{"id":5521,"date":"2019-10-23T11:01:34","date_gmt":"2019-10-23T11:01:34","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=5521"},"modified":"2019-10-23T11:01:34","modified_gmt":"2019-10-23T11:01:34","slug":"protezarea-genunchiului-rezultat-pe-viata","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/protezarea-genunchiului-rezultat-pe-viata\/","title":{"rendered":"Protezarea genunchiului are rezultat pe via\u021b\u0103"},"content":{"rendered":"

\n\"\"<\/a>\u00cen Rom\u00e2nia, \u00een 2018, s-au f\u0103cut, potrivit Registrului na\u021bional de Endoprotezare, 4.650 de opera\u021bii\u00a0de protezare a genunchiului. Anul acesta, de la 1 ianuarie p\u00e2n\u0103 la 1 august au fost deja efectuate 2.338 astfel de interven\u021bii.<\/p>\n

Speciali\u0219tii estimeaz\u0103 c\u0103 num\u0103rul celor care au nevoie de acest tip de protezare este chiar \u0219i de 3 ori mai mare dec\u00e2t num\u0103rul interven\u021biilor efectuate propriu-zis.<\/p>\n

Proteza total\u0103 de genunchi\u00a0presupune \u00eenlocuirea cartilajului articular degradat de la nivelul celor trei componente ale genunchiului cu proteze metalice \u0219i de plastic. Mai exact, protezarea total\u0103 \u00eenseamn\u0103:<\/p>\n

    \n
  1. Componenta femural\u0103 \u2013 protez\u0103 metalic\u0103
    \n2. Componenta tibial\u0103 \u2013 protez\u0103 metalic\u0103
    \n3. Desp\u0103r\u021bitor de polietilen\u0103 \u2013 protez\u0103 de plastic, care faciliteaz\u0103 mi\u0219carea de
    \nflexie\/extensie a genunchiului, face leg\u0103tura \u00eentre cele dou\u0103 componente metalice<\/em><\/li>\n<\/ol>\n

    \n

    Ce presupune acest tip de protezare, vede\u021bi \u00een video de mai jos:<\/p>\n

    https:\/\/www.youtube.com\/watch?v=lMZawsLv710<\/a><\/p>\n

    Protezarea personalizat\u0103 de genunchi<\/strong><\/p>\n

    Acest tip de interven\u021bie nu presupune o protez\u0103 personalizat\u0103, ci o abordare chirurgical\u0103 unic\u0103.<\/p>\n

    \nVIDEO –\u00a0https:\/\/www.youtube.com\/watch?v=Z0JLbntWHA8<\/a><\/p>\n

    \n

    Tehnologia \u0219i tehnica medical\u0103 au evoluat at\u00e2t de mult \u00een ultimele decenii \u00eenc\u00e2t o protez\u0103 de \u0219old sau de genunchi te poate \u021bine \u0219i… o via\u021b\u0103. Depinde de\u00a0opera\u021bie<\/a>, de momentul \u00een care e pus\u0103 proteza \u0219i de tipul acesteia. Acum, cel mai amplu studiu \u00een domeniu reconfirm\u0103 asta. 8 din 10 proteze de genunchi \u0219i 6 din 10 proteze de \u0219old sunt schimbate dup\u0103 mai bine de 25 de ani, potrivit unui studiu Lancet f\u0103cut pe 500 de mii de pacien\u021bi. E o medie statistic\u0103 mult mai bun\u0103 dec\u00e2t se a\u0219teptau cei mai mul\u021bi speciali\u0219ti.<\/p>\n

    \n

    Studiul integral, aici:<\/p>\n

    https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(18)31665-9\/fulltext<\/a><\/p>\n

    C\u00e2t de grea e opera\u021bia pentru protezarea genunchiului? Dar recuperarea?<\/strong><\/p>\n

    \"\"<\/a>Interven\u021bia\u00a0chirurgical\u0103<\/a>\u00a0dureaz\u0103 1-2 ore. Dar, preg\u0103tirea pre operatorie este extrem de important\u0103. Mai exact, e nevoie de o serie de radiografii sau examen RMN pentru ca medicul nu doar s\u0103 \u0219tie exact starea genunchiului cu probleme, dar \u0219i s\u0103 planifice millimetric interven\u021bia chirurgical\u0103.
    \nChiar la 24 de ore dup\u0103 opera\u021bie, pacientul poate s\u0103 mearg\u0103 cu ajutorul unui cadru de mers. Spitalizarea dureaz\u0103 \u00eentre 3 \u0219i 7 zile, timp \u00een care se administreaz\u0103 tratament cu antibiotic \u0219i calmante. \u00cenainte de externare, pacientul trebuie s\u0103 fie capabil s\u0103 fac\u0103 singur urm\u0103toarele mi\u0219c\u0103ri:<\/p>\n

    \u00b7 S\u0103 se ridice din pat \u0219i s\u0103 se aseze \u00een pat f\u0103r\u0103 ajutor
    \n\u00b7 S\u0103 flecteze genunchiul la aproximativ 90\u00b0 sau s\u0103 \u00eenregistreze progrese semnificative \u00een flectarea genunchiului
    \n\u00b7 S\u0103 \u00eentind\u0103 complet piciorul
    \n\u00b7 S\u0103 se deplaseze cu c\u00e2rje sau cu un cadru pe o suprafa\u021b\u0103 plan\u0103 \u0219i s\u0103 poat\u0103 urca \u0219i cobor\u00ee 2-3 trepte
    \n\u00b7 S\u0103 poat\u0103 face exerci\u021biile prescrise pentru acas\u0103.<\/p>\n

