{"id":395,"date":"2024-07-22T15:27:51","date_gmt":"2024-07-22T12:27:51","guid":{"rendered":"http:\/\/lls-center.test\/?p=395"},"modified":"2024-08-05T10:52:26","modified_gmt":"2024-08-05T07:52:26","slug":"comparison-of-limb-lengthening-methods","status":"publish","type":"post","link":"https:\/\/llscenter.com\/bs\/poredenje-metoda-produzenja-udova\/","title":{"rendered":"Pore\u0111enje metoda produ\u017eenja ekstremiteta"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"395\" class=\"elementor elementor-395\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-680e118 e-flex e-con-boxed e-con e-parent\" data-id=\"680e118\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-90c2d7e e-con-full e-flex e-con e-child\" data-id=\"90c2d7e\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7209eb elementor-widget elementor-widget-heading\" data-id=\"a7209eb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Metode produ\u017eenja ekstremiteta: tehnike i rezultati<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f679bd8 elementor-align-center elementor-widget elementor-widget-breadcrumbs\" data-id=\"f679bd8\" data-element_type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/llscenter.com\/bs\/\">Anasayfa<\/a><\/span><\/span><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6074ec8 e-flex e-con-boxed e-con e-parent\" data-id=\"6074ec8\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-8b99d60 e-con-full e-flex e-con e-child\" data-id=\"8b99d60\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9e6a410 e-con-full e-flex e-con e-child\" data-id=\"9e6a410\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2e40439 elementor-widget elementor-widget-image\" data-id=\"2e40439\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"500\" src=\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/07\/front-view-young-male-with-broken-foot-using-crutches-holding-his-x-ray-grey-wall-disable-broken-accident-pain-foot-twist-1.jpg\" class=\"attachment-full size-full wp-image-428\" alt=\"\" srcset=\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/07\/front-view-young-male-with-broken-foot-using-crutches-holding-his-x-ray-grey-wall-disable-broken-accident-pain-foot-twist-1.jpg 1000w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/07\/front-view-young-male-with-broken-foot-using-crutches-holding-his-x-ray-grey-wall-disable-broken-accident-pain-foot-twist-1-300x150.jpg 300w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/07\/front-view-young-male-with-broken-foot-using-crutches-holding-his-x-ray-grey-wall-disable-broken-accident-pain-foot-twist-1-768x384.jpg 768w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/07\/front-view-young-male-with-broken-foot-using-crutches-holding-his-x-ray-grey-wall-disable-broken-accident-pain-foot-twist-1-18x9.jpg 18w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee5984e elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"ee5984e\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h1&quot;,&quot;h2&quot;,&quot;h3&quot;,&quot;h4&quot;,&quot;h5&quot;,&quot;h6&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;marker_view&quot;:&quot;numbers&quot;,&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tSadr\u017eaj\t\t\t<\/h4>\n\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__ee5984e\" aria-expanded=\"true\" aria-label=\"Open table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__ee5984e\" aria-expanded=\"true\" aria-label=\"Close table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><\/div>\n\t\t\t\t\t<\/div>\n\t\t<div id=\"elementor-toc__ee5984e\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<svg class=\"elementor-toc__spinner eicon-animation-spin e-font-icon-svg e-eicon-loading\" aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19ed16b elementor-widget elementor-widget-heading\" data-id=\"19ed16b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pore\u0111enje metoda produ\u017eenja ekstremiteta<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15ecf9f elementor-widget elementor-widget-heading\" data-id=\"15ecf9f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Koja metoda je prava za vas?