного отдела позвоночника и тазобедренного сустава в боковой проекции в положении стоя и сидя с оценкой наклона крестца, наклона таза, постоянного угла таза, поясничного лордоза и других параметров пояснично-тазового комплекса позволяет более точно планировать расположение эндопротеза и снизить риск вывиха [13, 19]. Ригидность позвоночника может быть повышена у пациентов старше 65 лет, при болезни Бехтерева или предшествующем спондилодезе. В таком случае рекомендуется увеличение угла инклинации и антеверсии при позиционировании вертлужного компонента эндопротеза для компенсации уменьшенного наклона таза кзади в положении сидя [<xref ref-type="bibr" rid="cit46">46</xref>]. В данном обзоре мы приводим различные классификации деформаций пояснично-тазового комплекса и рекомендации по позиционированию вертлужного компонента при тотальном эндопротезировании тазобедренного сустава. Более персонализированный подход может снизить риск нестабильности протеза и количество ревизионных операций [<xref ref-type="bibr" rid="cit55">55</xref>].</p></abstract><trans-abstract xml:lang="en"><p>Total hip arthroplasty (THA) is clinically one of the most successful surgeries, with its frequency steadily increasing due to the growing incidence of primary coxarthrosis [1,2]. It is estimated that around 5% of these procedures are complicated by instability and dislocations, despite the positioning of the prosthetic head within the "safe zone" [15-18]. With this prosthesis positioning, complications are most commonly found in patients with a rigid spine [<xref ref-type="bibr" rid="cit37">37</xref>]. Preoperative assessment, including radiography of the lumbar spine and hip joint in lateral view in standing and sitting positions, with evaluation of sacral slope, pelvic tilt, pelvic incidence, lumbar lordosis, and other parameters of the spinopelvic complex, allows for more precise planning of prosthesis positioning and reduces the risk of dislocation [13, 19]. Spinal stiffness may be increased in patients over 65 years old, in cases of ankylosing spondylitis, or following prior spinal fusion. In such cases, it is recommended to increase cup inclination and anteversion to compensate for the reduced posterior pelvic tilt in the sitting position [<xref ref-type="bibr" rid="cit46">46</xref>]. In this review, we present various classifications of spinopelvic complex deformities and recommendations for cup positioning in total hip arthroplasty. A more personalized approach can reduce the risk of prosthetic instability and the number of revision surgeries [<xref ref-type="bibr" rid="cit55">55</xref>].</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Тотальное эндопротезирование тазобедренного сустава</kwd><kwd>Пояснично-тазовый комплекс</kwd><kwd>Анкилозирующий спондилоартрит</kwd><kwd>Спондилодез</kwd><kwd>Ригидность поясничного отдела позвоночника</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Total hip arthroplasty</kwd><kwd>Lumbopelvic complex</kwd><kwd>Ankylosing spondylitis</kwd><kwd>Spinal fusion</kwd><kwd>Lumbar spine stiffness</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Куковенко Г.А., Елизаров П.М., алексеев С.С., Сорокина Г.Л., Иваненко Л.Р., Ерохин В.Е., Музыченков А.В., Мурылев В.Ю. Важность выполнения алгоритма диагностики поздней глубокой перипротезной инфекции тазобедренного сустава. 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