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master's thesis
Osteohondritis disekans talusa
Zagreb: University of Zagreb, School of Medicine, 2014. urn:nbn:hr:105:772104
Jurina, Andrija
University of Zagreb
School of Medicine
Department of Orthopedics

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Jurina, A. (2014). Osteohondritis disekans talusa (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:772104

Jurina, Andrija. "Osteohondritis disekans talusa." Master's thesis, University of Zagreb, School of Medicine, 2014. https://urn.nsk.hr/urn:nbn:hr:105:772104

Jurina, Andrija. "Osteohondritis disekans talusa." Master's thesis, University of Zagreb, School of Medicine, 2014. https://urn.nsk.hr/urn:nbn:hr:105:772104

Jurina, A. (2014). 'Osteohondritis disekans talusa', Master's thesis, University of Zagreb, School of Medicine, accessed 29 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:772104

Jurina A. Osteohondritis disekans talusa [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2014 [cited 2024 November 29] Available at: https://urn.nsk.hr/urn:nbn:hr:105:772104

A. Jurina, "Osteohondritis disekans talusa", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2014. Available at: https://urn.nsk.hr/urn:nbn:hr:105:772104

Metadata
TitleOsteohondritis disekans talusa
Title (english)Osteochondritis dissecans of the talus
AuthorAndrija Jurina
MentorIvan Bojanić (mentor)
Committee memberTomislav Smoljanović (predsjednik povjerenstva)
Committee memberTomislav Meštrović (član povjerenstva)
Committee memberIvan Bojanić (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Orthopedics)
Zagreb
Defense date and country2014-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Abstract
Osteohondritis disekans (OCD) talusa označava odvajanje komadića zglobne hrskavice kupole talusa s dijelom ili bez dijela pripadajuće suphondralne kosti. Trauma se smatra najvjerojatnijim uzrokom, a najčešći simptom je dugotrajna bol u gležnju nejasne lokalizacije. Za postavljanje dijagnoze, detaljan klinički pregled nužno je kombinirati sa standardnim radiološkim snimanjem, kompjutoriziranom tomografijom ili magnetskom rezonancom. Pojedini autori za OCD talusa predlažu samo neoperacijsko liječenje (imobilizacijom, nesteroidnim protuupalnim lijekovima i modifikacijom tjelesne aktivnosti), ali većina se zalaže za kirurški način liječenja. Artroskopska stimulacija koštane srži tehnikom mikrofraktura je primarna metoda u liječenju simptomatskih OCD-a talusa. Ova metoda je jeftina, tehnički nezahtjevna, s malim brojem komplikacija. Unatoč velikom broju dobrih i odličnih rezultata objavljenih u literaturi nakon liječenja ovom metodom, primjećeno je progresivno pogoršanje rezultata tijekom duljeg vremena praćenja. Naše istraživanje obuhvatilo je 127 slučajeva OCD talusa (123 bolesnika) operiranih metodom mikrofraktura u Klinici za ortopediju Kliničkoga bolničkog centra Zagreb. Prosječno vrijeme praćenja bolesnika u poslijeoperacijskom razdoblju bilo je 76,5 mjeseci (raspon mjeseci 15 do 177). Veliki broj slučajeva OCD-a te dugo poslijeoperacijsko vrijeme praćenja čini ovo istraživanje dobrim temeljem za provođenje daljnjeg istraživanja kojim bi se utvrdila dugoročna učinkovitost metode mikrofraktura u liječenju simptomatskog OCD-a talusa.
Abstract (english)
Osteochondritis dissecans (OCD) of the talus is a detachment of articular cartilage from the talar dome, with or without a part of underlying subchondral bone. Trauma is the predominant aetiology of OCD of the talus and the most common symptom is persistent deep ankle pain. Thorough clinical examination in combination with standardized radiological procedures, computed tomography and magnetic resonance is essential for establishing the final diagnosis. Several authors for OCD of the talus propose only nonoperative treatment (immobilization, nonsteroidal antiinflammatory medications and activity modification), but majority advocates operative treatment. Today, arthroscopic bone marrow stimulation involving microfractures is a primary treatment strategy for symptomatic OCD of the talus. This method is low-cost, technically undemanding and has low complication rate. Although there is a great number of good and excellent results published using this method, a progressive deterioration of results over time has been reported. Our study included 127 cases of OCD of the talus (123 patients) operated at the Orthopedic Clinic of Cinical Hospital Center Zagreb by microfracture method. Mean follow-up was 76.5 months (range of months 15 to 177). Large proportion of OCD cases included and long period of follow-up makes this study a good basis for future research in order to evaluate long term efficacy of microfracture in treatment of symptomatic OCD of the talus.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:772104
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2015-10-05 11:28:53