Title Liječenje nejednakosti dužine ekstremiteta
Title (english) The treatment of limb length discrepancy
Author Lea Mikolić
Mentor Tomislav Đapić (mentor)
Committee member Ivan Bojanić (predsjednik povjerenstva)
Committee member Tomislav Smoljanović (član povjerenstva)
Committee member Tomislav Đapić (član povjerenstva)
Granter University of Zagreb School of Medicine (Department of Orthopedics) Zagreb
Defense date and country 2015-07-15, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Orthopedics
Abstract Nejednakost u dužini ekstremiteta je jedno od češćih stanja u ortopedskoj praksi, a potrebno ga je što ranije dijagnosticirati kako bi se na vrijeme poduzele adekvatne mjere liječenja jer nejednakost dužine ekstremiteta ima negativan utjecaj na kralježnicu, ali i sve ostale zglobove u tijelu. ----- Simptomi i znakovi koji se javljaju kod nejednakosti u dužini ekstremiteta ovise o uzroku i veličini nejednakosti, a obuhvaćaju nepravilan hod, kroničnu bol kralježnice, veću učestalost ozljeda, dok
... More su posljedice razvoj skolioze i ubrzan nastanak osteoartrisa, posebice zgloba kuka i koljena. Ovaj poremećaj moguće je dijagnosticirati klinički, mjerenjem dužine ili radiološki, snimanjem. ----- Liječenje ovog poremećaja može biti konzervativno i kirurško, ovisno o izmjerenoj razlici u dužini ekstremiteta. Nejednakost u dužini do 2,5 cm liječi se konzervativno, a razlika u dužini veća od 2,5 cm indikacija je za kirurško liječenje. Konzervativno liječenje podrazumijeva neinvazivne metode smanjenja nejednakosti kao što su povišenje potplata na obući ili povišenje uloškom u obući, dok kirurško liječenje obuhvaća kirurško produženje, skraćenje, epifizeodezu ili kombinaciju navedenih metoda. ----- Kirurško produženje temelji se na procesu distrakcijske osteogeneze koji se inducira u skraćenoj kosti, bilo primjenom vanjskog fiksatora ili novijim metodama pomoću intramedularnog čavla. Kirurško skraćenje dužeg ekstremiteta najčešće se provodi metodom epifizeodeze, minimalno invazivne metode kojom se zahvatom na ploči rasta usporava ili zaustavlja rast dužeg ekstremiteta u cilju izjednačenja dužina obaju ekstremiteta. Epifizeodeza se primjenjuje u djece koja još rastu. Less
Abstract (english) Limb length discrepancy is one of the most common medical conditions in orthopaedics where the early diagnosis is very important in order to start with proper treatment on time to avoid adverse effects on spine and other joints in the body. ----- The symptoms and signs that usually occur depend on the cause and size of the discrepancy and some of them include abnormalities in walking, chronic back pain, an increased risk for injuries, while some of the consequences are scoliosis and the early
... More onset of the osteoarthritis, especially in the hip and knee joint. This disorder can be diagnosed by measurement during physical examination or using X-rays. ----- The treatment of limb length discrepancy can be conservative or surgical, depending on the extent of the discrepancy. If the measured difference in length between extremities is smaller than 2,5 centimeters it requires conservative treatment, while the differences greater than 2,5 centimeters require surgical treatment. Conservative approach includes non-invasive procedures such as shoe lift, while surgical procedures include surgical lengthening, shortening, epiphysiodesis and the combination of the mentioned methods. ----- Surgical lengthening is based on the process of distraction osteogenesis which is induced in the shorter bone either by using the external fixator or by using intramedullary nail. Surgical shortening of the longer bone is performed by the method of epiphysiodesis, a mini-invasive procedure which causes arrest of the growth plate in order to achieve the equal length of the both extremities. Epiphysiodesis is often used in growing children. Less
Keywords
nejednakost u dužini ekstremiteta
intramedularni čavao
vanjski fiksator
distrakcijska osteogeneza
epifizeodeza
Keywords (english)
limb length discrepancy
intramedullary nail
external fixator
distraction osteogenesis
epiphysiodesis
Language croatian
URN:NBN urn:nbn:hr:105:365108
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2016-04-13 11:43:58