N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and OrthopedicsВестник травматологии и ортопедии им. Н.Н. Приорова0869-86782658-6738Eco-Vector17099610.17816/vto170996Original study articlesОригинальные исследованияResearch ArticleEarly results of revision acetabular endoprosthetics using individual designsРанние результаты ревизионного эндопротезирования вертлужной впадины с применением индивидуальных конструкцийhttps://orcid.org/0000-0002-6909-6624AleksanyanHovakim A.АлексанянОваким Аргамович
Russian Federation

MD, Cand. Sci. (Med.), Traumatologist-Ortopedist

к.м.н., врач травматолог-ортопед

hovakim1992@mail.ruhttps://orcid.org/0000-0001-6457-31565580-8152ChragyanHamlet A.ЧрагянГамлет Ашотович
Russian Federation

MD, Cand. Sci. (Med.), Traumatologist-Ortopedist

к.м.н., врач травматолог-ортопед

chragyan@gmail.comhttps://orcid.org/0000-0002-8434-19154670-7747KagramanovSergey V.КаграмановСергей Владимирович
Russian Federation

MD, Dr. Sci. (Med.), Traumatologist-Ortopedist

д.м.н., врач травматолог-ортопед

Kagramanov2001@mail.ruhttps://orcid.org/0000-0002-6689-8947IvanovArtem V.ИвановАртем Владимирович
Russian Federation

MD, Traumatologist-Ortopedist

врач травматолог-ортопед

dr.tomson@inbox.ruhttps://orcid.org/0000-0002-5479-3208UkolovKonstantin Yu.УколовКонстантин Юревич
Russian Federation

MD, Traumatologist-Ortopedist

к.м.н., врач анестезиолог-реаниматолог

ukolov_doc@mail.ruhttps://orcid.org/0000-0002-2078-5410PolevoyEgor V.ПолевойЕгор Викторович
Russian Federation

MD, Cand. Sci. (Med.), Anesthesiologist

врач травматолог-ортопед

poleegor@yandex.ruNational Medical Research Center for Traumatology and Orthopedics named after N.N. PriorovНациональный медицинский исследовательский центр травматологии и ортопедии имени Н.Н. ПриороваMEDSI Clinical Hospital in Botkinsky proezdКлиническая больница МЕДСИ в Боткинском проезде151220222943553650102202327022023Copyright ©; 2022, Eco-VectorCopyright ©; 2022, Эко-Вектор2022Eco-VectorЭко-Векторhttps://journals.eco-vector.com/0869-8678/article/view/170996

BACKGROUND: 3D-printed implants are one of the options for acetabulum reconstruction. The popularity of this technique is increasing every year.

AIM: To evaluate the early clinical, radiological and functional results of revision arthroplasty using individual acetabular components in patients with acetabulum bone defects.

MATERIALS AND METHODS: Revision endoprosthetics was performed in 50 patients. There were 36 female and 14 male patients. The patients’ mean age was 60.4±13.4 (23–89) years. According to the Paprosky classification, the defects in 1 case corresponded to type IIC, in 12 cases to type IIIA, in 37 cases to type IIIB, including 8 cases with violation of the acetabulum integrity. Hip joint function was assessed using the Harris Hip Score (HHS), pain severity using the Visual Analogue Scale (VAS), and social adjustment using the Western Ontario and McMaster Universities Arthritis Index (WOMAC).

RESULTS: Significant improvement was obtained on all assessment scales. The HHS score improved on average from 33.6 to 87.1 points, the VAS scale from 78.1 to 4.7 points, and the WOMAC from 75.8 to 11.6 points. There were 8 cases (21%) with complications in total. In one case with a violation of the acetabulum integrity we observed migration of the sciatic bone from the lower flange of the construct.

CONCLUSION: Thus, the results of the acetabulum reconstruction using individually fabricated acetabular components are promising.

Введение. Одним из вариантов реконструкции вертлужной впадины являются имплантаты, созданные методом 3D-печати. Популярность данной методики с каждым годом растёт.

Цель. Оценить ранние клинико-рентгенологические и функциональные результаты ревизионного эндопротезирования с применением индивидуальных вертлужных компонентов у пациентов с костными дефектами вертлужной впадины.

Материалы и методы. Ревизионное эндопротезирование выполнено 50 пациентам. Среди них было 36 женщин и 14 мужчин в возрасте 23–89 лет. Средний возраст пациентов составил 60,4±13,4 года. По классификации Paprosky дефекты в 1 случае соответствовали типу IIС, в 12 — типу IIIA, в 37 — типу IIIB, в том числе 8 случаев с нарушением целостности вертлужной впадины. Функцию тазобедренного сустава оценивали по шкале Harris Hip Score (HHS), выраженность болевого синдрома — по визуально-аналоговой шкале (ВАШ), а социальную адаптацию — по Western Ontario and McMaster Universities Arthritis Index (WOMAC).

Результаты. Значительное улучшение получено по всем оценочным шкалам. Значение по шкале HHS в среднем улучшилось с 33,6 до 87,1 балла, по шкале ВАШ — с 78,1 до 4,7 балла, WOMAC — с 75,8 до 11,6 балла. Общее количество осложнений составило 8 случаев (21%). В одном случае с нарушением целостности вертлужной впадины наблюдалась миграция седалищной кости от нижнего фланца конструкции.

Заключение. Результаты реконструкции вертлужной впадины с использованием индивидуально изготовленных вертлужных компонентов являются перспективными.

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