mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2023-6-79-83mrj-1507Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL INVESTIGATIONSТенденции в эндопротезировании крупных суставов у пациентов с ревматическими заболеваниями: опыт специализированного травматолого-ортопедического отделенияTrends in large joint total arthroplasty in patients with rheumatic diseases: an experience of a specialized department of traumatology and orthopedicshttps://orcid.org/0000-0002-3470-9726КушнареваИ. Г.KushnarevaI. G.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoye Shosse, Moscow, 115522

dr.kushnareva@yandex.ruhttps://orcid.org/0000-0002-5626-7404МакаровМ. А.MakarovM. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoye Shosse, Moscow, 115522

https://orcid.org/0000-0002-1391-0711КаратеевА. Е.KarateevA. E.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoye Shosse, Moscow, 115522

https://orcid.org/0009-0009-5068-3536ГореловаА. И.GorelovaA. I.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoye Shosse, Moscow, 115522

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation2023191220231767983Copyright © Кушнарева И.Г., Макаров М.А., Каратеев А.Е., Горелова А.И., 20232023Кушнарева И.Г., Макаров М.А., Каратеев А.Е., Горелова А.И.Kushnareva I.G., Makarov M.A., Karateev A.E., Gorelova A.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/1507

Тотальное эндопротезирование (ТЭ) коленного сустава (КС) и тазобедренного (ТБС) суставов широко используется при их тяжелых структурных изменениях у больных остеоартритом (ОА) и ревматоидным артритом (РА).

Цель исследования – оценить динамику числа ТЭ КС и ТБС у пациентов с ОА и РА, находившихся на стационарном лечении в травматолого-ортопедическом отделении ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой» (НИИР им. В.А. Насоновой).

Материал и методы

Материал и методы. Проведен анализ хирургической активности травматолого-ортопедического отделения НИИР им. В.А. Насоновой за 11 лет (2012–2022 гг.).

Результаты и обсуждение

Результаты и обсуждение. За указанный период было выполнено 2955 ТЭ КС и ТБС у 1590 – больных ОА и 1365 – РА. С 2012 г. по 2018 г. число операций, проведенных пациентам с ОА и РА, было примерно одинаковым, однако с 2019 г. отмечается значительный рост числа ТЭ при ОА. Медиана дельты (Δ) числа выполнявшихся ежегодно ТЭ КС и ТБС за 11 лет у больных ОА составила 13,5 [-17,5; 75,7], у больных РА – 2,5 [-10,25; 25,0], p=0,032.

Заключение

Заключение. За последние 11 лет не отмечено существенной динамики числа ТЭ КС и ТБС у больных РА. В то же время число ТЭ у больных ОА статистически значимо увеличивается, что соответствует общемировой тенденции.

Total knee and hip arthroplasty (TKA and THA respectively) is frequently used in severe structural changes in patients with osteoarthritis (OA) and rheumatoid arthritis (RA).

Objective

Objective: to evaluate the dynamics of the number of TKA of THA in patients with OA and RA treated in the Department of Traumatology and Orthopedics of V.A. Nasonova Research Institute of Rheumatology.

Material and methods

Material and methods. The analysis of 11-year period (from 2012 to 2022) of surgical activity of the Department of Traumatology and Orthopedics of V.A. Nasonova Research Institute of Rheumatology.

Results and discussion

Results and discussion. Within the mentioned period, 2955 TKA and THA were performed in 1590 patients with OA and 1365 with RA. From 2012 to 2018, the number of surgeries in patients with OA and RA was approximately the same, but since 2019 there has been a significant increase in the number of total arthroplasties (TA) in OA. The median delta (Δ) of the number of TKA and THA performed annually over 11 years was 13.5 [-17.5; 75.7] in patients with OA and 2.5 [-10.25; 25.0] in patients with RA (p=0.032).

Conclusion

Conclusion. In the last 11 years there was no significant dynamics in the number of TKA and THA in patients with RA. At the same time, there is a statistically significant increase in the number of TA in patients with OA, which is in line with the global trend.

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