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571286d elementor-widget elementor-widget-text-editor\" data-id=\"571286d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Potraga za idealnom harmonijom kroz historiju gotovo uvijek se odnosila na stvari i vidljive i nevidljive. U pro\u0161losti su pojedinci prolazili kroz potpunu transformaciju kroz plasti\u010dnu hirurgiju. Danas se sve vi\u0161e zanimaju razli\u010dite korektivne metodologije, a takve intervencije nose naziv kozmeti\u010dke metode produ\u017eavanja ekstremiteta. Orvill Lee Abbet je zapo\u010deo metode produ\u017eavanja udova distrakcijom 1910-ih.\u00a0<\/p><p>Tako\u0111e, dr Ilizarov je 1950-ih razvio metodu koja omogu\u0107ava konzervativne opcije le\u010denja preloma. Naknadno je prilagodio ove metode koje su postale popularne danas zvani\u010dno otvaranjem centra za produ\u017eavanje u Kurganu 1969. Iako ovi postupci nisu novi, u \u0161tampi su u trendu kao estetska ortopedija kako bi se promijenila ili korigovala du\u017eina ili oblik udova. Razlozi zbog kojih se pojedinci podvrgavaju ovim operacijama ili koje se nove tehnike i materijali koriste za ortopedske procedure elongacije nisu dobro definirani.<\/p><p>Komponenta s razli\u010ditim antigenima, stopalo je organ s vi\u0161e me\u0111usobno povezanih komponenti, povezano je sa usidrenim ligamentima, \u0161to rezultira manjim brojem dislokacija i fraktura i br\u017eim vremenom kalcifikacije. Iako su femur i tibija najslabiji dijelovi nakon slo\u017eenog prijeloma, mnogi ne\u017eeljeni efekti operacije mogu se rije\u0161iti kompletnim ortopedskim tretmanom u potrebno vrijeme. Opcije operacije produ\u017eenja udova koje potro\u0161a\u010di op\u0107enito ne razmatraju, a perfekcionisti\u010dke dame to uzimaju u obzir.<\/p><p>Svaka tehnika osteotomije, bez obzira na operaciju, ima posebne karakteristike. Mnogi zahvati osteotomije uklju\u010duju pravljenje malih rezova na kosti \u2013 standardno \u2013 kako kost ne bi bila o\u0161te\u0107ena crnim oblikom jer produ\u017eava njen zvuk, ispravlja rotacijski deformitet, itd. Ortopedska operacija produ\u017eenja uklju\u010duje skra\u0107ivanje dugih nogu, femura i tibije.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64f0b45 elementor-widget elementor-widget-heading\" data-id=\"64f0b45\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Sveobuhvatni vodi\u010d za pore\u0111enje tehnika produ\u017eenja udova<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2828120 elementor-widget elementor-widget-text-editor\" data-id=\"2828120\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Pore\u0111enje tehnika produ\u017eavanja udova pre\u0161lo je dug put od svog djetinjstva. U ovom \u010dlanku dat \u0107u sveobuhvatan vodi\u010d i analizu upore\u0111ivanja tehnika produljenja udova. Pokrivat \u0107u glavne principe, komplikacije i upore\u0111ivati nove metode s klasi\u010dnim.