rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.47360/1995-4484-2020-637-645rsp-2961Research ArticleМЕЖДУНАРОДНЫЕ И РОССИЙСКИЕ РЕКОМЕНДАЦИИ ПО ЛЕЧЕНИЮ РЕВМАТИЧЕСКИХ ЗАБОЛЕВАНИЙINTERNATIONAL AND RUSSIAN GUIDELINES FOR THE TREATMENT OF RHEUMATIC DISEASESЛечение асептического некроза головки бедренной кости. Клинические рекомендацииTreatment of aseptic necrosis of the femoral head. Clinical guidelineshttps://orcid.org/0000-0002-2789-6172ТоргашинА. Н.TorgashinA. N.

Торгашин Александр Николаевич

127299, Москва, ул. Приорова, 10

Alexander Torgashin

127299, Moscow, Priorova str., 10

Dr.torgashin@gmail.comhttps://orcid.org/0000-0002-2726-8758РодионоваС. С.RodionovaS. S.

127299, Москва, ул. Приорова, 10

Svetlana S. Rodionova

https://orcid.org/0000-0002-7841-0849ШумскийА. А.ShumskyA. A.

127299, Москва, ул. Приорова, 10

Alex A. Shumsky

127299, Moscow, Priorova str., 10

https://orcid.org/0000-0002-5626-7404МакаровМ. А.MakarovM. A.

115522, Москва, Каширское шоссе, 34А

Maxim A. Makarov

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0001-8099-2107ТоргашинаА. В.TorgashinaA. V.

115522, Москва, Каширское шоссе, 34А

Anna V. Torgashina

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-4910-8835АхтямовИ. Ф.AkhtyamovI. F.

420012, Казань, ул. Бутлерова, 49

Ildar F. Akhtyamov

420012, Kazan, Butlerova str., 49

https://orcid.org/0000-0003-4536-6834КоваленкоА. Н.KovalenkoA. N.

195427, Санкт-Петербург, ул. академика Байкова, 8

Anton N. Kovalenko

195427, Saint Petersburg, Academician Baikova str., 8

https://orcid.org/0000-0002-6736-9772ЗагороднийН. В.ZagorodniyN. V.

127299, Москва, ул. Приорова, 10

Nikolay V. Zagorodniy

127299, Moscow, Priorova str., 10

https://orcid.org/0000-0002-8373-0505МироновС. П.MironovS. P.

127299, Москва, ул. Приорова, 10

Sergey P. Mironov

127299, Moscow, Priorova str., 10

ФГБУ Национальный медицинский исследовательский центр травматологии и ортопедии имени Н.Н. Приорова Минздрава РоссииРоссияN.N. Priorov Central Research Institute of Traumatology and OrthopedicsRussian FederationФГБНУ Научноисследовательский институт ревматологии им. В.А. НасоновойРоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationФГБОУ ВО Казанский государственный медицинский университет Минздрава РоссииРоссияKazan State Medical UniversityRussian FederationФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена» Минздрава РоссииРоссияRussian Scientific Research Institute of Traumatology and Orthopedics named after R.R. VredenRussian Federation202013012021586637645Copyright © Торгашин А.Н., Родионова С.С., Шумский А.А., Макаров М.А., Торгашина А.В., Ахтямов И.Ф., Коваленко А.Н., Загородний Н.В., Миронов С.П., 20212021Торгашин А.Н., Родионова С.С., Шумский А.А., Макаров М.А., Торгашина А.В., Ахтямов И.Ф., Коваленко А.Н., Загородний Н.В., Миронов С.П.Torgashin A.N., Rodionova S.S., Shumsky A.A., Makarov M.A., Torgashina A.V., Akhtyamov I.F., Kovalenko A.N., Zagorodniy N.V., Mironov S.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/2961

Асептический некроз костей представляет собой тяжелое заболевание, которое при раннем выявлении и адекватной терапии может быть излечено. Поздняя диагностика и отсутствие терапии приводят к быстрому разрушению сустава и инвалидности пациента. Предлагаемый проект рекомендаций является частью Национальных клинических рекомендаций «Асептический некроз костей (остеонекроз)», обосновывающих создание алгоритма диагностики и лечения асептического некроза костей на основе оценки уровня доказательности литературных данных. В клинических рекомендациях отражены аспекты клинического, инструментального и лабораторного обследования пациентов с остеонекрозом, варианты лечения в зависимости от локализации процесса и стадии заболевания.

Aseptic necrosis of bone is a serious disease that, if detected early and with adequate therapy, can be cured. Late diagnosis and lack of therapy leads to rapid joint destruction and patient disability. The proposed draft guidelines are a part of the National Clinical Guidelines for Aseptic Bone Necrosis (Osteonecrosis). Purpose of the study was creating an algorithm for diagnosing and treating osteonecrosis based on assessment of the level of evidence of literature data. The Guidelines reflect aspects of the clinical, instrumental and laboratory examination of patients with osteonecrosis, treatment options depending on the localization of the process and stage of the disease.

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The authors declare that there are no conflicts of interest present.