{"id":810,"date":"2024-10-19T15:00:36","date_gmt":"2024-10-19T12:00:36","guid":{"rendered":"https:\/\/llscenter.com\/?p=810"},"modified":"2024-10-10T15:17:48","modified_gmt":"2024-10-10T12:17:48","slug":"how-safe-is-limb-lengthening-surgery-risks-and-complications","status":"publish","type":"post","link":"https:\/\/llscenter.com\/bs\/koliko-sigurno-je-hirurgija-rizici-i-komplikacije-produzenja-udova\/","title":{"rendered":"Koliko je bezbedna operacija produ\u017eenja udova? Rizici i komplikacije"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"810\" class=\"elementor elementor-810\" 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\">Koliko je bezbedna operacija produ\u017eenja udova? Rizici i komplikacije <\/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\" 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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 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-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>Operacija produ\u017eavanja ekstremiteta je slo\u017eena hirur\u0161ka procedura indicirana za pove\u0107anje du\u017eine donjeg ili gornjeg ekstremiteta \u2013 na primjer, nakon ozljede, zbog uro\u0111enog stanja ili za rekonstrukciju nakon operacije tumora. Koncept produ\u017eavanja nogu ili ruku star je skoro koliko i sama operacija, ali ono \u0161to je nekada bio veoma dugotrajan i bolan proces sa visokim rizicima i upitnim <strong>ishodi operacije produ\u017eenja udova<\/strong> je evoluirao u dobro uspostavljenu najsavremeniju proceduru. Broj operisanih pacijenata bilo iz medicinskih ili kozmeti\u010dkih razloga \u010dini njegovu karakterizaciju i razumijevanje njegovih prednosti i ograni\u010denja sve va\u017enijim pitanjem. Nekoliko klini\u010dkih stanja potpomognuto je produ\u017eavanjem ekstremiteta kao \u0161to je ahondroplazija, radijalna batina \u0161aka, posttraumatski nesklad du\u017eine ekstremiteta i nesklad nakon uklanjanja primarnog sarkoma ekstremiteta.<\/p><p>Produ\u017eenje kosti se mo\u017ee izvesti na zdravoj kosti ili na trajno o\u0161te\u0107enoj kosti nakon ozljede. Postoji mnogo hirur\u0161kih strategija i tehnika; me\u0111utim, jedan zajedni\u010dki imenitelj u svim ovim strategijama je da se produ\u017eenje kosti izvodi u koracima \u2013 precizno i kontrolisano. Postoji nekoliko tehnika i ure\u0111aja koje kirurg mo\u017ee koristiti za izvo\u0111enje postupka produ\u017eenja kosti. Ve\u0107ina postupaka se mo\u017ee klasificirati prema porijeklu energije: ru\u010dne ili motorizirane tehnike zahvaljuju\u0107i komprimovanom plinu ili elektri\u010dnoj energiji. Cilj ovog sveobuhvatnog pregleda je da se osvrne na<strong> sigurnost operacije produ\u017eenja udova<\/strong> i rizici. Dok se odluka na osnovu informacija u neobaveznim procedurama treba donijeti uz dobro razumijevanje poznatih i dogovorenih rizika i koristi, to se tako\u0111er mo\u017ee pro\u0161iriti na medicinske operacije produ\u017eenja udova, kao i na neobavezne kozmeti\u010dke procedure.<\/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 su uobi\u010dajeni rizici i komplikacije povezane s produ\u017eavanjem 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>Nekoliko<strong> rizik od produ\u017eenja ekstremiteta <\/strong>i komplikacije se mogu razviti tokom operacija produ\u017eenja ekstremiteta i korekcije deformiteta. Ako se ovim rizicima od produ\u017eenja udova ne upravlja na odgovaraju\u0107i na\u010din, pacijent mo\u017ee zadobiti male ozljede ili \u010direve od deka, ili \u0107e mo\u017eda morati prekinuti rehabilitaciju, \u0161to rezultira dugim periodom lije\u010denja ili odgo\u0111enim funkcionalnim oporavkom. Pribli\u017eno 80% blagih komplikacija i 42% te\u0161kih <strong>javljaju se komplikacije ekstenzije ekstremiteta<\/strong> tokom perioda eksterne fiksacije. Mogu\u0107nost komplikacija ekstenzije ekstremiteta je relativno velika u tim periodima hospitalizacije. Tehni\u010dko iskustvo hirurga mo\u017ee uticati na rizik od komplikacija. Bez obzira na primijenjenu metodu produljenja, pacijent je izlo\u017een raznim kirur\u0161kim rizicima, kao \u0161to su infekcija, djelomi\u010dno za\u010depljene krvne \u017eile, embolija, duboka venska tromboza, kompartment sindrom, nedovoljna koli\u010dina krvnih produkata, nepru\u017eanje odgovaraju\u0107e anestezije i drugim kvarovima, kao i nuspojavama u vezi s metodom produljenja.