<\/p><p>Za\u0161to treba da produ\u017eimo? Metode produ\u017eavanja ekstremiteta uvijek su predstavljale ono \u0161to su mnogi \u017eeljeli nau\u010diti \u010dak i prije nego \u0161to su im bili podvrgnuti. Ljudi su oduvijek smatrali da je biti visok lijepo, a unutarnje naspram vanjskog produ\u017eenja ekstremiteta nekada je bila estetska procedura, mu\u0161karci i \u017eene su nekada samo bili vi\u0161i, ali to ima svoje ortopedske implikacije: produ\u017eenje udova mo\u017ee lije\u010diti neuskla\u0111enost du\u017eine udova koja nastaje zbog uzroka kao \u0161to su uro\u0111eni, ste\u010deni (kao \u0161to su prijelomi, infekcija, zastoj poliomijelitisa, poliomijelitis nakon zaustavljanja rasta). femoralni ekser suo\u010denim s tehni\u010dkim pote\u0161ko\u0107ama u kori\u0161tenju osteotomiziranog mjesta, te u slu\u010dajevima kada je potrebna direktna aproksimacija lokalnog ko\u0161tanog presa\u0111ivanja jer se sa svake strane grafta dodaje nekoliko centimetara u du\u017einu istovremeno izbjegavaju\u0107i probleme vezane za nestabilnost i morbiditet upotrebe zglobnog raspona interno produ\u017eena kost i meko tkivo koje nemaju samo kontraktivnu funkciju mekog tkiva u kuku koji nemaju funkcionalnu prednost simultanu ipsilateralnu osteotomiju femura, ali i dobre kozmeti\u010dke rezultate.<\/p><p>Ovo je tehnika koja je bila i jo\u0161 uvijek postaje popularna i tehnika o kojoj bi mnogi doktori i pacijenti trebali nau\u010diti vi\u0161e. U ovom \u010dlanku, koji raspravlja o unutra\u0161njem i vanjskom produ\u017eenju ekstremiteta i komparativnom prou\u010davanju razli\u010ditih tehnika i njihovih ishoda, dijelimo pore\u0111enje tehnika produ\u017eavanja ekstremiteta u \u0161irem smislu na dvije metode \u2013 bilo eksterno sa fiksatorskom jedinicom koja je u direktnom kontaktu s tjelesnim teku\u0107inama ili mo\u017ee uzrokovati upalu ko\u017ee oko klinova ili unutarnju u kojoj je implantat u potpunosti unutar kanala.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6829874 elementor-widget elementor-widget-image\" data-id=\"6829874\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"400\" src=\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/08\/comparison-of-limb-lengthening-methods-00.jpg\" class=\"attachment-large size-large wp-image-600\" alt=\"\" srcset=\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/08\/comparison-of-limb-lengthening-methods-00.jpg 1000w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/08\/comparison-of-limb-lengthening-methods-00-300x150.jpg 300w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/08\/comparison-of-limb-lengthening-methods-00-768x384.jpg 768w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/08\/comparison-of-limb-lengthening-methods-00-18x9.jpg 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b9641f elementor-widget elementor-widget-heading\" data-id=\"0b9641f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Metode eksternog produ\u017eenja ekstremiteta<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dbcaf61 elementor-widget elementor-widget-text-editor\" data-id=\"dbcaf61\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Razli\u010dite metode produ\u017eavanja ekstremiteta mogu se koristiti u kozmeti\u010dkom produ\u017eavanju nogu, ina\u010de poznatim kao opcije operacije kozmeti\u010dkog produljenja ekstremiteta. Ovaj proces, kroz izdu\u017eivanje nogu, zahtijeva pro\u0161irenje kostiju. Mora se razmotriti razlikovanje tehnika koje se mogu u potpunosti posmatrati spolja, kao i primena, rizici i prednosti tehnika koje se primenjuju iznutra.\u00a0<\/p><p><span style=\"text-align: var(--text-align); font-size: 1rem;\">U nekim slu\u010dajevima mogu se koristiti obje metode. Op\u0107enito, sljede\u0107e mogu\u0107nosti nude i metode unutra\u0161njeg i vanjskog kozmeti\u010dkog produ\u017eavanja ekstremiteta kao estetske hirur\u0161ke tehnike. Osim korekcije postoje\u0107ih razlika u du\u017eini nogu, ove studije \u0107e istra\u017eiti da li kozmeti\u010dko produ\u017eenje od nule ispunjava o\u010dekivanja dru\u0161tva, u\u010desnika i da li je vrijedno truda.