Šivanje meniska

master's thesis

• Title (english): Suturing the meniscus
• Author: Filip Luka Mikulić
• Mentor: Mislav Jelić (mentor)
• Committee member: Domagoj Delimar (predsjednik povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Committee member: Mislav Jelić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2023-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Zglob koljena složen je sinovijalni zglob koji povezuje femur, patelu i tibiju. Potpomognut ligamentima, uključujući ACL, PCL, MCL i LCL, pruža stabilnost i ograničava pretjerano kretanje. Dva meniska u obliku polumjeseca, medijalni i lateralni, djeluju kao amortizeri i pomažu u raspodjeli opterećenja. Razumijevanje anatomije koljena ključno je za razumijevanje ozljeda meniska i uloge tehnika šivanja u vraćanju stabilnosti i funkcije.

Ozljede meniska su česte ozljede i mogu dovesti do... More značajnog morbiditeta ako ostanu netretirane. Šivanje meniska ima za cilj vratiti njegovu funkciju, održati stabilnost zgloba koljena i spriječiti degenerativne bolesti zglobova.

Uzimajući u obzir mjesto pukotine, uzorak pukotine, karakteristike pacijenta i rehabilitacijske protokole, različite operacijske metode kao što su parcijalna i totalna meniscektomija, tehnike šivanja, uključujući metode šivanja inside-out, outside-in i all-inside, ispituju se u pogledu njihove učinkovitosti i rezultata.

Meniscektomija ima povoljne kratkoročne rezultate, no dugoročno rezultira znakovima osteoartritisa i degeneracije zgloba, dok tehnike šivanja učinkovito ublažuju bol, poboljšavaju stabilnost zgloba koljena i njegove funkcionalne rezultate. Međutim, na uspjeh utječu karakteristike razdora, mjesto, dob pacijenta i povezane ozljede. Također studije su pokazale i razne komplikacije operacije kao što su ozljede samog meniska i obližnjih žila i živaca. Precizna procjena ruptura, pažljiv odabir pacijenata te pedantna kirurška tehnika presudni su za optimalne rezultate. Less

Abstract (english)

The knee joint is a complex synovial joint that connects the femur, patella and tibia. Supported by ligaments, including the ACL, PCL, MCL and LCL, it provides stability and limits excessive movement. Two crescent-shaped menisci, medial and lateral, act as shock absorbers and help distribute the load. Understanding the knee anatomy is critical to understanding meniscal injuries and the role of suturing techniques in restoring stability and function.

Meniscal injuries are common... More injuries and can lead to significant morbidity if left untreated. Suturing the meniscus aims to bring back its function, maintain the stability inherent to the knee joint aswell as prevent degenerative joint diseases.

Taking into account the tear location, tear pattern, patient characteristics and rehabilitation protocols, different operative methods such as partial and total meniscectomy, suturing techniques, including inside-out, outside-in and all-inside suturing methods, are examined for their effectiveness and results.

Meniscectomy has favorable short-term results, but in the long-term it results in signs of osteoarthritis and joint degeneration, while suturing techniques effectively relieve pain, improve the strength of the knee and its functional results. However, success is influenced by tear characteristics, location, patient age, and associated injuries. Studies have also shown various complications of the operation, such as injuries to the meniscus itself and nearby vessels and nerves. Precise assessment of ruptures, prudent patient selection and accurate surgical technique are crucial for optimal results. Less

• Keywords: menisk; koljeno; zglob koljena
• Keywords (english): meniscus; knee; knee joint
• Language: croatian
• URN:NBN: urn:nbn:hr:105:808348
• 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: 2023-10-26 11:56:08