Open AccessTHE RESULTS OF HIP REPLACEMENT IN PATIENTS WITH DIABETES TYPE 2
Author(s) -
Л. В. Иванов,
Vladimir Guriev,
N.V. Yarygin
Publication year - 2019
Publication title -
rossijskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2412-9100
pISSN - 0869-2106
DOI - 10.18821/0869-2106-2019-25-3-146-150
Subject(s) - medicine , diabetes mellitus , pneumonia , urinary system , cohort , surgery , type 2 diabetes mellitus , type 2 diabetes , blood transfusion , intensive care medicine , endocrinology
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 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.