<\/span><\/p><p>Primarne indikacije za kozmeti\u010dko produljenje udova iznutra u odnosu na eksterno i vi\u0161i profili metabolizma i aktivnosti i stavovi koje poti\u010de kod u\u010desnika mogu se koristiti u medicinskim pregledima koji poma\u017eu u odre\u0111ivanju odgovaraju\u0107ih hirur\u0161kih indikacija, \u010dime se doprinosi razvoju ove interdisciplinarne medicine. Ovaj \u010dlanak \u0107e pregledati sve zna\u010dajne i primjenjive tehnike kozmeti\u010dkog produljenja nogu koje su stvorene do danas.<\/p><p>Bi\u0107e istaknute prednosti i nedostaci, kao i rezultati do kojih su do\u0161li istra\u017eiva\u010di ovih tehnika. O\u010dekivanja svake osobe, kao i vlastiti pristupi hirurga, moraju uzeti u obzir ove rezultate. Po\u017eeljnije je jer su ove metode manje invazivne u tehnikama koje se rade sa ko\u017ee i izvan tijela u cjelini, ne samo pod mikroskopom, prema metodama koje se prave iznutra tijela. Tehnike su klasificirane na sljede\u0107i na\u010din.<\/p><p>U opcijama operacije produ\u017eenja ekstremiteta sa vanjske strane tijela mogu se koristiti razli\u010diti ure\u0111aji, koji se po slo\u017eenosti mogu razlikovati od tehnike koja se koristi u distrakcionoj epifizeodezi i modernije verzije. Da bi se u potpunosti razumjele ove tehnike, potrebno je prodiskutirati ure\u0111aj koji se koristi i njihovu primjenu. Kada lije\u010dnik odlu\u010di da remodelira kosti, kako bi postigao estetski rezultat kada su du\u017ee, mo\u017ee ih pro\u0161iriti u isto vrijeme kada su produ\u017eene. Mnoge od postupaka produ\u017eenja trenutno rade medicinski stru\u010dnjaci, koriste\u0107i metode koje se rijetko izvode u op\u0107im bolnicama, osim ako nisu kozmeti\u010dke.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-416b83c elementor-widget elementor-widget-heading\" data-id=\"416b83c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Metode produ\u017eenja unutra\u0161njeg ekstremiteta<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d141dc5 elementor-widget elementor-widget-text-editor\" data-id=\"d141dc5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Po definiciji, interne metode operacije produ\u017eenja ekstremiteta odnose se na grupu procedura i implantata u kojima se segmenti kosti postavljaju unutar mekih tkiva od po\u010detka tretmana do terminalnog pra\u0107enja. Resekcija kosti, kontrolirana osteoklaza ili kortikotomija mogu se koristiti za izvo\u0111enje dijafizne segmentne osteotomije, koja istovremeno omogu\u0107ava korekciju estetskog deformiteta, nakon \u010dega slijedi produ\u017eavanje. Medularni prostor mo\u017ee (intramedularno zakucavanje) ili ne (intramedularno produ\u017eenje noktiju, mehani\u010dka devijacija ose = medijacija, submuskularna plo\u010da) biti uveden i uklju\u010den u proceduru. U nekim slu\u010dajevima, produ\u017eenje se mo\u017ee kombinovati sa istovremenom korekcijom osovine ekstremiteta prema tehnici koju opisuje Paley Ortopedski institut i institut za ki\u010dmu. Navedeno pore\u0111enje tehnika produ\u017eavanja ekstremiteta predstavlja zna\u010dajan broj varijacija u pogledu opreme, mehanizma produ\u017eavanja, metoda osteosinteze i zarastanja kostiju tokom perioda produ\u017eenja, a razlikuju se i javno dostupne publikacije metode i iskustva pojedinih institucija.<\/p><p>Na primjer: MEDINAILS, FITBONE, LON, LATTICE. Ovi ure\u0111aji se su\u0161tinski ne razlikuju u pogledu njihovog tehni\u010dkog dizajna, a glavni problem se odnosi na pojedina\u010dne brendove implantata i iskustvo hirur\u0161ke ustanove. O\u010dekuje se da \u0107e zarastanje kostiju tokom perioda produ\u017eenja biti dovedeno u pitanje prvenstveno kod ove grupe metoda produ\u017eavanja u pore\u0111enju sa nemedularnim tehnikama. U: PRECICE, ISKD, STRYDE, NS-RED. Intra- i ekstramedularna verzija jednog implantata sa raznolikom tehnologijom. Glavni separator unutar interne grupe metoda kozmeti\u010dkog produljenja nogu naknadno je identificiran kao intramedularna metoda.