Ivanov Leonid Vitalievich (Postgraduate, Moscow State University of Medicine and Dentistry)
Guryev Vladimir Vasilievich (doctor of medicine, Professor, Moscow State University of Medicine and Dentistry, Head of the center of traumatology and orthopedics, traumatologist-orthopedist of the highest qualification category)
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It performed the analysis of the literature data on the peculiarities of the influence of type 2 diabetes mellitus on the endoprosthesis replacement of the steep joints in patients with diabetes mellitus outcomes. Reviewed the risk factors for complications of endoprosthetics, it is shown that in patients with diabetes mellitus operations on the hip, knee and elbow joints are associated with higher rates of postoperative infection, the need for blood transfusion, the development of pneumonia and urinary tract infections, and increased hospital stays and higher rates nosocomial mortality. It was noted that in the course of making a decision on the performance of arthroplasty, surgical risk should be assessed for patients with diabetes, taking into account the possible complications of diabetes and the presence of other associated diseases. The basic principles of preoperative preparation, peri-and postoperative management of this cohort of patients are characterized.
Keywords:joint replacement, diabetes mellitus, insulin, hip joint, knee joint, glycemic control
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Read the full article …
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Citation link:
Ivanov L. V., Guryev V. V. Joint endoprosthetics features in patients suffering from type 2 diabetes // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2018. -№11. -С. 139-143 |
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