Stupnjeviti tretman intraartikularnog prijeloma proksimalnog dijela tibije

master's thesis

• Title (english): Stage treatment of intraarticular proximal tibial fracture
• Author: Jelena Nekić
• 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: 2016-09-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Intraartikularni prijelomi proksimalnog dijela tibije zahvaćaju zglobnu površinu tibije, koja sudjeluje u zglobu koljena. Zglob koljena veliki je zglob koji nosi težinu tijela zbog čega je njegova normalna funkcija izrazito bitna. Kako bi se očuvala normalna funkcija zgloba nakon liječenja, potrebno je što preciznije reponirati prijelome, stabilizirati ulomke stabilnom osteosintezom, te započeti s ranom rehabilitacijom i razgibavanjem zgloba. Morfološki prijelomi se mogu pojaviti kao izolirani lom jednog ili oba kondila, zatim kao uleknuće kondila ili kao kombinacija navedenog. Nakon dijagnosticiranja prijeloma, liječenju možemo pristupiti konzervativno ili operacijski, ovisno o indikacijama. Operacijski prijelomi se mogu liječiti unutrašnjom ili vanjskom osteosintezom, a unutrašnjoj osteosintezi se može pristupiti na dva načina; otvorenom repozicijom i unutrašnjom fiksacijom artroskopski asistiranom repozicijom i unutrašnjom fiksacijom. Prilikom oštećenja mekog tkiva, koje ne dopušta trenutno postavljanje unutrašnje fiksacije, mogu se postaviti razne vrste vanjskih fiksatora, dok se za unutrašnju osteosintezu mogu iskoristiti vijci ili pločice. Glavni cilj stabilne osteosinteze je trenutna rehabilitacija i razgibavanje koljena radi postizanja što boljih rezultata.

Abstract (english)

Intraarticular fractions of the proximal part of the tibia are affecting the articular surface of the mentioned, which participates in the knee joint. Knee joints are taking the crucial part in carrying body weight, which makes their normal function a vital necessity. In order to maintain the normal function of the mentioned joit, it is necessary to reduce, further more, to stabilize fragments with a stable osteosynthesis and to start with the basic rehabilitation and with increasement of the mobility of the knee. Morphologic fractions may appear as an isolated fraction of one or both condyles, afterwards as and depression of the condyles or as a combination of both. After diagnosed fractions, treatment may be conservative or operative, depending on the indications. Operational fractions can be treated with an internal or an external osteosynthesis. The internal osteosynthesis can be treated in two ways : either with an opened reposition or with an internal fixation by a arthroscopic assisted repostion with an internal fixation. Damaged soft tissue which does not allow immediate installation of an internal fixation, a variety of different external fixations can be used, whilst the internal ostesynthesis requires screws and plates. The main aim of a stable osteosynthesis is an instant rehabilitation and the mobility of the joint in orderd to achieve an optimal result.

• Keywords: intraartikularni prijelom; ARIF; ORIF; vijci; potporna pločica; vanjski fiksator
• Keywords (english): intraarticular fracture; ARIF; ORIF; screws; buttress plate; external fixator
• Language: croatian
• URN:NBN: urn:nbn:hr:105:658805
• 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: 2017-06-21 07:59:13