<\/p><p>Komplikacije koje se mogu pojaviti ne moraju nu\u017eno uzrokovati negativan utjecaj na postizanje na\u0161ih primarnih ciljeva produljenja ekstremiteta ili korekcije deformiteta. Uo\u010deno je da su pacijenti sa ve\u0107im srednjim brojem komplikacija ekstenzije ekstremiteta skloniji razvoju psihosocijalnih problema, dok su pacijenti bili identi\u010dni po broju te\u0161kih komplikacija. Manje komplikacije su gotovo uvijek samo prolazna smetnja oboljelim pacijentima, iako mogu biti tu\u017ene, a zna\u010daj koje imaju na percepciju na\u0161ih pacijenata o &#039;komplikacijama&#039; ne odgovara njihovim blagim o\u0161te\u0107enjima. Vrijednosti nas ne informi\u0161u o prirodnom i ozbiljnom uticaju koje status nesre\u0107e mo\u017ee imati na ukupan ishod prijavljenih efekata. U stvari, malo je dokaza o utjecaju neda\u0107a na dugotrajno utilitarno i emocionalno blagostanje iz perspektive roditelja pacijenata koji su produ\u017eili udove koji su se u prosjeku prilagodili <strong>ishodi operacije produ\u017eenja udova<\/strong>. Ambiciozni hirurg mora tra\u017eiti kona\u010dan i jedinstven informirani pristanak i mora se jasno pozabaviti manjim, privremenim i te\u0161kim komplikacijama, uklju\u010duju\u0107i njihovu pojavu i utjecaj.<\/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 faktori koji utje\u010du na sigurnost procedura produ\u017eenja kostiju?<\/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>Postoje razli\u010diti nizovi faktora koji mogu kriti\u010dno uticati na sveukupno <strong>sigurnost operacije produ\u017eenja udova<\/strong> i efikasnost procesa produ\u017eavanja ekstremiteta kod pacijenata. \u0160to se ti\u010de faktora vezanih za pacijente, starost i osnovni razlog za produ\u017eenje zna\u010dajno su povezani sa stopama velikih komplikacija. Osim toga, deficit motornih \u017eivaca i na\u010din aktivacije ure\u0111aja tako\u0111er imaju odlu\u010duju\u0107e u\u010dinke na ishod operacije. Osim pacijenata, na uspjeh uti\u010du i faktori koji se odnose na medicinski tim, tehnologiju i hirur\u0161ko okru\u017eenje <strong>sigurnost produ\u017eavanja kosti<\/strong> operacija. Hirur\u0161ko iskustvo i tehnika su odlu\u010duju\u0107e ta\u010dke za smanjenje rizika od <strong>komplikacije ekstenzije ekstremiteta<\/strong>. Uloga i obim pravilne postoperativne njege i rehabilitacije tako\u0111er zna\u010dajno uti\u010du na krajnji ishod pacijenta. Razvoj u oblasti hirur\u0161kih alata s jedne strane i napredak u hirur\u0161kim okru\u017eenjima s druge strane tako\u0111e pokazuju zna\u010dajan uticaj na razvoj hirurgije. Nadalje, potpuni sterilni uvjeti, stru\u010dnost medicinskog osoblja i pravovremeno rje\u0161avanje komplikacija slu\u017ee za pove\u0107anje ukupne sigurnosti operacije produ\u017eenja ekstremiteta. Shodno tome, iako kirur\u0161ki rezultati i osnovni razlozi za operaciju op\u0107enito stvaraju zna\u010dajan utjecaj na glavne <strong>ishodi operacije produ\u017eenja udova<\/strong>, starost i regulatorni status igraju delimi\u010dnu, ali istaknutu ulogu u prognozi.<\/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 budu\u0107i pravci u pobolj\u0161anju sigurnosti i efikasnosti tehnika produ\u017eenja udova?<\/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>Iako mnogi <strong>ishodi operacije produ\u017eenja udova<\/strong> postoje, oni koji su najdu\u017ee u upotrebi vjerovatno \u0107e dominirati u razli\u010ditim dijelovima svijeta. Na primjer, \u010dini se da jedinstvena tehnika obja\u0161njava mnoga pedijatrijska produ\u017eenja femura u odre\u0111enim regijama. Me\u0111utim, pojavljuju se nove tehnike koje tek treba da budu potvr\u0111ene u prou\u010davanju bilo koje serije. Drugi primjeri nedavnih i potvr\u0111enih izvje\u0161taja o inovativnim hirur\u0161kim tehnikama u <strong>sigurnost operacije produ\u017eenja udova<\/strong> uklju\u010duju sistem zategnutog kabla i troosni motorizovani intramedularni ekser za produ\u017eavanje koji uklju\u010duje razli\u010dite ure\u0111aje. Ove kombinovane tehnike mogu smanjiti indeks zarastanja za faktor u rasponu od 1 do 2 u obostranom ili jednostranom produ\u017eavanju sa optere\u0107enjem zbog smanjenih naprezanja na nivou regeneracije. Za sada, prospektivna randomizirana ispitivanja nisu dostupna za ove ure\u0111aje ili nove tehnike. Metode su ote\u017eane ne samo finansijskim aspektima ve\u0107 i obu\u010deno\u0161\u0107u i nivoom iskustva neophodnog za hirurga.