gon art roza
TRANSCRIPT
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GONARTROZAGONARTROZA
Sef de Lucrari Dr. CATALIN Sef de Lucrari Dr. CATALIN CIRSTOIUCIRSTOIU
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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GONARTROZA - DEFINITIEGONARTROZA - DEFINITIE
•BOALA DEGENERATIVA
•AFECTEAZA GENUNCHIUL
•ARE NUMEROSI FACTORI DE RISC
•ESTE PLURICAUZALA
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GONARTROZA - DEFINITIEGONARTROZA - DEFINITIE
•IMPORTANTI SUNT FACTORII :
1. MECANICI
2. BIOLOGICI
•DEZECHILIBRU INTRE DEGRADAREA SI SINTEZA CARTILAJULUI
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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50 DE ANI
- Exceptionala la tineri
FEMEILE
-Obezitatea
-Alte localizari artrozice
-Terenul varicos- complexul flebo-artrozic
GONARTROZA - EPIDEMIOLOGIEGONARTROZA - EPIDEMIOLOGIE
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GONARTROZA - EPIDEMIOLOGIEGONARTROZA - EPIDEMIOLOGIE
•RAPORT FEMEI / BARBATI ESTE DE 3/1
•GENU VARUM ESTE CEL MAI FRECVENT – 90 % din pacienti
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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CARTILAJUL CARTILAJUL ARTICULARARTICULAR
OSUL SUBCONDRALOSUL SUBCONDRAL
SINOVIALASINOVIALA
STRUCTURILE STRUCTURILE LIGAMENTARELIGAMENTARE
GONARTROZA
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CARTILAJUL ARTICULARCARTILAJUL ARTICULAR
CARTILAJ CARTILAJ HIALINHIALIN
FARA FARA STRUCTURI STRUCTURI VASCULO-VASCULO-NERVOASENERVOASE
GROSIME : GROSIME : MILIMIETRIMILIMIETRI
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• Asigura elasticitate
• Asigura congruenta articulara
• Coeficient minim de frecare
• Suporta presiuni variabile
CARTILAJUL CARTILAJUL ARTICULARARTICULAR
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CONDROCITE
MATRICE GLUCO-
PROTEICA
AGRECAN
DECORINA
FIBROMODULINA
COLAGEN TIP II
PROTEOGLICANI
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CONDROCITCOLAGEN PROTEOGLICANI
-FACTORI DE CRESTERE
-FGF, PDGF,IGF
-GLUCOZAMINOGLICANI
-TNF alfa
-Metaloproteaze
-NO
-IL1,IL 6, PG / COX II +
+
-
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A
B
GEODA
OSTEOFIT
OSTEOCONDENSARE SUBCONDRALA
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CK MP
- -
ROLUL SINOVIALEI IN ARTROZA
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CAUZELE CAUZELE GONARTROZEIGONARTROZEI
1.1. DEVIEREA ÎN PLAN DEVIEREA ÎN PLAN FRONTALFRONTAL A AXULUI A AXULUI MEMBRULUI PELVIN :MEMBRULUI PELVIN :
GENU VARUM
GENU VALGUM
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CAUZELE CAUZELE GONARTROZEIGONARTROZEI
2. 2. DEVIEREA ÎN PLANDEVIEREA ÎN PLAN SAGITALSAGITAL
GENU RECURVATUMGENU RECURVATUM
GENU FLEXUMGENU FLEXUM
INSTABILITATEA INSTABILITATEA ROTULIANÃ LATERALÃROTULIANÃ LATERALÃ
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CAUZELE CAUZELE GONARTROZEIGONARTROZEI
33. . INEGALITATEA INEGALITATEA MEMBRELORMEMBRELOR PELVINE PELVINE
4. 4. COXARTROZACOXARTROZA
5.5. OBEZITATEAOBEZITATEA;;
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CAUZELE CAUZELE GONARTROZEIGONARTROZEI
5.5.ACTIVITATEA ACTIVITATEA SPORTIVÃ, CUSPORTIVÃ, CU SUPRASOLICITARESUPRASOLICITAREA A GENUNCHIULUIGENUNCHIULUI
( ( fotbal, handbal, rugby, schi fotbal, handbal, rugby, schi
performantperformant ). ).
