mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2025-2-102-106mrj-1747Research ArticleОБЗОРЫREVIEWSТехнические особенности и современные тенденции эндопротезирования тазобедренного сустава у пациентов с анкилозирующим спондилитомTechnical features and current trends of hip arthroplasty in patients with ankylosing spondylitisПолевойИ. В.PolevoyI. V.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0003-4927-4291РоскидайлоА. А.RoskidayloA. A.

Анастасия Александровна Роскидайло

115522, Москва, Каширское шоссе, 34А

Anastasia Aleksandrovna Roskidailo

34A, Kashirskoe Shosse, Moscow 115522

roskidailo@mail.ruhttps://orcid.org/0000-0002-6068-3080ЛилаА. М.LilaA. M.

115522, Москва, Каширское шоссе, 34А

125993, Москва, ул. Баррикадная, 2/1, стр. 1

34A, Kashirskoe Shosse, Moscow 115522

2/1, Barrikadnaya Street, Build. 1, Moscow 125993

https://orcid.org/0000-0002-5626-7404МакаровМ. А.MakarovM. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaRussian Federation202522042025192102106Copyright © Полевой И.В., Роскидайло А.А., Лила А.М., Макаров М.А., 20252025Полевой И.В., Роскидайло А.А., Лила А.М., Макаров М.А.Polevoy I.V., Roskidaylo A.A., Lila A.M., Makarov M.A.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/1747

Одно из клинических проявлений анкилозирующего спондилита (АС) – коксит. Он считается неблагоприятным прогностическим фактором и играет ключевую роль в инвалидизации пациентов. При прогрессировании заболевания показано эндопротезирование тазобедренного сустава (ТБС), которое помогает улучшить функциональный статус и качество жизни, что подтверждается как краткосрочными, так и долгосрочными наблюдениями. Однако ряд вопросов, связанных с эндопротезированием ТБС, продолжает обсуждаться: анестезиологическое пособие, выбор доступа, позиционирование вертлужного компонента в условиях анкилозирования, целесообразность выполнения тенотомии при неустраненной контрактуре бедра, возможность одномоментного проведения операции с двух сторон, очередность вмешательств при коррекции анкилоза позвоночника у пациентов с АС, что диктует необходимость дальнейшего изучения данной проблемы.

Coxitis is one of the clinical manifestations of ankylosing spondylitis (AS). It is considered an unfavorable prognostic factor and plays a key role in patients' disability. As the disease progresses, total hip arthroplasty (THA) is indicated. It helps to improve functional status and quality of life, as confirmed by both short-term and long-term observations. However, there are still a number of issues related to THA that are being discussed: types of anesthesia care, choice of surgical access, positioning of acetabular component in ankylosis, the feasibility of tenotomy in unresolved hip contracture, the possibility of simultaneous surgery on both sides, the sequence of interventions in spinal ankylosis resolution in patients with AS. All these supports the need for further study of this problem.

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