{"id":801,"date":"2024-10-16T14:48:15","date_gmt":"2024-10-16T11:48:15","guid":{"rendered":"https:\/\/llscenter.com\/?p=801"},"modified":"2024-10-10T14:55:18","modified_gmt":"2024-10-10T11:55:18","slug":"recovery-after-high-tibial-osteotomy-what-awaits-you","status":"publish","type":"post","link":"https:\/\/llscenter.com\/bs\/oporavak-nakon-visoke-tibijalne-osteotomije-sta-vas-ceka\/","title":{"rendered":"Oporavak nakon osteotomije visoke tibije: \u0161ta vas \u010deka?"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"801\" class=\"elementor elementor-801\" 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\">Oporavak nakon osteotomije visoke tibije: \u0161ta vas \u010deka?<\/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 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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 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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><strong>Visoka tibijalna osteotomija (HTO) <\/strong>mo\u017ee se prikladno opisati kao tehnika koja ima za cilj ponovno poravnanje koljena. Dio va\u0161e potkolenice neposredno ispod koljena se bira kao podru\u010dje osteotomije. Kraj potkoljenice na suprotnoj strani u odnosu na ovu regiju mo\u017ee se otvoriti ili zatvoriti prije postavljanja plo\u010de radi fiksacije. Glavna svrha visoke tibijalne osteotomije (HTO), tipi\u010dno u situaciji osteoartritisa, je rasteretiti o\u0161te\u0107eni artriti\u010dni odjeljak koljena, op\u0107enito medijalni odjeljak, smanjuju\u0107i bol koji osje\u0107ate. Tradicionalna metoda korekcije vo\u0111ena je metodom Farkasa i modificiranom metodom Coventryja. Konvencionalna tehnika osteotomije (HTO otvorenog klina) indicirana je kod mla\u0111ih pacijenata zajedno sa zna\u010dajno genu varum ili tibijalnim femoralnim uglom (TFA) od 175 ili vi\u0161e, tibije koja je vi\u0161e vertikalna u odnosu na tlo i indeksom tjelesne mase (BMI) od 26 do 30. Nasuprot tome, indikacija za zatvaranje fibularne glave kod starijih osoba je ve\u0107a nego kod starijih osoba. 50 godina koji su u polo\u017eaju artritisanog 4-6 stepeni varusa ose optere\u0107enja povezanog sa te\u0161kim ili zavr\u0161nim stadijumom osteoartritisa ili generalizovanim artritisom.<\/p><p><strong>\u0160ta o\u010dekivati nakon HTO<\/strong> je malo druga\u010diji u svakoj bolnici, posebno zbog razli\u010ditih materijala koji se koriste za osteotomiju. Ipak, sam proces oporavka je orijentisan na fazu zarastanja kosti i mogu\u0107nost optere\u0107enja operisanog ekstremiteta. Oporavak pacijenata nakon operacije jedan je od faktora koji doprinose njihovom ukupnom zadovoljstvu tretmanom. Tokom neposredne postoperativne faze, mo\u017ee se \u010diniti da tretman nedostaje; zbog toga se u marketin\u0161koj ponudi ne mo\u017ee ocijeniti kao glavni razlog koji uti\u010de na odluku pri izboru bolnice. Me\u0111utim, svaki pacijent \u0107e svakako obratiti posebnu pa\u017enju na pitanja \u201e\u0161ta me \u010deka u procesu tjelesnog ozdravljenja nakon ovako velikog zahvata\u201c i \u201eo kom vremenskom periodu se radi\u201c. Spominje se da je kompletan <strong>visok oporavak od osteotomije tibije<\/strong> traje oko 6 mjeseci; me\u0111utim, sveobuhvatan plan za povratak u punu kondiciju treba razmotriti nakon 9-12 mjeseci. Period oporavka do kosti nakon otvorene osteotomije je do 6-8 sedmica, ovisno o testu koji potvr\u0111uje potpuno zatvoren jaz tri dijela nogu koji ne nose te\u017einu, \u010dime se osigurava potpuni mir kolenskog zgloba. Za pore\u0111enje, puna <strong>Vrijeme oporavka HTO<\/strong> nakon unutra\u0161nje fiksacije sa zaklju\u010danom plo\u010dom se proceduralno aktivira skra\u0107ivanjem gornjeg ekstremiteta kreveti\u0107a i preno\u0161enjem optere\u0107enja na njega. Va\u017eno je da pacijenti budu pripremljeni za emocionalno ozdravljenje kada \u0107e njihova pokretljivost biti neadekvatna, a gnje\u010denje, kao slika prije hirur\u0161ke operacije, \u0107e biti rezultat ruke ili \u0107e biti zna\u010dajno ponovo adaptirano.