medecolМедицина и экологияMedicine and ecology2305-60452305-6053Карагандинский медицинский университет10.59598/ME-2305-6053-2025-117-4-30-38medecol-1148Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSСовременные подходы к организации реабилитационных мероприятий после тотального эндопротезирования тазобедренного суставаContemporary approaches to the organization of rehabilitation measures after total hip replacementҚұрбанЖ. О.KurbanZ. O.

Жандос Оразалыұлы Құрбан – Кафедра реабилитологии и спортивной медицины

010000,  г. Астана, ул. Бейбитшилик, 49а

Zhandos Orazalyuly Kurban – Department of Rehabilitation and Sports Medicine

010000, Astana c., Beybitshilik str., 49a

jhandos94@gmail.comБулекбаеваШ. А.BulekbaevaS. A.

050004, г. Алматы, ул. Желтоксан, 65

050004, Almaty c., Zheltoksan str., 65

kazto@kazto.kzСливкинаН. В.SlivkinaN. V.

Кафедра реабилитологии и спортивной медицины

010000, г. Астана, ул. Бейбитшилик, 49а

Department of Rehabilitation and Sports Medicine

010000, Astana c., Beybitshilik str., 49a

mail@amu.kzТицкаяЕ. В.TitskayaE. V.

Лаборатория планирования и разработки медицинских технологий 

634009, Томская область, г. Томск, ул. Р. Люксембург, д. 1

Laboratory of Planning and Development of Medical Technologies

634009, Tomsk region, Tomsk c., R. Luxemburg str., 1

niikf@niikf.tomsk.ruАлдакуатоваД. А.AldakuatovaD. A.

Кафедра общественного здоровья и гигиены 

010000, г. Астана, ул. Бейбитшилик, 49а

Department of Public Health and Hygiene

010000, Astana c., Beybitshilik str., 49a

kazto@kazto.kzНАО «Медицинский университет Астана»КазахстанAstana Medical University NС JSCKazakhstanРГП на ПХВ «Национальный научный центр развития сферы социальной защиты» МТСЗН РККазахстанNational Scientific Center for Social Protection Development MLSPP RK RSE on REMKazakhstanТомский НИИКиФ ФФГБУФНКЦ МРиК ФМБА РоссииРоссияTomsk Research Institute of Balneology and Physiotherapy, FSBI FSCC MRB FMBA of RussiaRussian Federation202521012026043038Copyright © Құрбан Ж.О., Булекбаева Ш.А., Сливкина Н.В., Тицкая Е.В., Алдакуатова Д.А., 20252025Құрбан Ж.О., Булекбаева Ш.А., Сливкина Н.В., Тицкая Е.В., Алдакуатова Д.А.Kurban Z.O., Bulekbaeva S.A., Slivkina N.V., Titskaya E.V., Aldakuatova D.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medecol.qmu.kz/jour/article/view/1148

Проведен анализ современных организационно-методических подходов к ранней реабилитации после эндопротезирования тазобедренного сустава.

Был осуществлен систематический обзор литературы по организации ранней послеоперационной реабилитации после эндопротезирования тазобедренного сустава. Проанализированы различные модели реабилитации в разных странах, их эффективность, экономические аспекты и влияние цифровых технологий на процесс восстановления.

Внедрение программ ускоренного восстановления (ERAS) позволило сократить среднюю длительность госпитализации в 2 раза без увеличения частоты осложнений, а вероятность повторной госпитализации снизилась более чем на 60%. Экономический анализ показал снижение общих затрат на лечение одного пациента на 4000 долларов с дополнительным приростом 0,08 QALY в Дании. Выявлена эффективность использования телемедицинских технологий и мобильных приложений в реабилитационном процессе. Сравнительный анализ национальных моделей показал, что скандинавская и британская модели демонстрируют наибольшую экономическую эффективность при сопоставимых функциональных результатах.

Современные подходы к ранней реабилитации после эндопротезирования тазобедренного сустава, основанные на принципах ускоренного восстановления, мультидисциплинарном взаимодействии и стандартизации процессов, обеспечивают улучшение функциональных результатов при одновременном снижении затрат на лечение. Перспективы развития связаны с персонализацией реабилитационных программ и интеграцией цифровых технологий.

The analysis of modern organizational and methodological approaches to early rehabilitation after hip replacement was carried out.

A systematic literature review on the organization of early postoperative rehabilitation after hip joint arthroplasty was conducted. Various rehabilitation models in different countries, their effectiveness, economic aspects, and the impact of digital technologies on the recovery process were analyzed.

The implementation of Enhanced Recovery After Surgery (ERAS) programs has reduced the average length of hospitalization by 2 times without increasing the frequency of complications, while the probability of rehospitalization decreased by more than 60%. Economic analysis showed a reduction in total treatment costs per patient by $4,000 with an additional gain of 0.08 QALY in Denmark. The effectiveness of using telemedicine technologies and mobile applications in the rehabilitation process was revealed. Comparative analysis of national models showed that the Scandinavian and British models demonstrate the highest economic efficiency with comparable functional results.

эндопротезирование тазобедренного суставареабилитацияулучшенное восстановление после операциителемедицинаэкономическая эффективностьмультидисциплинарная командаhip replacement arthroplastyrehabilitationenhanced recovery after surgerytelemedicinecost effectivenessmultidisciplinary care teamReferencesProjected Volume of Primary and Revision Total Joint Arthroplasty in the United States, 2030-2060 //https://www.researchgate.net/publication/323686126_Projected_Volume_of_Primary_and_Revision_Total_Joint_Arthroplasty_in_the_United_States_2030-2060Projected Volume of Primary and Revision Total Joint Arthroplasty in the United States, 2030- 2060 //https://www.researchgate.net/publication/323686126_Projected_Volume_of_Primary_and_Revision_Total_Joint_Arthroplasty_in_the_United_States_2030-2060Matsuoka H., Nanmo H., Nojiri S., Nagao M., Nishizaki Y. Projected numbers of knee and hip arthroplasties up to the year 2030 in Japan. J. Orthop. 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The authors declare that there are no conflicts of interest present.