{"id":4458,"date":"2015-06-03T12:41:56","date_gmt":"2015-06-03T12:41:56","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=4458"},"modified":"2015-06-03T12:52:09","modified_gmt":"2015-06-03T12:52:09","slug":"utilizarea-terapiei-cu-presiune-negativa-in-tratamentul-unui-traumatism-complex-cu-fractura-deschisa-de-tibie","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/utilizarea-terapiei-cu-presiune-negativa-in-tratamentul-unui-traumatism-complex-cu-fractura-deschisa-de-tibie\/","title":{"rendered":"Utilizarea terapiei cu presiune negativ\u0103 \u00een tratamentul unui traumatism complex cu fractur\u0103 deschis\u0103 de tibie"},"content":{"rendered":"<p style=\"text-align: justify\"><strong>Istoric pacient<\/strong><\/p>\n<p style=\"text-align: justify\">Pacient de 29 ani cu\u00a0 traumatism complex \u015fi fractur\u0103 deschis\u0103 de pilon tibial (Gustillo Anderson IIIB), ca urmare a unui accident de munc\u0103. Plag\u0103 rezultat\u0103 prezent\u0103 necroz\u0103 osoas\u0103 \u015fi era contaminat\u0103. Pacientului i s-a administrat tratament cu antibiotice timp de 7 zile de la internarea \u00een clinic\u0103. \u0162esuturile contaminate \u015fi \u0163esutul necrotic au fost \u00eendep\u0103rtate, \u00eempreun\u0103 cu materialul de osteosintez\u0103 primar.<\/p>\n<p style=\"text-align: justify\"><strong>Scopul tratamentului<\/strong><\/p>\n<p style=\"text-align: justify\">Terapia cu presiune negativ\u0103 a fost aplicat\u0103 pentru a elimina infec\u0163ia \u015fi a stimula formarea \u0163esutului de granula\u0163ie, permi\u0163\u00e2nd ulterior gref\u0103 de piele \u015fi gref\u0103 osoas\u0103 autolog\u0103.<\/p>\n<p style=\"text-align: justify\"><strong>Tratamentul plagii<\/strong><\/p>\n<p style=\"text-align: justify\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/Macheta_Vivano_Jurmed.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-4471\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/Macheta_Vivano_Jurmed-230x300.jpg\" alt=\"Macheta_Vivano_Jurmed\" width=\"244\" height=\"318\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/Macheta_Vivano_Jurmed-230x300.jpg 230w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/Macheta_Vivano_Jurmed-790x1030.jpg 790w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/Macheta_Vivano_Jurmed.jpg 1739w\" sizes=\"auto, (max-width: 244px) 100vw, 244px\" \/><\/a><\/p>\n<p style=\"text-align: justify\">Tibia a fost stabilizat\u0103 cu ajutorul fixatorului extern. \u00cen urma debrid\u0103rii a fost aplicat\u0103 pentru 3 zile terapie cu presiune negativ\u0103 -125 mmHg, mod continuu. Dup\u0103 3 zile se observ\u0103 deja \u0163esut de granula\u0163ie de bun\u0103 calitate \u00een zona intern\u0103 a defectului\u015fi re-epitelizare la marginile acestuia.<\/p>\n<p style=\"text-align: justify\">Terapia cu presiunea negativ\u0103 a fost aplicat\u0103 \u00een continuare schimb\u00e2nd pansamentele la fiecare \u00a03 &#8211; 5 zile, \u00een func\u0163ie de volumul secre\u0163iilor. \u00cen ziua 14 se observ\u0103 o evolu\u0163ie bun\u0103 cu dezvoltarea continu\u0103 a \u0163esutului de granula\u0163ie de bun\u0103 calitate. Dup\u0103 4 s\u0103pt\u0103m\u00e2ni \u0163esutul de granula\u0163ie acoper\u0103 defectul \u015fi re-epitelizarea marginilor este foarte bun\u0103. Dup\u0103 6 s\u0103pt\u0103m\u00e2ni \u00eentregul defect a fost acoperit cu \u0163esut de granula\u0163ie \u015fi \u00a0infec\u0163ia a fost eradicat\u0103. \u00cenchiderea pl\u0103gii s-a facut folosind gref\u0103 de piele \u015fi a fost introdus un distan\u0163ier pentru a proteja segmentele osoase timp de 3-4 luni. Ulterior a fost realizat\u0103 grefa osoas\u0103 autolog\u0103.<\/p>\n<p style=\"text-align: justify\"><strong>Concluzii<\/strong><\/p>\n<p style=\"text-align: justify\">Terapia cu presiune negativ\u0103 a asigurat un bun drenaj a acestui traumatism complex, prevenind contaminarea \u015fi acceler\u00e2nd formarea \u0163esutului de granula\u0163ie de foarte bun\u0103 calitate, care s\u0103 permit\u0103 grefa cutanat\u0103 \u015fi ulterior grefa osoas\u0103 autolog\u0103. \u00cen plus tratamentul a fost bine tolerat de pacient.