Artroskopija prvoga metatarzofalangealnog zgloba

Scientific paper - Original scientific paper

• Title (english): Arthroscopy of the first metatarsophalangeal joint
• Author: Ivan Bojanić
• Author: Ivan Levaj
• Author: Damjan Dimnjaković
• Author: Tomislav Smoljanović
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

Arthroscopy of the first metatarsophalangeal joint (MTP-1) has become indispensable method of surgical care to injuries and their consequences and damages that affect the MTP-1 joint. The advantages of arthroscopy of the 1st MTP joint in comparison to classical open surgery are multiple. Primarily, arthroscopy allows an excellent view of intra-articular structures and thus a detailed overview of the entire joint which enables us to perform complete surgery without opening the joint. Furthermore, morbidity is significantly smaller, rehabilitation is faster, and return to daily activities is also faster. Basic requirements for successful application of arthroscopy of the MTP-1 joint are careful planning of the procedure, very good knowledge of regional anatomy, strictly following the rules of performing the procedure, and an experienced surgeon with arthroscopy skills. Primary indications for the arthroscopy of the MTP-1 joint include early stages of hallux rigidus, osteochondral lesions, synovitis, and pathological conditions of sesamoid bones. In this article we describe the indications, technique, complications and the prospect of the arthroscopy of the MTP-1 joint, with a detailed overview of contemporary literature data.

Abstract (croatian)

Artroskopija prvoga metatarzofalangealnog zgloba (1. MTF zglob) danas je neizostavna metoda kirurškog zbrinjavanja ozljeda i njihovih posljedica te oštećenja koja zahvaćaju taj zglob. Prednosti artroskopske kirurgije 1. MTF zgloba u odnosu prema klasičnoj otvorenoj metodi operacijskog liječenja višestruke su. U prvome redu artroskopija nam omogućuje izvanredan prikaz unutarzglobnih struktura i time detaljan pregled čitavog zgloba te potpuno izvođenje zahvata bez otvaranja zgloba. Nadalje, morbiditet je znatno niži, rehabilitacija brža, a brži je i povratak svakodnevnim aktivnostima. Osnovni preduvjeti za uspješnu primjenu artroskopije 1. MTF zgloba jesu pažljivo prijeoperacijsko planiranje, izvanredno dobro poznavanje regionalne anatomije, striktno praćenje pravila izvođenja zahvata, dobra tehnika te iskusan operater. Osnovnim indikacijama za artroskopiju 1. MTF zgloba danas se smatraju početni stadiji haluksa rigidusa, osteohondritis disekans glave 1. metatarzalne kosti, sinovitisi različite etiologije te patološki procesi sezamskih kostiju palca stopala. U ovom članku opisujemo indikacije, tehniku, komplikacije, kao i perspektivu artroskopije 1. MTF zgloba, uz detaljan pregled suvremenih literaturnih podataka.

• Language: croatian
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 140, no. 7-8, pp. 221-228
• p-ISSN: 0024-3477
• DOI: https://doi.org/10.26800/LV-140-7-8-29
• URN:NBN: urn:nbn:hr:105:325546
• Publication: 2018-07
• Document URL: https://hrcak.srce.hr/file/302517
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:47:46