[Ortho] Противопоказания к эндопротезированию

[Середа Андрей]

п▓п╬я┌, п╫п╟п©я─п╦п╪п╣я─, Mц╪nger
P<http://www.ncbi.nlm.nih.gov/pubmed?term=M%C3%BCnger%20P%5BAuthor%5D&cauthor=true&cauthor_uid=16929432>
п╦
я│п╬п╟п╡я┌п╬я─я▀, п╫п╟п╬п╠п╬я─п╬я┌ п©п╦я┬я┐я┌, я┤я┌п╬ п╦п╫п╢п╣п╨я│ п╪п╟я│я│я▀ я┌п╣п╩п╟ п╫п╣ я│п╡я▐п╥п╟п╫ я│
я─п╟я│я┬п╟я┌я▀п╡п╟п╫п╦п╣п╪. Women
showed significantly lower risk of radiographic loosening than men (odds
ratio (OR) 0.64). Age was also a strong factor: risk decreased by 1.8% for
each additional year of age at the time of surgery. Height and weight were
not associated with risk of loosening. A higher body mass index, however,
increased the risk of stem loosening to a significant extent (OR 1.03) per
additional unit of BMI. Charnley Class B, indicating restricted mobility,
was associated with lower risk of loosening (OR 0.78).
п п╬п╩п╩п╣пЁп╦, п╫я┐ п╨п╬пЁп╢п╟ п╤п╣ п╪я▀ п©я─п╣п╨я─п╟я┌п╦п╪ п╬п©п╣я─п╦я─п╬п╡п╟я┌я▄ п╢п╬п╪я▀я│п╩п╟п╪п╦, п╦ п╫п╟я┤п╫п╣п╪
п©п╬п╩я▄п╥п╬п╡п╟я┌я▄я│я▐ п╢п╬п╨п╟п╥п╟п╫п╫я▀п╪?


27 п╪п╟я▐ 2013 пЁ., 8:53 п©п╬п╩я▄п╥п╬п╡п╟я┌п╣п╩я▄ Kudinow Konstantin
<kkudinow на yandex.ru>п╫п╟п©п╦я│п╟п╩:

> я│я│я▀п╩п╨п╟ п╣я│я┌я▄ п╫п╟ "...п·п╢п╫п╟п╨п╬ п╫п╟пЁя─я┐п╥п╨п╟ п╠п╬п╩я▄я┬п╦п╪ п╡п╣я│п╬п╪  п©я─п╦п╡п╣п╢п╣я┌ п╨ я─п╟п╫п╫п╫п╣п╪я┐
> я─п╟я│я┬п╟я┌я▀п╡п╟п╫п╦я▌. " ?
>
> п я┐п╢п╦п╫п╬п╡ п . п▓., п я┐я─пЁп╟п╫.
>
> 27.05.2013, 08:46, "Andrey Ragozin" <aor на bk.ru>:
> > пёп╡п╟п╤п╟п╣п╪я▀п╣ п╨п╬п╩п╩п╣пЁп╦. п╞ п╬п╠я│п╬п╩я▌я┌п╫п╬ я│п╬пЁп╩п╟я│п╣п╫ я┤я┌п╬ п╬п╤п╦я─п╣п╫п╦п╣ п╫п╣ я▐п╡п╩я▐п╣я┌я│я▐
> п╬п╠я│п╬п╩я▌я┌п╫я▀п╪ п©я─п╬я┌п╦п╡п╬п©п╬п╨п╟п╥п╟п╫п╦п╣п╪ п╨ я█п╫п╢п╬п©я─п╬я┌п╣п╥п╦я─п╬п╡п╟п╫п╦я▌
> > я┌.п╨. п╬п╠п╣п╥п╢п╡п╦п╤п╣п╫п╫я▀п╧ я┤п╣п╩п╬п╡п╣п╨ п©п╬я┘я┐п╢п╣я┌я▄ п╫п╣ я│п╪п╬п╤п╣я┌, п╫п╣п╬п╠я┘п╬п╢п╦п╪п╬ п╢п╟я┌я▄ п╣п╪я┐
> п╡п╬п╥п╪п╬п╤п╫п╬я│я┌я▄ п╢п╡п╦п╤п╣п╫п╦п╧. п·п╢п╫п╟п╨п╬ п╫п╟пЁя─я┐п╥п╨п╟ п╠п╬п╩я▄я┬п╦п╪ п╡п╣я│п╬п╪  п©я─п╦п╡п╣п╢п╣я┌ п╨ я─п╟п╫п╫п╫п╣п╪я┐
> я─п╟я│я┬п╟я┌я▀п╡п╟п╫п╦я▌. п║п╫п╦п╤п╣п╫п╦я▐ п╡п╣я│п╟ п╪п╬п╤п╫п╬ п╢п╬п╠п╦я┌я▄я│я▐ п╢п╡я┐п╪я▐ п©я┐я┌я▐п╪п╦: п╠я▀я│я┌я─п╬-п╨п╬я│я┌я▀п╩п╦ п╦
> п╢п╩п╦я┌п╣п╩я▄п╫п╬-п©п╬я┘я┐п╢п╣я┌я▄. п÷п╬я█я┌п╬п╪я┐ п╬я┤п╣п╫я▄ я┌я┐я┤п╫я▀п╣ п╠п╬п╩я▄п╫я▀п╣ п©п╬я│п╩п╣ п╬п©п╣я─п╟я├п╦п╦ п╪п╬пЁя┐я┌
> я┘п╬п╢п╦я┌я▄ п╫п╟ п╨п╬я│я┌я▀п╩я▐я┘ п©п╬п╨п╟ п╫п╣ я│п╫п╦п╥я▐я┌ п╡п╣я│ п╦ п╬п╠ я█я┌п╬п╪ п╬п╫п╦ п╢п╬п╩п╤п╫я▀ п╠я▀я┌я▄
> п©я─п╣п╢я┐п©я─п╣п╤п╢п╣п╫я▀ п╢п╬ п╬п©п╣я─п╟я┌п╦п╡п╫п╬пЁп╬ п╩п╣я┤п╣п╫п╦я▐.
> > 16.05.2013, п╡ 19:35, п║п╣я─пЁп╣п╧ <orthoforum на weborto.net> п╫п╟п©п╦я│п╟п╩(п╟):
> >
> >>  я┐п╡п╟п╤п╟п╣п╪я▀п╣ п╨п╬п╩п╩п╣пЁп╦.
> >>
> >>  п·п╤п╦я─п╣п╫п╦п╣ 3 я│я┌п╣п©п╣п╫п╦ я▐п╡п╩я▐п╣я┌я│я▐ п╬я┌п╫п╬я│п╦я┌п╣п╩я▄п╫я▀п╪ п©я─п╬я┌п╦п╡п╬п©п╬п╨п╟п╥п╟п╫п╦п╣п╪ п╨
> я┌п╬я┌п╟п╩я▄п╫п╬п╪я┐
> >>  я├п╣п╪п╣п╫я┌п╫п╬п╪я┐ я█п╫п╢п╬п©я─п╬я┌п╣п╥п╦я─п╬п╡п╟п╫п╦я▌ я┌п╟п╥п╬п╠п╣п╢я─п╣п╫п╫п╬пЁп╬ я│я┐я│я┌п╟п╡п╟. п°п╫п╣ п©п╬я┤п╣п╪я┐-я┌п╬
> >>  п╨п╟п╥п╟п╩п╬я│я▄, я┤я┌п╬ 3 я│я┌п╣п©п╣п╫я▄ п╬п╤п╦я─п╣п╫п╦я▐ я▐п╡п╩я▐п╣я┌я│я▐ п╟п╠я│п╬п╩я▌я┌п╫я▀п╪ п©я─п╬я┌п╦п╡п╬п©п╬п╨п╟п╥п╟п╫п╦п╣п╪.
> >>  п÷п╬ я█я┌п╬п╧ п©я─п╦я┤п╦п╫п╣ я│п╬п╡п╣я─я┬п╣п╫п╫п╬ я│п©п╬п╨п╬п╧п╫п╬ п╬я┌п╨п╟п╥п╟п╩ п╫п╣я│п╨п╬п╩я▄п╨п╦п╪ п╠п╬п╩я▄п╫я▀п╪,
> >>  я─п╣п╨п╬п╪п╣п╫п╢п╬п╡п╟п╡ я│п╫п╦п╥п╦я┌я▄ п╪п╟я│я│я┐ я┌п╣п╩п╟. п≈/п╬ я│п╨п╟п╥п╟п╩, я┤я┌п╬ я▐ п╫п╣ п©я─п╟п╡, я┤я┌п╬ п╠п╬п╩я▄п╫я▀я┘
> >>  п╬п╠я─п╣п╨ п╫п╟ п╫п╣п╦п╥п╡п╣я│я┌п╫п╬ я┤я┌п╬. п°п╬п╤п╣я┌ я▐ п╫п╣ п©я─п╟п╡? п÷п╬п╢я│п╨п╟п╤п╦я┌п╣ п╨п╟п╨ п╡ я┌п╟п╨п╦я┘
> я│п╩я┐я┤п╟я▐я┘
> >>  п©п╬я│я┌я┐п©п╟я┌я▄ я│ п╠п╬п╩я▄п╫я▀п╪п╦? п═п╣п╨п╬п╪п╣п╫п╢п╬п╡п╟я┌я▄ я│п╫п╦п╤п╟я┌я▄ п╡п╣я│, п╦п╩п╦ п©я─п╬я┌п╣п╥п╦я─п╬п╡п╟я┌я▄?
> п║п©п╟я│п╦п╠п╬.
> >>  п║п╣я─пЁп╣п╧
> >>
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> >
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-- 
C я┐п╡п╟п╤п╣п╫п╦п╣п╪, п║п╣я─п╣п╢п╟ п░п╫п╢я─п╣п╧ п÷п╣я┌я─п╬п╡п╦я┤.
Sereda Andrey, MD, PhD, orthopaedic surgeon,
I.M. Sechenov First Moscow State Medical University, Orthopaedic
department, Deputy Director for Science.
6, Bolshaya Pirogovskaya street
119991, Moscow, Russia
*P** **п÷п╬п╤п╟п╩я┐п╧я│я┌п╟, п╫п╣ я─п╟я│п©п╣я┤п╟я┌я▀п╡п╟п╧я┌п╣ я█п╩п╣п╨я┌я─п╬п╫п╫я▀п╣ п©п╦я│я▄п╪п╟ п╦ п╢п╬п╨я┐п╪п╣п╫я┌я▀ п╠п╣п╥
я─п╣п╟п╩я▄п╫п╬п╧ п╫п╣п╬п╠я┘п╬п╢п╦п╪п╬я│я┌п╦ Б─⌠ п╠п╣я─п╣пЁп╦я┌п╣ п©я─п╦я─п╬п╢я┐.*

*P** **Please consider the environment before printing this e-mail** **or
attached document**.** **Moreover what you have print is not you have
thought about. *
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