<\/p>\n<p style=\"text-align: justify\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-4459 alignnone\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-1-224x300.jpg\" alt=\"poza 1\" width=\"132\" height=\"177\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-1-224x300.jpg 224w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-1.jpg 567w\" sizes=\"auto, (max-width: 132px) 100vw, 132px\" \/><\/a>Foto 1 &#8211; Internare-plag\u0103 contaminat\u0103 \u015fi necroz\u0103 osoas\u0103 la 7 zile de la accident<\/p>\n<p style=\"text-align: justify\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-4460 alignnone\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-2-224x300.jpg\" alt=\"poza 2\" width=\"134\" height=\"180\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-2-224x300.jpg 224w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-2.jpg 586w\" sizes=\"auto, (max-width: 134px) 100vw, 134px\" \/><\/a>Foto 2 &#8211; ziua 0 de NPWT- radiografie \u00a0dup\u0103 debridare, \u00eendep\u0103rtare \u0163esutului osos necrotic, stabilizare tibie cu fixatorul extern<\/p>\n<p style=\"text-align: justify\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-4461 alignnone\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-3-224x300.jpg\" alt=\"poza 3\" width=\"131\" height=\"175\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-3-224x300.jpg 224w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-3.jpg 577w\" sizes=\"auto, (max-width: 131px) 100vw, 131px\" \/><\/a>Foto 3 \u2013 ziua 0 aplicare terapie cu presiune negativ\u0103 &#8211; 125 mmHg<\/p>\n<p style=\"text-align: justify\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-4462 alignnone\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-4-224x300.jpg\" alt=\"poza 4\" width=\"131\" height=\"175\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-4-224x300.jpg 224w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-4.jpg 586w\" sizes=\"auto, (max-width: 131px) 100vw, 131px\" \/><\/a>Foto 4 \u2013 ziua 3- granula\u0163ie foarte bun\u0103 \u00een interiorul defectului \u015fi re-epitelizare la marginile pl\u0103gii<\/p>\n<p style=\"text-align: justify\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-4464 alignnone\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-6-224x300.jpg\" alt=\"poza 6\" width=\"132\" height=\"177\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-6-224x300.jpg 224w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-6.jpg 558w\" sizes=\"auto, (max-width: 132px) 100vw, 132px\" \/><\/a>Foto 5 \u2013 ziua 42 &#8211; defectul intern a fost acoperit complet cu \u0163esut de granula\u0163ie \u015fi nu exist\u0103 infec\u0163ie<\/p>\n<p style=\"text-align: justify\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-4463 alignnone\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-5-224x300.jpg\" alt=\"poza 5\" width=\"131\" height=\"175\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-5-224x300.jpg 224w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/06\/poza-5.jpg 525w\" sizes=\"auto, (max-width: 131px) 100vw, 131px\" \/><\/a>Foto 6 \u2013 ziua 42 &#8211; aplicare gref\u0103 de piele<\/p>\n<p style=\"text-align: justify\">www.hartman.ro<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Istoric pacient Pacient de 29 ani cu\u00a0 traumatism complex \u015fi fractur\u0103 deschis\u0103 de pilon tibial (Gustillo Anderson IIIB), ca urmare a unui accident de munc\u0103. Plag\u0103 rezultat\u0103 prezent\u0103 necroz\u0103 osoas\u0103 [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[310],"tags":[311,312,313],"class_list":["post-4458","post","type-post","status-publish","format-standard","category-chirurgie","tag-fractura-deschisa-de-tibie","tag-hartman","tag-necroza-osoasa"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Utilizarea terapiei cu presiune negativ\u0103 \u00een tratamentul unui traumatism complex cu fractur\u0103 deschis\u0103 de tibie - Jurmed - Medici<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/utilizarea-terapiei-cu-presiune-negativa-in-tratamentul-unui-traumatism-complex-cu-fractura-deschisa-de-tibie\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Utilizarea terapiei cu presiune negativ\u0103 \u00een tratamentul unui traumatism complex cu fractur\u0103 deschis\u0103 de tibie - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"Istoric pacient Pacient de 29 ani cu\u00a0 traumatism complex \u015fi fractur\u0103 deschis\u0103 de pilon tibial (Gustillo Anderson IIIB), ca urmare a unui accident de munc\u0103. 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