Преимущества субвастусного доступа при первичном эндопротезировании коленного сустава
https://doi.org/10.25789/YMJ.2025.92.13
Аннотация
Систематический обзор оценивает эффективность субвастусного доступа (СВД) при первичном тотальном эндопротезировании коленного сустава по сравнению с медиальным парапателлярным доступом (МПД). Анализ включает 15 исследований с выборкой более 10 тыс. пациентов. СВД показал значимые преимущества в раннем послеоперационном периоде: снижение болевого синдрома, ускоренное восстановление функции разгибания, улучшенная амплитуда движений и более высокие функциональные показатели. Отмечено уменьшение интраоперационной кровопотери, однако продолжительность операции может увеличиваться. В отдаленном периоде различия между методами нивелируются. СВД демонстрирует сопоставимую с МПД безопасность без увеличения риска осложнений. В сочетании с протоколами ускоренной реабилитации данный метод способствует ранней мобилизации и сокращению сроков госпитализации.
Ключевые слова
Об авторах
А. Д. Аль-Мамури
РУДН
Россия
Россия
Аль-Мамури Ахмед Джавад – врач-травматолог, аспирант РУДН.
125009, Москва, Брюсов пер., д. 21
И. А. Редько
ФГБУ «Клиническая больница №1» (Волынская) Управления делами Президента РФ; РУДН
Россия
Россия
Редько Игорь Александрович – д.м.н., зав. отд. ФГБУ «Клиническая больница №1» (Волынская) Управления делами Президента РФ; проф. РУДН.
125009, Москва, Брюсов пер., д. 21
Б. С. Домбаанай
ГБУ «НИИОЗММ ДЗМ»
Россия
Россия
Домбаанай Байыр Сергеевич – к.м.н., аналитик ГБУ «НИИОЗММ ДЗМ».
115088, Москва, ул. Шарикоподшипниковская д. 9
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Рецензия
Для цитирования:
Аль-Мамури А.Д., Редько И.А., Домбаанай Б.С. Преимущества субвастусного доступа при первичном эндопротезировании коленного сустава. Якутский медицинский журнал. 2025;(4):64-69. https://doi.org/10.25789/YMJ.2025.92.13
For citation:
Al-Mamuri A.J., Redko I.A., Dombaanai B.S. Advantages of the subvastus approach in primary knee arthroplasty: a systematic literature review. Yakut Medical Journal. 2025;(4):64-69. (In Russ.) https://doi.org/10.25789/YMJ.2025.92.13
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