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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">genort</journal-id><journal-title-group><journal-title xml:lang="ru">Гений ортопедии</journal-title><trans-title-group xml:lang="en"><trans-title>Genij Ortopedii</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1028-4427</issn><issn pub-type="epub">2542-131X</issn><publisher><publisher-name>ЦЕНТР ИЛИЗАРОВА</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18019/1028-4427-2025-31-3-388-398</article-id><article-id custom-type="elpub" pub-id-type="custom">genort-3258</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Обзорные статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Review Articles</subject></subj-group></article-categories><title-group><article-title>Интеллектуальные ортопедические имплантаты: будущее персонализированной замены суставов и мониторинга</article-title><trans-title-group xml:lang="en"><trans-title>Smart orthopedic implants: the future of personalized joint replacement and monitoring</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0085-3284</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Киролос</surname><given-names>Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Kirolos</surname><given-names>E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Факультет медицины и хирургии</p></bio><bio xml:lang="en"><p>Eskandar Kirolos — BSc, MBBCh, and MA</p><p>Faculty of Medicine and Surgery</p></bio><email xlink:type="simple">kiroloss.eskandar@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Университет Хелуана</institution><country>Египет</country></aff><aff xml:lang="en"><institution>Helwan University</institution><country>Egypt</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>06</month><year>2025</year></pub-date><volume>31</volume><issue>3</issue><fpage>388</fpage><lpage>398</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Киролос Э., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Киролос Э.</copyright-holder><copyright-holder xml:lang="en">Kirolos E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.ilizarov-journal.com/jour/article/view/3258">https://www.ilizarov-journal.com/jour/article/view/3258</self-uri><abstract><p>Введение. Интеллектуальные ортопедические имплантаты объединяют передовые сенсорные технологии, чтобы произвести революцию в замене суставов и ортопедической помощи. Эти имплантаты позволяют в режиме реального времени контролировать ключевые параметры, такие как износ, распределение нагрузки и показатели инфекции, что облегчает проведение раннего вмешательства и персонализированное лечение.Цель — оценить текущие достижения, клиническое применение, проблемы и будущие направления интеллектуальных ортопедических имплантатов.Методы. В соответствии с рекомендациями PRISMA проведен систематический обзор литературы, в котором проанализированы рецензируемые исследования, опубликованные в период с февраля 2015 года по январь 2025 года. Источники отобраны в PubMed, Scopus, Web of Science и Google Scholar. Включены работы, описывающие технологические инновации, клиническое применение и нормативно-правовые аспекты.Результаты и обсуждение. Технологические достижения в области материалов, интеграции датчиков, беспроводной связи и искусственного интеллекта позволили оптимизировать функциональность имплантатов. Умные имплантаты улучшают послеоперационный мониторинг, прогнозируют износ имплантатов и  персонализируют реабилитацию. Несмотря на их преимущества, широкому внедрению препятствуют такие проблемы, как биосовместимость, безопасность данных, срок службы батарей и одобрение регулирующих органов. Решение этих проблем посредством междисциплинарных исследований имеет решающее значение для будущих разработок.Заключение. Умные ортопедические имплантаты способны изменить систему лечения заболеваний опорно-двигательной системы обеспечивая мониторинг состояния пациента в реальном времени и персонализированные стратегии лечения. Постоянные инновации в области материалов, аналитика на основе искусственного интеллекта и нормативно-правовой базы будут иметь решающее значение для преодоления существующих ограничений и обеспечения их широкого клинического внедрения.</p></abstract><trans-abstract xml:lang="en"><p>Introduction Smart orthopedic implants integrate advanced sensor technologies to revolutionize joint replacement and orthopedic care. These implants enable real-time monitoring of key parameters such as wear, load distribution, and infection indicators, facilitating early intervention and personalized treatment.This review aims to evaluate the current advancements, clinical applications, challenges, and future directions of smart orthopedic implants.Methods A systematic literature review was conducted following PRISMA guidelines, analyzing peer-reviewed studies published between February 2015 and January 2025. Sources were retrieved from PubMed, Scopus, Web of Science, and Google Scholar. Inclusion criteria focused on technological innovations, clinical applications, and regulatory considerations.Results &amp; Discussion Technological advancements in materials, sensor integration, wireless communication, and artificial intelligence have optimized implant functionality. Smart implants enhance postoperative monitoring, predict implant wear, and personalize rehabilitation. Despite their benefits, challenges such as biocompatibility, data security, battery life, and regulatory approval hinder widespread adoption. Addressing these issues through interdisciplinary research is critical for future developments.Conclusion Smart orthopedic implants have the potential to transform musculoskeletal healthcare by  enabling real-time patient monitoring and personalized treatment strategies. Continued innovation in materials, AI‑driven analytics, and regulatory frameworks will be crucial for overcoming current limitations and ensuring their widespread clinical adoption.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>умные ортопедические имплантаты</kwd><kwd>спинальные имплантаты</kwd><kwd>фиксация травм</kwd><kwd>спортивные медицинские имплантаты</kwd><kwd>замена суставов</kwd><kwd>интегрированные датчики</kwd><kwd>мониторинг состояния пациента в реальном времени</kwd><kwd>персонализированное здравоохранение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Smart orthopedic implants</kwd><kwd>Spinal implants</kwd><kwd>Trauma fixation</kwd><kwd>Sports medicine implants</kwd><kwd>Joint replacement</kwd><kwd>Integrated sensors</kwd><kwd>Real-time patient monitoring</kwd><kwd>Personalized healthcare</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Abyzova E, Dogadina E, Rodriguez RD, et al. 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