<\/p><p>Kontinuirana edukacija i obuka kirurga su od najve\u0107e va\u017enosti za pra\u0107enje tehnologije koja brzo napreduje. To zna\u010di konsenzusne smjernice ne samo o konstrukciji ve\u0107 io najboljim praksama za meko tkivo, distrakciju zglobova i debridman na nivou unutra\u0161njeg implantata. Takve smjernice treba da se zasnivaju na razvoju i evaluaciji postoje\u0107ih biolo\u0161kih sredstava za distrakciju tkiva i materijala za izdavanje softvera za lije\u010denje kortikotomijom. Kako se korisni\u010dko iskustvo s novim tehnologijama razvija, interdisciplinarna aktivna istra\u017eivanja u zajednici mogu se fokusirati na razvoj novih retraktora i specijaliziranih hirur\u0161kih alata, uklju\u010duju\u0107i intramedularne eksere nove generacije za transport kostiju. Nove tehnologije mogu pomo\u0107i u rje\u0161avanju nekih od tih nepoznanica.<\/p><p>Budu\u0107a istra\u017eivanja bi mogla pomo\u0107i u standardizaciji prakse u ovoj oblasti, osiguravaju\u0107i \u0161iroki pristup studijama zasnovanim na dokazima za sve pacijente i ustanove koje \u017eele potvrditi najbolji na\u010din za brigu o njima. Smjernice bi se mogle izdati za svakodnevne hirur\u0161ke prakse istra\u017eivanjem najefikasnijih mjera koje treba poduzeti prije, tokom i nakon ciklusa procjene ekstremiteta. Odgovaraju\u0107e budu\u0107e prikupljanje i razmjena podataka bit \u0107e va\u017ena praksa koja \u0107e omogu\u0107iti pridr\u017eavanje eti\u010dkih principa i od koristi bi pacijentima. Podru\u010dja fokusa su specifi\u010dni ure\u0111aji ili alati koji se koriste za sljede\u0107e procedure, uklju\u010duju\u0107i bikortikalno bu\u0161enje na mjestu regeneracije, izbor antibiotske profilakse, nesteroidnih protuupalnih sredstava, duboke venske tromboze i profilaksu bolesti holecistokinina. Dostupnost jasnih dokaza o eti\u010dkim nau\u010dnim rezultatima zavisi od instrumenata revizije razvijenih za odgovaraju\u0107a klini\u010dka stanja. Trenutno je nejasno da li je i svrha minimiziranja upotrebe terapije radijalne hemostaze, promjena trombocita ili vremenskih ta\u010daka kvaliteta zagrijavanja kostiju, uklju\u010duju\u0107i pore\u0111enje opisa upravljanja incidencijom. Anga\u017eman u eti\u010dkoj brizi o pacijentima sada \u0107e biti va\u017ean korak za istra\u017eiva\u010de. Analiza je ilustrirala nepotkrijepljenu dodatnu korist i vi\u0161i nivo upornosti ortopedske zajednice kao rezultat odluke o usporedbi.<\/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\/oporavak-nakon-visoke-tibijalne-osteotomije-sta-vas-ceka\/\" 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\">Oporavak nakon osteotomije visoke tibije: \u0161ta vas \u010deka?<\/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\/hirurske-tehnike-produzivanja-koja-je-najbolja-za-vas\/\" rel=\"next\"><span class=\"elementor-post-navigation__link__next\"><span class=\"post-navigation__next--label\">Slede\u0107i<\/span><span class=\"post-navigation__next--title\">Tehnike operacije produ\u017eavanja ekstremiteta: koja je najbolja za vas?<\/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":812,"comment_status":"closed","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-810","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>How Safe is Limb Lengthening Surgery? Risks and Complications - LLS Center<\/title>\n<meta name=\"description\" content=\"Safety of limb lengthening surgery, including potential risks and factors influencing outcomes. 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