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- FRACTURI INTRA-ARTICULARE
- LEZIUNILE MENISCALE
- LEZIUNILE LIGAMENTARE
CAUZELE CAUZELE GONARTROZEIGONARTROZEI
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CAUZELE CAUZELE GONARTROZEIGONARTROZEI
BOALA KONIG – OSTEOCONDRITA DISECANTÃ;
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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EXAMENUL CLINICEXAMENUL CLINIC
ESENTIAL PENTRU ESENTIAL PENTRU DIAGNOSTICDIAGNOSTIC
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1. DURERE
2. IMPOTENTA FUNCTIONALA
3. TUMEFACTIE
4. CRACMENTE ARTICULARE
5. MERS SCHIOPATAT
EXAMENUL CLINIC
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DURERE
TUMEFACTIA GENUNCHIULUI
PUNCTIEPUNCTIE
CARACTER
MECANIC
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HIDARTROZAHIDARTROZA
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DEVIATII DE AXDEVIATII DE AX
GENU VALGUM
GENU VARUM 90 %10 %
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NORMAL
VARUS VALGUS
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EXAMINAREA MERSULUIEXAMINAREA MERSULUI
DECOMPENSAREA LIGAMENTARA EXTERNA IN TIMPUL SPRIJINULUI MONOPODAL
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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EXAMENUL EXAMENUL RADIOLOGICRADIOLOGIC
1. PENSAREA SPAŢIULUI ARTICULAR2. OSTEOFITOZA 3. GEODELE4. OSTEOSCLEROZA SUBCONDRALĂ
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EXAMENUL RADIOLOGIC
-Rg. De fata
-Rg.profil
-Axiale rotula
Are rol în stabilirea :
- Dg. pozitiv de gonartrozã;- Gravitãţii gonartrozei- Localizarii lez. artrozice
-decubit dorsal
-incarcare unipodala/bipodala
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OSTEOFITI
PENSARE SPATIU
OSTEOSCLEROZA SUBCONDRALA
GEODE
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RADIOGRAFIA IN INCARCARE A
INTREGULUI MEMBRU PELVIN
CENTRUL CF
SPINELE TIBIALE
ARTIC GLEZNEI ½
DIN INTERLINIU
PANGONOGRAMA
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GENU VARUM BILATERAL – PENSARE INTERNA
GONARTROZA INTERNA - GENU VARUM
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GENU VARUM PENSARE INTERNA
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GENU VARUM PENSARE INTERNA
14°
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STRES IN VARUS
AFECTARE LIGAMENTARA
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GENU VALGUM PENSARE EXTERNA
GONARTROZA EXTERNA -
GENU VALGUM
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ANATOMIA ANATOMIA PATOLOGICAPATOLOGICA
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Cartilajul
Galben opac, Galben opac, moalemoale
FriaFriabilbil
Cu fisuri prin care se Cu fisuri prin care se expuneexpune
osul subcondral.osul subcondral.
În formele În formele avansate avansate apar zone apar zone de lipsã de lipsã totalã a totalã a
cartilajuluicartilajului
ANATOMIE ANATOMIE PATOLOGICĂPATOLOGICĂ
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ANATOMIE ANATOMIE PATOLOGICĂPATOLOGICĂ
Leziuni degenerative meniscaleLeziuni degenerative meniscale
Osul subcondral este erodatOsul subcondral este erodat
OsteofitiOsteofiti
GeodeGeode
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ANATOMIE ANATOMIE PATOLOGICĂPATOLOGICĂ
Corpi strãini intraarticulariCorpi strãini intraarticulari
Reacţie inflamatorie sinovialã, Reacţie inflamatorie sinovialã, sinovitã nespecificãsinovitã nespecificã
HidartrozãHidartrozã
Fibrozarea capsulei articulareFibrozarea capsulei articulare..