<\/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\">Koji faktori utje\u010du na vrijeme oporavka nakon visoke tibijalne osteotomije?<\/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><strong>Visoki oporavak od osteotomije tibije<\/strong> (<strong>Vrijeme oporavka HTO<\/strong>) je jedinstven i mo\u017ee se razlikovati od osobe do osobe. Mnogi faktori mogu uticati na vrijeme oporavka. Faktori koji mogu utjecati na vrijeme oporavka uklju\u010duju starost pacijenta, cjelokupno zdravlje, prisustvo drugih stanja ili bolesti i ve\u0107 postoje\u0107e deformitete ili deficite prije nego \u0161to se osoba podvrgne HTO. Vrsta osteotomije i kori\u0161tena hirur\u0161ka tehnika tako\u0111er su izuzetno utjecajni. Rez ispod genikularnih \u017eila mo\u017ee rezultirati skoro dvostruko du\u017eim vremenom oporavka u odnosu na lateralnu klinastu osteotomiju, skoro 18,5 mjeseci u odnosu na 9,8 mjeseci. Hirur\u0161ke tehnike koje poti\u010du br\u017ee <strong>visok oporavak od osteotomije tibije<\/strong> vremenski se fokusira na smanjenje koli\u010dine o\u0161te\u0107enja mekog tkiva u vrijeme operacije i minimalnu invaziju ili naru\u0161avanje zgloba koljena. Postoperativno je izuzetno va\u017eno da pacijent u\u010destvuje u rehabilitaciji i da se pridr\u017eava svih preporuka i protokola koje mu daju zdravstveni timovi. Ako to ne u\u010dinite, mo\u017ee usporiti vrijeme oporavka.<\/p><p>Mogu\u0107nost sudjelovanja u rehabilitaciji i vrijeme koje bi moglo potrajati do potpunog oporavka od HTO mo\u017ee biti prili\u010dno neizvjesno, a okolnosti i ozljeda svakog pacijenta su jedinstvene i individualizirane. Pru\u017eaoci zdravstvenih usluga \u0107e razmotriti mnoge faktore, uklju\u010duju\u0107i starost pacijenta, spol, te\u017einu bolesti, zdravstveno stanje i njihov izbor, a zatim prilagoditi plan <strong>njega nakon visoke tibijalne osteotomije<\/strong> i rehabilitaciju za te potrebe. Mnogi faktori, unutar i izvan pacijentovog tijela i briga mogu\u0107ih hirurga, igraju ulogu u ukupnom ishodu medicinskih procedura. Ako se ovi potencijalni faktori mogu precizno odrediti i njihov utjecaj razjasniti, pacijenti i zdravstveni radnici mogu imati mnogo bolje razumijevanje mogu\u0107ih ishoda nakon odluke o operaciji. Fizi\u010dki i psiholo\u0161ki faktori mogu biti uklju\u010deni u ishode nakon operacije i\u00a0 <strong>Vrijeme oporavka HTO<\/strong>. Ako je osoba vi\u0161e motivirana da ozdravi ili ima jak sistem podr\u0161ke oko sebe, to joj mo\u017ee pomo\u0107i da se pridr\u017eava programa rehabilitacije.<\/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-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\">Koji su uobi\u010dajeni izazovi i komplikacije tokom HTO oporavka?<\/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>Naj\u010de\u0161\u0107i problem koji pacijenti napominju nakon HTO operacije je jaka bol, koju nije mogu\u0107e u potpunosti ubla\u017eiti. Nekim pacijentima su potrebni dodatni protuupalni lijekovi za smanjenje otoka i bolova. Nadalje, hodanje sa \u0161takama je \u010desto te\u0161ko. Kada je noga jo\u0161 nate\u010dena, pacijenti \u010desto mogu hodati oslonjeni na jednu stranu kako ne bi u potpunosti prenijeli svoju tjelesnu te\u017einu na operisanu nogu. Neophodno je trenirati hodanje u potpunosti koriste\u0107i operiranu nogu kako bi se izbjegle smetnje u hodu. Nadalje, neki pacijenti se mogu osje\u0107ati nesigurno kada prenose te\u017einu. Ova nestabilnost je prirodna pojava <strong>\u0161ta o\u010dekivati nakon HTO<\/strong> operacije, ali pacijenti moraju vje\u017ebati kako bi zadr\u017eali opseg pokreta u koljenu i pomogli mi\u0161i\u0107ima da stabiliziraju koljeno. Mo\u017ee do\u0107i do jakog otoka. Otok se dugoro\u010dno pobolj\u0161ava, ali mo\u017ee biti prisutan i tokom prve godine nakon operacije. Mo\u017ee se javiti i hemartroza. Cilj rehabilitacije nakon ove operacije je pomo\u0107i mi\u0161i\u0107ima da u potpunosti funkcioniraju, pa pacijenti nose protezu bez optere\u0107enja kako bi izbjegli preoptere\u0107enje ili ozljedu o\u0161te\u0107enog dijela tibije.<\/p><p>Velika ve\u0107ina pacijenata uspjeva se dobro oporaviti ovom operacijom. Nakon ove operacije mogu se javiti neke komplikacije, uklju\u010duju\u0107i probleme vezane za anestetike, ali nakon operacije mogu nastati duboka venska tromboza i krvni ugru\u0161ci, kao i tromboembolija, tromboza i embolija u plu\u0107noj veni. Nadalje, lokalne komplikacije uklju\u010duju gubitak osje\u0107aja u tom podru\u010dju zbog o\u0161te\u0107enja \u017eivaca, infekcije i groznice zbog popu\u0161tanja kop\u010di koje poma\u017eu u cijeljenju, kao i supresiju trombocita zbog nedovoljnog zacjeljivanja kostiju. Mogu se javiti i neplanirani poreme\u0107aji primijenjenog metala, rezidualni bol i otok, kao i op\u0107a slabost zbog problema s poravnanjem nogu.<\/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<h3 class=\"elementor-heading-title elementor-size-default\">Koji su dugoro\u010dni ishodi i prognoza nakon visoke tibijalne osteotomije?<\/h3>\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>Postoje dokazi koji pokazuju dugoro\u010dno pobolj\u0161anje u razli\u010ditim ishodima fokusiranim na pacijente tokom <strong>Vrijeme oporavka HTO<\/strong>. Visok postotak pacijenata koji primaju HTO opisuje dobru funkciju zgloba, nemaju jake bolove i osje\u0107aju zadovoljstvo kirur\u0161kim ishodom do 15-20 godina. Me\u0111utim, samo dio studija koje procjenjuju dugoro\u010dno pre\u017eivljavanje i klini\u010dke ishode nakon HTO je prospektivan. Shodno tome, neke studije ne uzimaju u obzir faktore kao \u0161to su pridr\u017eavanje pacijenata postoperativnim rehabilitacijskim vje\u017ebama i odluke koje pacijenti donose o na\u010dinu \u017eivota koji izaberu nakon operacije. Neke komplikacije i neta\u010dna poklapanja pacijent-lije\u010denje mogu biti povezani s prirodom pacijenta i stanjem prije operacije.<\/p><p>Ve\u0107a pobolj\u0161anja u klini\u010dkim i radiolo\u0161kim ishodima o\u010dekuju se kod pacijenata sa stabilnim postoperativnim polo\u017eajem ekstremiteta i odr\u017eavanjem tog polo\u017eaja nakon 12-mjese\u010dnog pra\u0107enja nakon operacije. Kona\u010dno, kao <strong>njega nakon visoke tibijalne osteotomije<\/strong>, pacijent treba da ide na periodi\u010dne kontrole. Tokom ovih posjeta treba obaviti klini\u010dki pregled, a ishode usmjerene na pacijenta treba uporediti sa stanjem prije operacije. Ova procjena mo\u017ee informirati da li pacijent slijedi neprilago\u0111en pristup i da li treba razmotriti novu hirur\u0161ku intervenciju kako bi se pacijentu pru\u017eile druge dobre intraoperativne mogu\u0107nosti.<\/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\">Koji su budu\u0107i pravci i inovacije u operacijama poravnanja koljena?