N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and Orthopedics0869-86782658-6738Eco-Vector10514410.17816/vto105144Research ArticleCertain problems of total joint replacementShaposhnikovYu. G.info@eco-vector.comPriorov Central Institute of Traumatology and Orthopedics1512199414351903202219032022Copyright © 2022, Eco-Vector2022<p>On the basis of the analysis of home and foreign experience, the author discusses the certain most actual problems of total joint replacement and the ways of their solution, i.e. search of new sufficiently strong and, in the same time, biologically inert materials for the production of joint implants; modification of the implant components surface in order to ensure their maximum biological compatibility and optimum conditions for the bone tissue ingrowth; improvement of the tribologic characteristics of the friction couple in the mobility unit; elaboration of bone cement. High social and economic significance of joint replacement is emphasized.</p>joint endoprostheticscurrent problemsbiological inertnessbone tissuetribological characteristicsbone cementэндопротезирование суставовактуальные проблемыбиологическая инертностькостная тканьтрибологические характеристикикостный цемент