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2017, vol. 74, br. 3, str. 282-286
Modifikovana tehnika lečenja iščašenja gornjeg golenjačnolišnjačkog zgloba
aKlinički centar Vojvodine, Klinika za ortopedsku hirurgiju i traumatologiju, Novi Sad + Univerzitet u Novom Sadu, Medicinski fakultet
bUniverzitet u Novom Sadu, Medicinski fakultet + Klinički centar Vojvodine, Centar za radiologiju, Novi Sad

e-adresagvozdenko83@gmail.com
Sažetak
Uvod. Dislokacija gornjeg golenjačnolišnjačkog zgloba je retka povreda. Postavljanje dijagnoze se zasniva na anamnezi, kliničkom pregledu i RTG dijagnostici oba kolena. U literaturi nisu zabeležene velike serije ovih povreda, te su opisani kao pojedinačni slučajevi koji su lečeni različitim tehnikama. Cilj rada bio je da se predstavi modifikovana tehnika lečenja nestabilnosti gornjeg golenjačnolišnjačkog zgloba koja rezultuje brzim oporavkom bolesnika. Prikaz bolesnika. Fudbaler, star 24 godine, povredio se na početku treninga prilikom uklizavanja kada je osetio jak bol u desnom kolenu. Odmah je dovezen na pregled u Urgentni centar Vojvodine gde je dijagnostikovano prednje spoljašnje iščašenje gornjeg golenjačnolišnjačnog zgloba. Pokušana je ortopedska repozija u kratkotrajnoj intravenskoj anesteziji, ali nije bila uspešna te je pacijent bio pripreman za hirurški zahvat - otvorene repozije golenjačnolišnjačnog zgloba i njegovu fiksaciju sa jednim zavrtnjem kroz tri korteksa. Postoperativno nije postavljena imobilizacija i odmah su započete pasivne i aktivne vežbe u kolenu, ali bez oslonca na operisanu nogu. Nakon isteka šest postoperativnih nedelja odstranjen je zavrtanj i dat je pun oslonac na nogu i nastavljeno je fizikalno lečenje. Zaključak. U slučaju iščašenja gornjeg golenjačnolišnjačkog zgloba prvi metod izbora lečenja je ortopedska repozicija, a ukoliko ona ne da rezultate, pristupa se otvorenoj repoziciji i unutrašnjoj fiksaciji. Otvorena repozicija i unutrašnja fiksacija bez postoperativno postavljene imobilizacije i odmah započeta rehabilitacija dovode do bržeg oporavka i brzog vraćanja sportskim aktivnostima.
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O članku

jezik rada: engleski
vrsta rada: prikaz slučaja
DOI: 10.2298/VSP150318177G
objavljen u SCIndeksu: 09.03.2017.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

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