التفاصيل البيبلوغرافية
| العنوان: |
Lečenje suprakondilarnog periproteti čnogpreloma femura nakon totalne artroplastike kolena samodinamizirajućim unutrašnjim fiksatorom Mitković. (Serbian) |
| Alternate Title: |
SELFDYNAMISABLE INTERNAL FIXATOR MITKOVIC IN TREATMENT OF PERIPROSTHETIC SUPRACONDYLAR FEMORAL FRACTURE AFTER TOTAL KNEE ARTHROPLASTY. (English) |
| المؤلفون: |
Stojiljković, Predrag M., Mitković, Milorad B., Golubović, Zoran V., Micić, Ivan D., Milenković, Saša S., Djordjević, Nina M., Mitković, Milan M., Golubović, Ivan Z., Mladenović, Marko D., Saša, Stojanović S., Kocić, Mirjana N., Pešić, Sunèica M., Tošić, Aleksandar J. |
| المصدر: |
Acta Chirurgica Iugoslavica; 2015, Vol. 62 Issue 1, p48-55, 7p |
| Abstract (English): |
Supracondylar periprosthetic femoral fractures after total knee arthroplasty are very rare, but very difficult to treat. They occur most often as a result of low energy trauma (slips and fall) in older patients with present os-teoporosis and periprosthetic osteolysis. The treatment of these fractures is very difficult due to reduced biological capacity for healing in most cases. Surgical treatment of these fractures is accompanied by severe complications (prolonged healing, nonunion and disintegration osteo-sintets material) in 25 to 70% of the cases. The aim of this paper is to present the treatment of supracondylar femur fractures after total knee arthroplasty in men aged 72 with selfdynamisable internal fixa-tor Mitkovic . Surgical treatment of fracture performed on the six day after the injury with minimally invasive surgical technique through two incisions. Verticalization and walking with crutches with non-weight-bearing started the first postoperative day. Patient discharged from hospital fifth postoperative day. Full weight-bearing on the operated leg is allowed after 6 weeks. The patient started a stationary physical therapy 6 weeks after sur-gery. Postoperative follow-up was 10 months. The fractures healed with an excellent functional result. Application of selfdynamisable internal fixator Mitkovic with minimally invasive technique in the treatment of these complex fractures provides excellent biome-chanical conditions for healing. [ABSTRACT FROM AUTHOR] |
| Abstract (Serbian): |
Periprotetični suprakondilarni prelomi femura nakon totalne artroplastike kolena su vrlo retki, ali veoma teški za lečenje. Nastaju najčešče pod dejstvom male traume saplitanjem i padom na j ravnom kod starijih pacijenata kod kojih je vrlo esto prisutna osteoporoza i periprotetična osteoliza. Lečenje ovih preloma je vrlo teško usled smanjenih bioloških kapaciteta za zarastanje u većini slučajeva. Hiruško lečenje ovih preloma pra-ćeno j e teškim komplikacijama (produženim zaras-tanjem, nezarastanjem i dezintegracijom osteosin-tetskog materijala) u čak 25 do 70% slučajeva. Cilj rada je da prikaže lečenje periprotetičnog supra-kondilarnog preloma femura kod muškarca starog 72 godine samodinamizirajućim unutrašnjim fiksatorom po Mitkoviću. Pacijent je operisan šestog dana od povrede, minimalno invazivnom hirurškom tehnikom kroz dve incizije. Vertikalizacija i hod sa štakama bez oslonca na operisanu nogu započeti su prvog postope-rativnog dana. Pacijent otpušten petog postopera-tivnog dana. Pun oslonac na operisanu nogu dozvoljen nakon 6 nedelja, kada je i započet stacionarni fizikalni tretman. Pacijent je postoperativno praćen 10 meseci. Prelom je zarastao uz odličan funkcionalni rezultat. Primena samodinamizurajućeg unutrašnjeg fiksatora po Mitkoviću u lečenju ovih složenih preloma pruža odlične biomehaničke uslove za zarastanje. [ABSTRACT FROM AUTHOR] |
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