jktoКафедра травматологии и ортопедииDepartment of Traumatology and Orthopaedics2226-2016ПРОФИЛЬ — 2С10.17238/2226-2016-2023-3-38-45jkto-99Research ArticleОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕORIGINAL RESEARCHПрименение аддитивных технологий при эндопротезировании плечевого суставаEndoprosthetics of the shoulder joint using additive technologiesКалинскийЕ. Б.KalinskyE. B.

Калинский Евгений Борисович – кандидат медицинских наук, доцент кафедры травматологии, ортопедии и хирургии катастроф

119991, Москва

Eugene B. Kalinsky – Candidate of Medical Sciences, associate professor at Department of traumatology, orthopedics and disaster surgery

119991, Moscow

kalinskiy_e_b@staff.sechenov.ruБайрамкуловА. М.BairamkulovA. M.

Байрамкулов Анзор Муратович – студент

119991, Москва

Anzor M. Bairamkulov – student

119991, Moscow

anzor.bay.00@mail.ruТычинаЕ. П.TychinaY. P.

Тычина Екатерина Павловна – студент

119991, Москва

Yekaterina P. Tychina – student

119991, Moscow

ekaterinn.ty@gmail.comЛычагинА. В.LychaginA. V.

Алексей Владимирович Лычагин – доктор медицинских наук, профессор, заведующий кафедрой травматологии, ортопедии и хирургии катастроф

119991, Москва

Alexey V. Lychagin – Doctor of Medical Sciences, Professor, Head of the Department of traumatology, orthopedics and disaster surgery

119991, Moscow

lychagin_a_v@staff.sechenov.ruПетровП. И.PetrovP. I.

Павел Игоревич Петров – кандидат медицинских наук, ассистент кафедры травматологии, ортопедии и хирургии катастроф

119991, Москва

Pavel I. Petrov – Candidate of Medical Sciences, assistant professor at Department of traumatology, orthopedics and disaster surgery

119991, Moscow

ЛипинаМ. М.LipinaM. M.

Марина Михайловна Липина – кандидат медицинских наук, доцент кафедры травматологии, ортопедии и хирургии катастроф

119991, Москва

Marina M. Lipina – Candidate of Medical Sciences, associate professor at Department of traumatology, orthopedics and disaster surgery

119991, Moscow

lipina_m_m@staff.sehenov.ruКавалерскийГ. М.KavalerskyG. M.

Геннадий Михайлович Кавалерский – доктор медицинских наук, профессор кафедры травматологии, ортопедии и хирургии катастроф

119991, Москва

Gennadiy M. Kavalersky – Doctor of Medical Sciences, Professor of the Department of traumatology, orthopedics and disaster surgery

119991, Moscow

ТельпуховВ. И.Tel'pukhovV. I.

Владимир Иванович Тельпухов – доктор медицинских наук, професcор, профессор кафедры оперативной хирургии и топографической анатомии

119991, Москва

Vladimir I. Telpukhov – Doctor of Medical Sciences, professor, at the Department of Operative Surgery and Topographic Anatomy

119991, Moscow

telpukhov_v_i@staff.sechenov.ruЦелищеваЕ. Ю.TselishevaE. Y.

Евгения Юрьевна Целищева – кандидат медицинских наук, доцент кафедры травматологии, ортопедии и хирургии катастроф

119991, Москва

Evgeniya Y. Tselisheva – Candidate of Medical Sciences, associate professor at Department of traumatology, orthopedics and disaster surgery

119991, Moscow

РукинЯ. А.RukinY. A.