<\/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>Oporavak nakon <strong>Obja\u0161njena visoka tibijalna osteotomija<\/strong>: To je \u010desto spor i ponekad frustriraju\u0107i proces. Mnogi pacijenti ne nose ili imaju ograni\u010denu te\u017einu \u0161est sedmica, nakon \u010dega slijedi polagana progresija ka stavljanju pune te\u017eine na operiranu nogu. Rani dio rehabilitacije fokusiran je na kontrolu bola, kontrolu otoka, ograni\u010denja u pozicioniranju noge i za\u0161titu oporavka, \u0161to je vjerojatnije identificirano kao nezarastanje. Izme\u0111u \u0161est i dvanaest nedelja, ve\u0107ina pacijenata se procenjuje i daje im \u201ezeleno svetlo\u201c da po\u010dnu da napreduju u rehabilitaciji i aktivnosti pod nadzorom fizikalne terapije. Mnogi ortopedski kirurzi koriste rehabilitacijski protokol koji je specifi\u010dan za njihovu populaciju pacijenata. Sa vi\u0161e ortopedskih hirurga koji izvode rekonstruktivne zahvate, upotreba rehabilitacionih protokola postaje sve standardizovanija. Do danas ne postoje randomizirane kontrolirane studije o razli\u010ditim programima rehabilitacije i koja je optimalna rehabilitacija nakon osteotomije.<\/p><p>Pacijenti koji imaju visoku tibijalnu osteotomiju dobijaju rehabilitacijske programe od svog kirurga. Smatra se da uz razli\u010dite hirur\u0161ke tehnike visoke tibijalne osteotomije, rehabilitacijski program treba biti individualiziran. Pribjegavanje takvim programima kao \u0161to su ku\u0107ni protokoli bez upotrebe fizikalne terapije mo\u017ee pobolj\u0161ati pacijentov uspje\u0161an oporavak uz visoku stopu spajanja. Bol mo\u017ee biti komplicirano pitanje u procesu oporavka. Mo\u017ee se lije\u010diti lijekovima na recept ili lijekovima za ubla\u017eavanje bolova bez recepta. Postoje i mnogi programi koji koriste fizikalnu terapiju za vo\u0111ene niz vje\u017ebi pokreta i ja\u010danja koji su tako\u0111er imali uspjeha. Va\u017eno je ne zaboraviti pacijente koji su podvrgnuti zatvorenom klinu ili kupoli; iako ovi pacijenti imaju te\u017einu, obi\u010dno imaju zna\u010dajne bolove u kostima mjesecima dok se kosti spajaju. Za hirurge i pacijente je neophodno da imaju postavljene ciljeve i prekretnice u procesu oporavka. Postoje komplikacije koje se mogu pojaviti u ovom vremenskom periodu koje bi mogle promijeniti rehabilitaciju. Prijavljeno je zna\u010dajno manje komplikacija nakon otvaranja klina u pore\u0111enju sa tradicionalnim procedurama zatvaranja. Svaki otok ili izljevi u zglobu obi\u010dno se smanjuju. Fizioterapija i ja\u010danje snage tako\u0111er su imali uspjeha. Stoga je od kriti\u010dne va\u017enosti u 12. sedmici zapo\u010deti uspostavljanje ciljeva rehabilitacije koje je potrebno ispuniti za povratak normalnim aktivnostima. Tokom ove klju\u010dne faze, korekcija deformiteta je va\u017ena.<\/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\/high-tibial-osteotomy-vs-knee-replacement-which-is-right-for-you\/\" 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\">Visoka tibijalna osteotomija naspram zamjene koljena: \u0161to je pravo za vas?<\/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\/koliko-sigurno-je-hirurgija-rizici-i-komplikacije-produzenja-udova\/\" rel=\"next\"><span class=\"elementor-post-navigation__link__next\"><span class=\"post-navigation__next--label\">Slede\u0107i<\/span><span class=\"post-navigation__next--title\">Koliko je bezbedna operacija produ\u017eenja udova? Rizici i komplikacije<\/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>Otkrijte operaciju produ\u017eavanja ekstremiteta, uklju\u010duju\u0107i tehnike, proces oporavka i tro\u0161kove. Saznajte kako ova operacija mo\u017ee pobolj\u0161ati kvalitetu \u017eivota.<\/p>","protected":false},"author":2,"featured_media":803,"comment_status":"closed","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-801","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 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Recovery After High Tibial Osteotomy: What Awaits You? - LLS Center<\/title>\n<meta name=\"description\" content=\"Differences between high tibial osteotomy (HTO) and knee replacement surgery. 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