Peculiarities of the work of pelvic girdle muscles before and after hip arthroplasty. Literature review

V.G. Klimovitsky, R.V. Klimovitsky, A.A. Tyazhelov, L.E. Goncharova


Based on the analysis of the literature on the issues of hip replacement, the certain issues of pelvic girdle muscles being responsible for maintaining postural balance are considered. It has been shown that with a long-existing flexion-adduction contracture of the hip joint, the flexor muscles and the adductor muscles of the thigh remain shortened, and the abductor muscles of the thigh remain relatively overstretched, their displacement amplitude and elasticity remain reduced, and the contractile force and contractility are decreased. This condition of the muscles affects the positional adaptation of endoprosthesis components during surgery, making surgeons to select the implant, focusing on the state of the muscles. Such a forced compromise between the tension of the abductors and the stability of the artificial joint affects not only the function of the muscles, making it difficult in the future to restore the effective ope-ration of the abduction mechanism, but can also contribute to the development of a number of complications, including dislocation of the endoprosthesis head, aseptic instability of the component and other complications. The use of posturography as an integral indicator of muscle function, providing postural balance, allows to evaluate not only the work of muscles in dynamics, but also the influence of individual factors on the work of muscles. Thus, the study of the effectiveness of pelvic girdle muscles before the operation is an urgent task, the solution of which will allow optimize the positional adaptation of the components of the endoprosthesis and to moderni-ze methods for assessing the function of the muscles responsible for postural balance.


hip replacement; pelvic girdle muscles; instability; postural balance; review


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