Ярослав Алекссевич Рукин – кандидат медицинских наук, доцент кафедры травматологии, ортопедии и хирургии катастроф

119991, Москва

Yaroslav A. Rukin – Candidate of Medical Sciences, associate professor at Department of traumatology, orthopedics and disaster surgery

119991, Moscow

ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет)РоссияFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)Russian Federation202314032026033845Copyright © Калинский Е.Б., Байрамкулов А.М., Тычина Е.П., Лычагин А.В., Петров П.И., Липина М.М., Кавалерский Г.М., Тельпухов В.И., Целищева Е.Ю., Рукин Я.А., 20262026Калинский Е.Б., Байрамкулов А.М., Тычина Е.П., Лычагин А.В., Петров П.И., Липина М.М., Кавалерский Г.М., Тельпухов В.И., Целищева Е.Ю., Рукин Я.А.Kalinsky E.B., Bairamkulov A.M., Tychina Y.P., Lychagin A.V., Petrov P.I., Lipina M.M., Kavalersky G.M., Tel'pukhov V.I., Tselisheva E.Y., Rukin Y.A.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/99Введение

Введение. Аддитивные технологии заслуженно приобрели широкую популярность в медицине, биомоделирование демонстрирует высокую эффективность в ортопедии, расширяя возможности хирурга.

Цель

Цель. Улучшить результаты лечения пациентов со сложными деформациями плечевого сустава путем применения аддитивных технологий при эндопротезировании плечевого сустава.

Материалы и методы

Материалы и методы. В настоящем исследовании представлен клинический случай пациента М. 54 лет с диагнозом «деформирующий остеоартрит плечевого сустава III ст.». Пациенту по показаниям было выполнено эндопротезирование плечевого сустава с использованием аддитивных технологий: разработан и изготовлен имплант индивидуального дизайна из титана с остеоиндуктивной поверхностью и винтами с предустановленным направлением. Период наблюдения составил 12 месяцев; до операции и на контрольных осмотрах через 3, 6 и 12 месяцев производили опрос, физикальный осмотр, исследование объема движений, объективную оценку состояния пациента с помощью опросников VAS, SF-36 и UCLA.

Результаты

Результаты. Применение персонифицированного подхода и аддитивных технологий позволило восстановить функцию плечевого сустава и существенно улучшить качество жизни пациента. По всем опросникам получены достоверно значимые улучшения (р<0,05), также отмечается восстановление объема движений плечевого сустава и тонуса дельтовидной мышцы.

Заключение

Заключение. Результаты, полученные при применении аддитивных технологий у данного пациента, демонстрируют отличные результаты по всем исследуемым показателям, чего не всегда позволяет добиться рутинное эндопротезирование плечевого сустава у пациентов со сложными деформациями. Данное исследование доказывает эффективность современного персонифицированного подхода и помогает улучшить результаты лечения пациентов ортопедического профиля.

Introduction

Introduction. Additive technologies have gained widespread popularity in the medical field, particularly in orthopedics where biomodelling has proven to be highly effective in expanding the capabilities of surgeons.

Purpose of the study

Purpose of the study. Improving the results of treatment for patients with complex deformities of the shoulder joint through the use of additive technologies in shoulder endoprosthetics.

Materials and methods

Materials and methods. Our study presents a clinical case of a 54-year-old patient, M, diagnosed with stage III shoulder deforming osteoarthritis. The patient underwent shoulder joint endoprosthetics using additive technologies. A custom-designed titanium implant with an osteoinductive surface and pre-set directional screws was developed and manufactured. The observation period was 12 months. Before the surgery and during follow-up examinations at 3, 6, and 12 months, interviews, physical examinations, range of motion measurements, and objective assessments of the patient's condition using the VAS, SF-36, and UCLA questionnaires were conducted.

Results

Results. The application of a personalized approach and additive technologies allowed for the restoration of shoulder joint function and a significant improvement in the patient's quality of life. Significant improvements were obtained according to all questionnaires (p<0.05), and restoration of shoulder joint range of motion and deltoid muscle tone were also noted.

Conclusion

Conclusion. The results obtained in the application of additive technologies in this patient demonstrate excellent results in all studied indicators, which are not always achievable with routine endoprosthesis of the shoulder joint in patients with complex deformities. This study proves the effectiveness of a modern personalized approach and helps improve the treatment outcomes for patients of orthopedic profile.

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