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master's thesis
Osteosinteza loma kosti pločom
Zagreb: University of Zagreb, Faculty of Veterinary Medicine, 2016. urn:nbn:hr:178:522601
Meško, Matija
University of Zagreb
Faculty of Veterinary Medicine
Surgery, Orthopaedics and Ophtalmology Clinic

Institutional repository: Repository of Faculty of Veterinary Medicine

Cite this document

Meško, M. (2016). Osteosinteza loma kosti pločom (Master's thesis). Zagreb: University of Zagreb, Faculty of Veterinary Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:178:522601

Meško, Matija. "Osteosinteza loma kosti pločom." Master's thesis, University of Zagreb, Faculty of Veterinary Medicine, 2016. https://urn.nsk.hr/urn:nbn:hr:178:522601

Meško, Matija. "Osteosinteza loma kosti pločom." Master's thesis, University of Zagreb, Faculty of Veterinary Medicine, 2016. https://urn.nsk.hr/urn:nbn:hr:178:522601

Meško, M. (2016). 'Osteosinteza loma kosti pločom', Master's thesis, University of Zagreb, Faculty of Veterinary Medicine, accessed 17 November 2024, https://urn.nsk.hr/urn:nbn:hr:178:522601

Meško M. Osteosinteza loma kosti pločom [Master's thesis]. Zagreb: University of Zagreb, Faculty of Veterinary Medicine; 2016 [cited 2024 November 17] Available at: https://urn.nsk.hr/urn:nbn:hr:178:522601

M. Meško, "Osteosinteza loma kosti pločom", Master's thesis, University of Zagreb, Faculty of Veterinary Medicine, Zagreb, 2016. Available at: https://urn.nsk.hr/urn:nbn:hr:178:522601

Metadata
TitleOsteosinteza loma kosti pločom
Title (english)Bone Fracture Plate Osteosynthesis
AuthorMatija Meško
MentorDražen Matičić (mentor)
Committee memberBoris Pirkić
Committee memberDražen Vnuk
Committee memberDražen Matičić
GranterUniversity of Zagreb
Faculty of Veterinary Medicine
(Surgery, Orthopaedics and Ophtalmology Clinic)
Zagreb
Defense date and country2016-02-26, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Veterinary Medicine
Abstract
Kod lomova dugih cjevastih kostiju postoji nekoliko metoda i pristupa kojima moţemo sanirati napuknutu ili slomljenu kost. Metoda izbora na ţalost ponekad ovisi i o plateţnoj moći vlasnika ţivotinje. Konzervativnim metodama lijeĉenja moţemo sanirati samo zatvorene lomove distalno od lakta ili koljena, uporabom razliĉitih imobilizacijskih povoja i udlaga. Prilikom kirurške intervencije moţemo lomove sanirati vanjskom ili unutarnjom fiksacijom. Odabir metode fiksacije ovisi o nekoliko ĉimbenika. Prvi su mehaniĉki faktori procjene loma kosti gdje promatramo stres na alantezu i odnos alanteze i kosti. Kod bioloških faktora procjene loma kosti promatramo procjenjeno vrijeme cijeljenja kosti. Posljednji faktor koji moramo uzeti u obzir je utjecaj vlasnika i pacijenta na cijeljenje loma i njihova volja za suradnjom. Kod vanjskih fiksatora poštujemo naĉela biološke osteosinteze uz minimalan otvoreni ili zatvoreni pristup.Najnoviji tip unutrašnje fiksacije koji se pojavio u posljednjih 15 godina su zakljuĉavajuće ploĉe gdje se zbog oĉuvanja periosta i cirkulacije kosti postiţe brţe cijeljenje rana i smanjuje mogućnost komplikacija nakon operativnih zahvata. Indikacije za uporabu zakljuĉavajućih ploĉa u humanoj i veterinarskoj kirurgiji su kosti loše kvalitete (osteoporotiĉne kosti), kominutivni metafizni ili dijafizni lomovi, periprostetski lomovi (pucanje implantata kod npr. umjetnih kukova), te kompleksni lomovi u zglobovima.
Abstract (english)
In long tubular bone fractures there are several methods and approaches which can rehabilitate bruised or fractured bone. Method of choice unfortunately sometimes depends on owners purchasing power. With conservative threatment we can fix only closed fractures distaly from elbow or knee with immobilisation bandages and splints. During surgical intervention we can fix fractures with external or internal fixation. Choosing the method of fixation depends on several factors. First are mechanical factors where we watch stress on fixed angle implants and fixed angle implant/bone ratio. By biological factors we watch estimated bone healing time. Last factor we have to consider is influence by owner and patient to healing time and their willingness for cooperation. On external fixators we respect biological osteosynthesis principles with minimum open or closed approach Latest internal fixation type which appeared in last 15 years are locking plates where wound healing is faster and possibility of complications are lower after surgery because of periost and bone circulation preservation. Indications for using locking plates in human and veterinary surgery are poor quality bones (osteoporotic bones), comminuted metaphyseal pr dyaphyseal fractures, periprostetic fractures (implant failure in e.g. hip replacement) and complex periarticular fractures.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:178:522601
Study programmeTitle: Veterinary Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica veterinarske medicine (doktor/doktorica veterinarske medicine)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2016-04-11 09:21:25