    Ziua Opera\u0163iei
    \n\u00b7 Pacien\u0163ii sunt ruga\u0163i s\u0103 nu m\u0103n\u00e2nce \u015fi s\u0103 nu bea nimic cu 8 ore \u00eenainte de opera\u0163ie, care de obicei \u00eenseamn\u0103 \u201enimic dup\u0103 miezul nop\u0163ii\u201d
    \n\u00b7 \u00centreba\u0163i medicul anestezist dac\u0103, \u015fi ce medicamente pute\u0163i lua \u00een diminea\u0163a opera\u0163iei (cu foarte pu\u0163in\u0103 ap\u0103).
    \n\u00b7 Ve\u0163i avea o anestezie rahidian\u0103 (v\u0103 amor\u0163e\u015fte de la br\u00e2u \u00een jos) sau general\u0103. Aceasta va fi bine stabilit\u0103 \u00een consultul preanestezic cu ajutorul medicului anestezist.
    \n\u00b7 Dup\u0103 opera\u0163ie, voi discuta cu familia dumneavoastr\u0103 \u015fi le voi explica cum a decurs opera\u0163ia.
    \n\u00b7 De obicei, prima zi dup\u0103 opera\u0163ie, ve\u0163i sta \u00eentr-un salon special postoperator pentru a v\u0103 putea reveni dup\u0103 anestezie. Urm\u0103toarea zi ve\u0163i fi mutat pe sec\u0163ie. Exist\u0103 \u00eens\u0103 o variabilitate \u00een func\u0163ie de cum v\u0103 reveni\u0163i dup\u0103 anestezie \u015fi opera\u0163ie.<\/p>\n

    Opera\u021bia de protezare red\u0103 via\u021ba normal\u0103 chiar \u0219i \u00een cazurile grave, cum se poate vedea in video-ul de ma jos:
    \n    https:\/\/www.youtube.com\/watch?v=jMzB9m9hSj0<\/a><\/p>\n

    C\u00e2nd trebuie \u00eenlocuit\u0103 proteza?<\/p>\n

    „Cele mai recente studii au ar\u0103tat c\u0103 o protez\u0103 de genunchi poate s\u0103 fie folosit\u0103 25-30 de ani. Dar, proteza de genunchi se poate degrada din variate motive mai devreme. C\u00e2nd aceasta se \u00eent\u00e2mpl\u0103, genunchiul protezat devine dureros \u0219i umflat. De asemenea, genunchiul poate s\u0103 devin\u0103 mai rigid, instabil. Dac\u0103 proteza de genunchi cedeaz\u0103, medicul ortoped cel mai probabil v\u0103 va recomanda o nou\u0103 interven\u021bie chirurgical\u0103 de revizie a protezei de genunchi. Odat\u0103 cu aceast\u0103 procedur\u0103 proteza veche se scoate \u0219i se \u00eenlocuie\u015fte cu una nou\u0103, diferit\u0103, care poart\u0103 numele de protez\u0103 de revizie.<\/em>„, Dr. Robert Apostolescu, medic primar ortoped<\/p>\n

    \u00cen Europa, din 1975 si\u00a0p\u00e2n\u0103 \u00een\u00a02018 au fost f\u0103cute\u00a02,5 milioane de opera\u021bii pentru protezarea genunchiului. Exist\u0103 24 de Registre Na\u021bionale\u00a0electronice unde sunt monitorizate aceste interven\u021bii \u0219i implanturile folosite. Rom\u00e2nia se num\u0103r\u0103 printre \u021b\u0103rile care au un astfel de Registru.<\/p>\n","protected":false},"excerpt":{"rendered":"

    \u00cen Rom\u00e2nia, \u00een 2018, s-au f\u0103cut, potrivit Registrului na\u021bional de Endoprotezare, 4.650 de opera\u021bii\u00a0de protezare a genunchiului. Anul acesta, de la 1 ianuarie p\u00e2n\u0103 la 1 august au fost deja […]<\/p>\n","protected":false},"author":9,"featured_media":5522,"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":[1],"tags":[],"class_list":["post-5521","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati"],"yoast_head":"\nProtezarea genunchiului are rezultat pe via\u021b\u0103<\/title>\n<meta name=\"description\" content=\"Proteza total\u0103 de genunchi presupune \u00eenlocuirea cartilajului articular degradat de la nivelul componentelor genunchiului cu proteze metalice \u0219i de plastic\" \/>\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\/pacienti\/protezarea-genunchiului-rezultat-pe-viata\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Protezarea genunchiului are rezultat pe via\u021b\u0103\" \/>\n<meta property=\"og:description\" content=\"Proteza total\u0103 de genunchi presupune \u00eenlocuirea cartilajului articular degradat de la nivelul componentelor genunchiului cu proteze metalice \u0219i de plastic\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/pacienti\/protezarea-genunchiului-rezultat-pe-viata\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - 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