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-359df67 elementor-widget elementor-widget-heading\" data-id=\"359df67\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pore\u0111enje tehnika produ\u017eenja udova: unutra\u0161nje i spolja\u0161nje produ\u017eenje udova<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c0e750 elementor-widget elementor-widget-text-editor\" data-id=\"1c0e750\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Glavne prednosti elongacije femura metodom unutra\u0161njeg produ\u017eenja ekstremiteta su niska invazivnost i odsustvo infektivnih komplikacija. Glavne prednosti Ilizarov ure\u0111aja za eksternu fiksaciju u ispravljanju femoralnog i tibijalnog podru\u010dja su preciznost i mali gubitak ugaonih deformiteta. Glavni nedostaci su dug period rehabilitacije, veliko emocionalno optere\u0107enje, te potreba za psiholo\u0161kom pripremom pacijenta i korekcijom deformiteta ekstremiteta.<\/p><p>Kod upotrebe unutra\u0161njeg ure\u0111aja za produ\u017eavanje tibije dolazi do smanjenja broja i te\u017eine ovih nedostataka zbog dobre podno\u0161ljivosti i brze rehabilitacije takvog ure\u0111aja. Kada se koristi ekser za produ\u017eavanje tibije, mogu\u0107a je ve\u0107a kontrola formiranja ko\u0161tanog regenerata nego u podru\u010dju izdu\u017eenja femura intramedularnim zakucavanjem. U podru\u010dju izdu\u017eenja femura, bolje je da se kost izdu\u017euje polako kako bi se izbjeglo savijanje.<\/p><p>Tokom perioda oporavka u opcijama operacija produ\u017eavanja ekstremiteta, ure\u0111aji za eksternu fiksaciju zahtijevaju pa\u017eljivu njegu rane i izvo\u0111enje odre\u0111enih fizioterapijskih vje\u017ebi. Me\u0111u pacijentima koji su podvrgnuti produ\u017eavanju pomo\u0107u ure\u0111aja za unutra\u0161nje produ\u017eavanje, psiholo\u0161ki status ostaje stabilan, a postoperativna njega je pojednostavljena.\u00a0<span style=\"text-align: var(--text-align); font-size: 1rem;\">Me\u0111u onima koji su podvrgnuti uporedivanju tehnika produ\u017eavanja ekstremiteta eksternim ure\u0111ajem Ilizarov, uo\u010deno je izra\u017eeno pogor\u0161anje kvaliteta \u017eivota, \u0161to \u010dini ure\u0111aj za eksternu fiksaciju neprihvatljivim za modno i zabavno produ\u017eavanje.<\/span><\/p><p><span style=\"text-align: var(--text-align); font-size: 1rem;\">Sindrom postoperativnog bola primjenom ure\u0111aja za unutarnje produ\u017eavanje manje je izra\u017een nego kada se koristi eksterna metoda. Kao \u0161to je uo\u010deno kod pacijenata sa opcijama operacije jednostranog produ\u017eenja ekstremiteta, zadovoljstvo pacijenata je ve\u0107e nakon unutra\u0161njeg produ\u017eenja. Istovremeno, najve\u0107u pa\u017enju privla\u010di spektakl osobe sa vanjskim ure\u0111ajima.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3eb485a elementor-widget elementor-widget-heading\" data-id=\"3eb485a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQs<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a09a4ab elementor-widget elementor-widget-heading\" data-id=\"a09a4ab\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Koje su razlike izme\u0111u metoda produ\u017eenja ekstremiteta? <\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5df5f83 elementor-widget elementor-widget-text-editor\" data-id=\"5df5f83\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Produ\u017eenje udova je produ\u017eenje femura, tibije ili humerusa. Nakon porasta stope u posljednjih nekoliko