A.G. RYKOV^1, 2, 3, V.YU. KORSHNYAK¹, B.V. SCHEBENKOV¹, S.YU. KOJEVNIKOVA^1, 3, V.E. VOLOVIK²

 ¹Khabarovsk Railway Hospital, Khabarovsk

²Khabarovsk Institute of improvement of professional skill of experts of public health services of Khabarovsk territory, Khabarovsk, Russia

 Contact details:

Rykov A.G. — MD, Professor of the Department of Traumatology and Orthopedics, Honored Doctor of the Russian Federation, Head of the Center of Traumatology, Orthopedics and Prosthesis

Address: 680000, Khabarovsk, 49 Voronegskaia St., tel.: +7-962-587-4607, e-mail: aleks.rykov@gmail.com

An analysis of 1195 total hip arthroplasties was carried out. Of these, revision operations accounted for 13%. In total, 152 revision surgical interventions were performed in the clinic in 2011–2021, of which early (up to 3 weeks) revisions accounted for 15% of all operations. The main reasons for early revision interventions were: hematomas — 57%, dislocations — 17%, poor wound healing — 9%, limb lengthening — 9%. Most of the early complications require surgical aid, and despite the fact that most surgeons are unhappy about early revisions, they should be performed in due time. The availability of modern navigation control systems (image intensifier, ultrasound), the acquisition of sufficient experience by surgeons will reduce the proportion of early revisions. This, in our opinion, will facilitate the work of practical orthopedists engaged in hip endoprosthesis, will help to develop an algorithm for perioperative management after primary endoprosthesis of the hip, outline ways to eliminate inevitable complications, and facilitate the work of a surgeon during revision operations.

Key words: hip joint endoprosthesis, revision operation.

(For citation: Rykov A.G., Korshnyak V.Yu., Schebenkov B.V., Kojevnikova S.Yu., Volovik V.E. Early revisions of endoprothesis after hip joint arthroplasty. Practical medicine. 2022. Vol. , № , P.)