The direction of increasing effectiveness of the treatment of periprosthetic joint infection
Introduction: in the world orthopaedic practice, attention is increasingly paid to surgical interventions that improve the patient’s quality of life. One of these interventions is joint arthroplasty. The most common reason for this operation is osteoarthritis. It is known that coxarthrosis and gonar...
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| Format: | Article |
| Language: | Russian |
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Private institution educational organization of higher education "Medical University "ReaViz"
2023-11-01
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| Series: | Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье |
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| Online Access: | https://vestnik.reaviz.ru/jour/article/view/785 |
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| author | A. V. Shabunin S. E. Arakelov V. E. Dubrov R. Yu. Maer V. N. Obolenskiy O. D. Podkosov P. Sh. Leval' N. A. Nabatchikov |
| author_facet | A. V. Shabunin S. E. Arakelov V. E. Dubrov R. Yu. Maer V. N. Obolenskiy O. D. Podkosov P. Sh. Leval' N. A. Nabatchikov |
| author_sort | A. V. Shabunin |
| collection | DOAJ |
| description | Introduction: in the world orthopaedic practice, attention is increasingly paid to surgical interventions that improve the patient’s quality of life. One of these interventions is joint arthroplasty. The most common reason for this operation is osteoarthritis. It is known that coxarthrosis and gonarthrosis have a a high incidence in the world and there is a dynamic increase in the amount data pathologies. However, behind all the advantages of joint arthroplasty here is most formidable complication – periprosthetic infection, which can be fatal for the patient. According to opinion of domestic and foreign experts, for a successful treatment of patients with this complication, intervention is needed by specialists of a narrow profile in combination with a multidisciplinary approach, however patient routing an unresolved problem to this day.The purpose of the work: to propose a model for routing patients with periprosthetic joint infection in Moscow.Results. As a result of the work carried out it was found that the main problem of routing patients with periprosthetic joint infection in Moscow is the stage and timing of the disease. Often the patient with lat periprosthetin infection is hospitalized in a hospital in a city that has a department of purulent surgery, but the specialists of the department have not the necessary equipment and skills to provide effective and qualified care as a result of which patient wastes time that could be spent more rationally.Conclusion. For more efficient routing of patients with periprosthetic joint infection in Moscow it is necessary to create specialized centres for the treatment of advanced perprosthetic infection. In cases of early periprosthetic infection the patient can undergo sanitizing surgical mixing in the conditions of the department of purulent surgery of any hospital in Moscow. |
| format | Article |
| id | doaj-art-02fcbd5e012849958be480c265fab1bf |
| institution | Kabale University |
| issn | 2226-762X 2782-1579 |
| language | Russian |
| publishDate | 2023-11-01 |
| publisher | Private institution educational organization of higher education "Medical University "ReaViz" |
| record_format | Article |
| series | Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье |
| spelling | doaj-art-02fcbd5e012849958be480c265fab1bf2025-08-20T03:37:28ZrusPrivate institution educational organization of higher education "Medical University "ReaViz"Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье2226-762X2782-15792023-11-01135636710.20340/vmi-rvz.2023.5.CLIN.4503The direction of increasing effectiveness of the treatment of periprosthetic joint infectionA. V. Shabunin0S. E. Arakelov1V. E. Dubrov2R. Yu. Maer3V. N. Obolenskiy4O. D. Podkosov5P. Sh. Leval'6N. A. Nabatchikov7Botkin City Clinical Hospital; Russian Medical Academy of Continuing Professional EducationCity Clinical Hospital No. 13; Peoples' Friendship University of RussiaLomonosov Moscow State UniversityBotkin City Clinical Hospital; Research Institute of Healthcare Organization and Medical ManagementCity Clinical Hospital No. 13; N.I. Pirogov Russian National Research Medical UniversityBotkin City Clinical HospitalCity Clinical Hospital No. 13Botkin City Clinical HospitalIntroduction: in the world orthopaedic practice, attention is increasingly paid to surgical interventions that improve the patient’s quality of life. One of these interventions is joint arthroplasty. The most common reason for this operation is osteoarthritis. It is known that coxarthrosis and gonarthrosis have a a high incidence in the world and there is a dynamic increase in the amount data pathologies. However, behind all the advantages of joint arthroplasty here is most formidable complication – periprosthetic infection, which can be fatal for the patient. According to opinion of domestic and foreign experts, for a successful treatment of patients with this complication, intervention is needed by specialists of a narrow profile in combination with a multidisciplinary approach, however patient routing an unresolved problem to this day.The purpose of the work: to propose a model for routing patients with periprosthetic joint infection in Moscow.Results. As a result of the work carried out it was found that the main problem of routing patients with periprosthetic joint infection in Moscow is the stage and timing of the disease. Often the patient with lat periprosthetin infection is hospitalized in a hospital in a city that has a department of purulent surgery, but the specialists of the department have not the necessary equipment and skills to provide effective and qualified care as a result of which patient wastes time that could be spent more rationally.Conclusion. For more efficient routing of patients with periprosthetic joint infection in Moscow it is necessary to create specialized centres for the treatment of advanced perprosthetic infection. In cases of early periprosthetic infection the patient can undergo sanitizing surgical mixing in the conditions of the department of purulent surgery of any hospital in Moscow.https://vestnik.reaviz.ru/jour/article/view/785periprosthetic joint infectionosteoarthritistotal hip arthroplastytotal knee arthroplasty |
| spellingShingle | A. V. Shabunin S. E. Arakelov V. E. Dubrov R. Yu. Maer V. N. Obolenskiy O. D. Podkosov P. Sh. Leval' N. A. Nabatchikov The direction of increasing effectiveness of the treatment of periprosthetic joint infection Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье periprosthetic joint infection osteoarthritis total hip arthroplasty total knee arthroplasty |
| title | The direction of increasing effectiveness of the treatment of periprosthetic joint infection |
| title_full | The direction of increasing effectiveness of the treatment of periprosthetic joint infection |
| title_fullStr | The direction of increasing effectiveness of the treatment of periprosthetic joint infection |
| title_full_unstemmed | The direction of increasing effectiveness of the treatment of periprosthetic joint infection |
| title_short | The direction of increasing effectiveness of the treatment of periprosthetic joint infection |
| title_sort | direction of increasing effectiveness of the treatment of periprosthetic joint infection |
| topic | periprosthetic joint infection osteoarthritis total hip arthroplasty total knee arthroplasty |
| url | https://vestnik.reaviz.ru/jour/article/view/785 |
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