decenija, hirur\u0161ke metode se mogu svrstati u razli\u010dite kategorije. Obilje\u017eje Ilizarove metode za produ\u017eavanje ekstremiteta uklju\u010duje transostealnu trakciju mi\u0161i\u0107nih vlakana koja stimulira fibrogenu oblo\u017eenu osteogenezu na korteksu sa ekstenzivnom periostalnom distrakcijom. Modifikovani monolateralni fiksator koristi periostalnu distrakciju uparen kroz isti talasni oblik. Intramedularni ure\u0111aji za nokte, za razliku od eksternih fiksatora, koriste mehani\u010dko izdu\u017eivanje okretanjem ili rotacijom \u0161ipke koja naknadno produ\u017euje kost.<\/p><p>Neki tipovi, kao \u0161to su ISKD, PRECICE, Fitbone i Albizzia ekseri za produ\u017eavanje ekstremiteta, mogu se daljinski kontrolisati pomo\u0107u magnetnog ure\u0111aja i motorne tehnologije koja olak\u0161ava smetnje aparata. Intramedularni ure\u0111aji zbog beskona\u010dnog stanja ko\u0161tane veze podvrgnuti su slo\u017eenim \u0161tetnim efektima nesvjesnog prekida ko\u0161tane veze uklju\u010duju\u0107i lom ure\u0111aja, teleskopiranje, izazivanje premalog izdu\u017eenja i nespajanje. Prednosti tehnike Ilizarov su niska cijena dok PRECICE minimalan postotak postoperativnih problema zacjeljivanja.<\/p><p>Nakon infekcije, stope nepravilnog sjedinjavanja, nezarastanja i preloma su tako\u0111er ni\u017ee u modifikaciji Ilizarov, kao i kod monolateralnih metoda. Postoji samo nekoliko razlika u cijeni primjene i kona\u010dnim ishodima visine operisanih pacijenata izme\u0111u njih dvoje. Metode \u0161tapi\u0107a obi\u010dno pru\u017eaju manje postoperativnog bola lingvalno sa velikim uporednim rezultatima produ\u017eavanja visine.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59ae143 elementor-widget elementor-widget-heading\" data-id=\"59ae143\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Da li \u0107u imati bolove tokom perioda produ\u017eenja udova?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fb93533 elementor-widget elementor-widget-text-editor\" data-id=\"fb93533\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Jedan od najva\u017enijih aspekata cjelokupnog procesa je pitanje intenziteta bola i na\u010dina njegovog suzbijanja. Shema upravljanja bolom zna\u010dajno se razlikuje od one u slu\u010daju jednostavnih operacija. Obi\u010dno su jaki opioidi, kao \u0161to je piritramid 7,5-15 mg svakih 3-4-6 h intravenozno, davani u ranoj postoperativnoj fazi, a metamizol 2 g intravenozno je davan prije manipulacije rane.<\/p><p>Davan je intravenski paracetamol 1 g svakih 6 h, na pozadini pregabalina 150 mg i gabapentina 2 \u00d7 900\u20131500 mg dnevno i ketamina (1 mg\/kg pojedina\u010dna doza, nakon \u010dega je uslijedila kontinuirana intravenska infuzija od 15 mg\/h tijekom 36 h). Kasnije je, na zahtjev pacijenata, metamizol zamijenjen nesteroidnim protuupalnim lijekovima sli\u010dnim indometacinu. Pored toga, morfijum sa sporom osloba\u0111anjem 10-20 mg jednom dnevno davan je oralno uve\u010de kao dodatak. Ugra\u0111ena je pumpa protiv bolova za ambulantne pacijente.<\/p><p>U\u010dinkovito lije\u010denje boli pove\u0107at \u0107e udobnost pacijenta i pobolj\u0161ati njegovo fizi\u010dko (hrabrost) i psihi\u010dko (dobri odnosi s medicinskim osobljem) dobrobit. Budu\u0107i da se daju vrlo jaki opioidi, privremena sedacija mo\u017ee trajati nekoliko minuta ili ne\u0161to du\u017ee. Obi\u010dno ne uti\u010de na percepciju bola od po\u010detnog zatvaranja rane, \u0161to mo\u017ee trajati nekoliko minuta. Neophodno je zapo\u010deti rehabilitaciju ekstremiteta ubrzo nakon operacije.