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2015, vol. 72, br. 11, str. 1004-1009
Hirurška dislokacija kuka kod bolesnika sa femoroacetabularnim impingementom - hirurške tehnike i naše iskustvo
aKlinički centar Niš, Klinika za ortopediju
bDepartment of Orthopaedics and Traumatology, General Hospital, Leskovac
cKlinički centar Niš, Klinika za ortopediju + Univerzitet u Nišu, Medicinski fakultet
dUniverzitet u Nišu, Medicinski fakultet

e-adresamladenovicdmarko@gmail.com
Sažetak
Uvod/Cilj. Artroza je najčešći uzrok poremećaja zgloba kuka. Cilj rada bio je da se prikažu naša iskustva u primeni hirurške dislokacije kuka kod bolesnika sa malim morfološkim promenama u predelu kuka koje mehanizmom femoroacetabularnog impingementa, izazivaju oštećenje labruma acetabuluma i njemu susedne hrskavice koji su znaci rane artroze kuka. Metode. Operisali smo 51 bolesnika sa različitim morfološkim koštanim promenama u predelu kuka i posledičnim mekotkivnim oštećenjima labruma acetabuluma i njemu susedne hrskavice. Hiruršku tehniku koju smo primenili kod operisanih bolesnika, prilagodili smo našim potrebama i mogućnostima i minimalno modifikovali u odnosu na originalnu proceduru. Rezultati. Hirurška tehnika, prikazana u ovom radu, pokazala se kao dobra metoda lečenja patomorfoloških koštanih i mekotkivnih promena kuka kod bolesnika sa femoroacetabularnim impingementom. Nismo imali bolesnike sa avaskularnom nekrozom femoralne glave, a kod dva bolesnika bilo je prisutno produženo srastanje osteotomije velikog trohantera. Kod 9 bolesnika razvila se paraartikularna osifikacija, bez subjektivnih tegoba, dok je kod tri bolesnika trajao postoperativni bol u preponi pri jačem naporu. Zaključak. Primena naše delimično modifikovane tehnike hirurške dislokacije kuka može rešiti sve probleme kostiju i mekih tkiva kod bolesnika sa femoroacetabularnim impingementom, sa ciljem da se zaustavi već razvijen osteoartritis kuka ili da se spreče njegove blage forme.
Reference
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O članku

jezik rada: engleski
vrsta rada: kratki članak
DOI: 10.2298/vsp131207097m
objavljen u SCIndeksu: 06.11.2015.
metod recenzije: dvostruko anoniman

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