Artroskopski pristup rješavanju ozljeda koljenskog zgloba u sportskoj traumatologiji

master's thesis

• Title (english): Arthroscopic approach to the treatment of knee injuries in sports traumatology
• Author: Mario Horvat
• Mentor: Nikica Daraboš (mentor)
• Committee member: Mario Starešinić (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Nikica Daraboš (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2016-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Koljeno je najveći i najsloženiji zglob u našem tijelu. Većina sportaša, bilo rekreativaca ili onih koji se bave profesionalnim sportom, znaju bar ponešto o ozljedama koljena i koje sve strukture se mogu ozlijediti. Cilj istraživačkog dijela ovog rada bio je usporediti dvije tehnike proksimalne fiksacije presatka u natkoljeničnoj kosti koje se koriste kod rekonstrukcije prednje ukrižene sveze. Artroskopska rekonstrukcija prednje ukrižene sveze danas je metoda izbora. Podaci koji su korišteni u ovom istraživanju prikupljeni su uvidom u povijest bolesti bolesnika koji su operirani u Klinici za traumatologiju KBC Sestre milosrdnice u razdoblju od 1.1.2013. do 31.12.2014. godine te su praćeni u vremenskom razdoblju do približno godinu dana poslije operacije. Kod obje tehnike cilj je bio uočiti moguće znakove instabiliteta poslijeoperacijski koji bi se smatrali nedostatkom tih tehnika. Kod Rigidfix tehnike u poslijeoperacijskom praćenju, testovi prednje nestabilnosti koljena bili su negativni i kod bolesnika se nije nalazilo znakova instabiliteta. Kod TightRope tehnike 6 bolesnika, odnosno 12% od ukupnog broja obrađenih bolesnika imalo je znakove instabiliteta koljena poslijeoperacijski. U poslijeoperacijskom tijeku, praćenjem bolesnika, kod obiju tehnika femoralne fiksacije zabilježena je izrazita hipotrofija natkoljene muskulature. To je jedan od razloga zašto je rehabilitacija nakon rekonstrukcije prednje ukrižene sveze neizmjerno važan dio za povratak u sportske aktivnosti i slobodan režim opterećenja koljena. S rehabilitacijom se započinje već isti dan nakon operacijskog zahvata. Poslijeoperacijski se upotrebljava ortoza za koljeno.

Abstract (english)

The knee is the largest and most complex joint in our body. Most athletes, both amateurs and professionals, know at least something about knee injuries and structures which can be injured. The aim of the research was to compare two techniques of proximal fixation of the graft in thigh bones used in reconstruction of the anterior cruciate ligament. Arthroscopic reconstruction of the anterior cruciate ligament is today's method of choice. The data used in this study were collected after the evaluation of the medical history of patients who underwent the surgery at the Clinic for Traumatology Hospital Sisters of Charity in the period from 1/1/2013 to 31/12/2014 and were monitored for about one year after the surgery. With both of the techniques, the aim was to address possible signs of instability after the surgery which would be considered as their deficiency. In postoperative monitoring, the examinations of anterior knee instability after the Rigidfix technique, were negative and the patients were not showing any signs of instability. In TightRope technique 6 patients, or 12% of total patients, had signs of postoperative knee instability. By monitoring patients in the postoperative period, there was a high level of hypotrophy of thigh muscles observed in both of the techniques. This is one of the reasons why rehabilitation after reconstruction of the anterior cruciate ligament is a very important part in order to return to sports activities and unconstrained usage of the knee. The rehabilitation starts on the same day after the surgery. A brace for the knee is used postoperatively.

• Keywords: prednja ukrižena sveza; rekonstrukcija; Rigidfix; TightRope; instabilitet
• Keywords (english): anterior cruciate ligament; reconstruction; Rigidfix; Tightrope; instability
• Language: croatian
• URN:NBN: urn:nbn:hr:105:378708
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-07-03 10:43:06