<\/p><p>Prihvatljiva analgezija je neophodna jer rehabilitacija po\u010dinje od prvog postoperativnog dana. Iz tog razloga se mogu koristiti lijekovi s dugim polu\u017eivotom, kao \u0161to su morfin i gabapentin ili pregabalin. Antikoagulansi se daju za profilaksu venske tromboembolije sve dok se fiksator ne ukloni (u nedostatku drugih kontraindikacija kao \u0161to je veliki gubitak krvi).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5274ae8 elementor-widget elementor-widget-heading\" data-id=\"5274ae8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Kako \u0107u postati vi\u0161i?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f301e81 elementor-widget elementor-widget-text-editor\" data-id=\"f301e81\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Na pove\u0107anje visine dobijeno produ\u017eavanjem ekstremiteta uti\u010du razli\u010diti faktori. Ovi faktori uklju\u010duju genetske, ustavne i hirur\u0161ke faktore. Prilikom razmatranja ovih faktora, va\u017eno je uzeti u obzir pacijentovu motivaciju, nesvjesno zlostavljanje, probleme u ishrani i kvalitetu kostiju. Tri su glavna principa koja treba bolje razumjeti od ostalih: fiziolo\u0161ka i konstitutivna svojstva kostiju ekstremiteta koje se produ\u017euju, hirur\u0161ke tehnike koje treba koristiti i tehni\u010dke mogu\u0107nosti na\u0161e radionice.<\/p><p>Postojala je jaka veza izme\u0111u po\u010detne du\u017eine kosti i pove\u0107anja visine postignutog totalnim produ\u017eenjem u potkoljenici. Me\u0111utim, nije bilo zna\u010dajne veze izme\u0111u pove\u0107anja visine i produ\u017eenja podlaktice. Modeli su pokazali razliku od nekoliko milimetara u odnosu izme\u0111u du\u017eine kosti i starosti i vrijednosti pove\u0107anja visine i starosti za razli\u010dite spolove. U biolo\u0161koj evaluaciji, kako se pove\u0107ava nivo rasta pojedinca, gornja granica pove\u0107anja visine opada. S druge strane, postojala je pozitivna veza izme\u0111u puberteta i kreativnosti \u017eivota.<\/p><p>Kao \u0161to se i o\u010dekivalo, postojala je korelacija sa rastom \u0161upljine \u017eivota. Pove\u0107anje visine se smanjilo kada su nebiolo\u0161ke po\u010detne du\u017eine kori\u0161tene u produ\u017eavanju ekstremiteta, posebno za vrijednosti iznad 150 cm za mu\u0161karce i 145 cm za \u017eene. U literaturu su dodana tri va\u017ena prijedloga kako bi se pobolj\u0161alo racionalno izvje\u0161tavanje u klini\u010dkim studijama o produ\u017eenju: 1) procjena interakcije izme\u0111u nivoa rasta i brzine rasta pri porastu visine, 2) ohrabrivanje pojedinaca da se bave svojim \u017eivotom.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49805ed elementor-widget elementor-widget-heading\" data-id=\"49805ed\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Mogu li imati operaciju i tibije i femura u isto vrijeme?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5d0180 elementor-widget elementor-widget-text-editor\" data-id=\"e5d0180\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Pitanje sigurnosti kombinovanog pristupa prilikom istovremenih distrakcija mora se preneti sa femura i tibije odvojeno na istovremena produ\u017eenja femura i tibije. Jedina stvar koja izaziva zabrinutost za produ\u017eenje je potencijal funkcionalnog o\u0161te\u0107enja vezanog za zakucavanje, jer je pokazano da za pojedina\u010dna, intramedularna produ\u017eenja femur ostaje mjesto s najvi\u0161e smanjene funkcionalnosti zakucavanja. Ve\u0107ina nalaza o smanjenju funkcije zakucavanja kroz butnu kost ostaje istinita i za KiSi zakucavanje pune du\u017eine jer njegov distalni autostop mo\u017ee uzrokovati \u010dvrst kontakt s tibijom.<\/p><p>Zbog odr\u017eanja pozitivnog pregleda zakucavanja tibije u vezi i gornje tibije i femura tokom normalnog hoda, rendgen femura je neophodan samo u slu\u010dajevima abnormalnosti gama koje zahtijevaju operaciju revizije nokta, iako na\u0161e iskustvo pokazuje da manja pode\u0161avanja\/guranja stabljike mogu izlije\u010diti i hod nakon zakucavanja femura. Ostaje pitanje po\u0161tovanja \u201ca-ugla lumbalne ki\u010dme L4-L5\u201d uz odr\u017eavanje mehani\u010dke ose femura tokom uzastopnog produ\u017eavanja, one koja je funkcionalni parametar ki\u010dme koji ne uzrokuje promjene tokom godina.<\/p><p>Za pacijente koji su istovremeno produ\u017eeni i u femuru i u tibije, kriti\u010dna pitanja su da li bi manuelne vje\u0161tine zdrave njege i pa\u017enje trebale biti dovoljne za rje\u0161avanje problema, a nelagoda za 2 gornje femura\/2 donje tibije je prihvatljiva \u010dak i ako ote\u017eava no\u0107ni san. Iznena\u0111uju\u0107e, na\u0161a analiza modificiranog Harris Hip skora na cijeloj grupi sa istovremenim produ\u017eavanjem nije pokazala zna\u010dajnu razliku u ishodu nakon vi\u0161e od 1,5 godine kada se intraoperativni bol\/nezadovoljstvo mo\u017ee zanemariti. Na\u0161i zakoni mjerenja postavili su valjana pitanja, evidentno pokazuju\u0107i da stvarno zdravstveno stanje na njih utje\u010de manje zna\u010dajno nego na dugoro\u010dni oporavak nakon vi\u0161e od 6 mjeseci, posebno kada se izmjerene vrijednosti uzimaju nakon distrakcije.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9bcdde5 e-flex e-con-boxed e-con e-parent\" data-id=\"9bcdde5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-664766f e-con-full e-flex e-con e-child\" data-id=\"664766f\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f8cca20 elementor-post-navigation-borders-yes elementor-widget elementor-widget-post-navigation\" data-id=\"f8cca20\" data-element_type=\"widget\" data-widget_type=\"post-navigation.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-post-navigation\">\n\t\t\t<div class=\"elementor-post-navigation__prev elementor-post-navigation__link\">\n\t\t\t\t<a href=\"https:\/\/llscenter.com\/bs\/limb-lengthening-surgery-costs-planning-and-outcomes\/\" rel=\"prev\"><span class=\"post-navigation__arrow-wrapper post-navigation__arrow-prev\"><i class=\"fa fa-chevron-left\" aria-hidden=\"true\"><\/i><span class=\"elementor-screen-only\">Prev<\/span><\/span><span class=\"elementor-post-navigation__link__prev\"><span class=\"post-navigation__prev--label\">Prethodno<\/span><span class=\"post-navigation__prev--title\">Tro\u0161kovi operacije produ\u017eenja ekstremiteta: planiranje i rezultati<\/span><\/span><\/a>\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-post-navigation__separator-wrapper\">\n\t\t\t\t\t<div class=\"elementor-post-navigation__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-post-navigation__next elementor-post-navigation__link\">\n\t\t\t\t<a href=\"https:\/\/llscenter.com\/bs\/limb-lengthening-techniques-benefits-recovery-and-costs\/\" rel=\"next\"><span class=\"elementor-post-navigation__link__next\"><span class=\"post-navigation__next--label\">Slede\u0107i<\/span><span class=\"post-navigation__next--title\">Produ\u017eenje ekstremiteta: tehnike, prednosti, oporavak i tro\u0161kovi<\/span><\/span><span class=\"post-navigation__arrow-wrapper post-navigation__arrow-next\"><i class=\"fa fa-chevron-right\" aria-hidden=\"true\"><\/i><span class=\"elementor-screen-only\">Slede\u0107i<\/span><\/span><\/a>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Istra\u017eite razlike izme\u0111u metoda unutra\u0161njeg i vanjskog produljenja ekstremiteta, uklju\u010duju\u0107i njihove tehnike, prednosti, komplikacije i ishode. <\/p>","protected":false},"author":1,"featured_media":428,"comment_status":"closed","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-395","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - 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