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Cartilaj galben-opac,friabil, cu fisuri
Expunere os subcondral
Osteofiti Reactie inflamatorie
sinoviala
Hidartroza
Leziune degenerativa
meniscala si a LIAE
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CORELATIACORELATIA ANATOMO-RADIOLOGICA ANATOMO-RADIOLOGICA
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CLASIFICARI CLASIFICARI IN IN
GONARTROZAGONARTROZA
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1 2 3 4
CLASIFICAREA RADIOLOGICĂ AHLBACK
1. pensare articularã incompletã2. pensare articularã completã, fãrã uzurã osoasã3. uzurã osoasã moderatã ( 0-5 mm )4. uzurã osoasã medie ( 5-10 mm )5. uzurã osoasã majorã ( > 10 mm )
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GONARTROZA
PRIMITIVA SECUNDARA
DEVIAITIA DE AX
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-UNICOMPARTIMENTALA
-BICOMPARTIMENTALA
-GLOBALA
GONARTROZA
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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TRATAMENT TRATAMENT
TRATAMENT IGIENODIETETICTRATAMENT IGIENODIETETIC TRATAMENT MEDICAMENTOSTRATAMENT MEDICAMENTOS TERAPIA CELULARĂTERAPIA CELULARĂ TRATAMENT CHIRURGICALTRATAMENT CHIRURGICAL
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TRATAMENTUL TRATAMENTUL NEFARMACOLOGIC NEFARMACOLOGIC
( igienodietetic )( igienodietetic ) Evitarea sporturilor agresiveEvitarea sporturilor agresive
Terapia fizicalãTerapia fizicalã
Kinetoterapia - tonifierea Kinetoterapia - tonifierea musculaturii coapsei musculaturii coapsei
Scãderea în greutateScãderea în greutate
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TRATAMENT TRATAMENT
TRATAMENT IGIENODIETETICTRATAMENT IGIENODIETETIC TRATAMENT MEDICAMENTOSTRATAMENT MEDICAMENTOS TERAPIA CELULARĂTERAPIA CELULARĂ TRATAMENT CHIRURGICALTRATAMENT CHIRURGICAL
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TRATAMENTUL TRATAMENTUL MEDICAMENTOSMEDICAMENTOS
ANTIALGICELE UZUALEANTIALGICELE UZUALE
AINS cu actiune rapidãAINS cu actiune rapidã
Exemple : Celebrex, Vioxx,Voltarene, Exemple : Celebrex, Vioxx,Voltarene, Aulin, etc.Aulin, etc.
AINS cu actiune lentãAINS cu actiune lentã –efect retard –efect retard
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TERAPIA TERAPIA CONDROPROTECTOARCONDROPROTECTOAR
EE
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CONDROCITCOLAGEN PROTEOGLICANI
-Factori de crestere
-FGF, PDGF,IGF
-glucozaminoglicani
-TNF alfa
-Metaloproteaze
-NO
-IL1,IL 6, PG / COX II +
+
-
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Injectii intra-articulare de corticoiziInjectii intra-articulare de corticoizi
Injectiile intra-articulare de acid Injectiile intra-articulare de acid hialuronichialuronic
Preparatul utilizat in România – SYNVISC ®Preparatul utilizat in România – SYNVISC ®
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TRATAMENT TRATAMENT
TRATAMENT IGIENODIETETICTRATAMENT IGIENODIETETIC TRATAMENT MEDICAMENTOSTRATAMENT MEDICAMENTOS TERAPIA CELULARĂTERAPIA CELULARĂ TRATAMENT CHIRURGICALTRATAMENT CHIRURGICAL
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CARTILAJ PROPRIU NEPORTANT
CONDROCITE
PROLIFERARE IN VITRO
RECOLTARE ARTROSCOPICA
DIGESTIE ENZIMATICA
CULTURA CONDROCITAR
A
GREFAJ ZONA CU DEFECT DE CARTILAJ
TEHNICI TEHNICI
DE DE INGINERIINGINERI
E E GENETICAGENETICA
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TRANSPLANT AUTOLOG DE CONDROCITE - VOLET PERIOSTAL
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TRATAMENT TRATAMENT
TRATAMENT IGIENODIETETICTRATAMENT IGIENODIETETIC TRATAMENT MEDICAMENTOSTRATAMENT MEDICAMENTOS TERAPIA CELULARĂTERAPIA CELULARĂ TRATAMENT CHIRURGICALTRATAMENT CHIRURGICAL
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CARTILAJ NEPORTANT
ARTROTOMIE
CAROTECAROTE
OSTEO-OSTEO-CARTILAGINOACARTILAGINOASESE
REIMPLANTARE IN REIMPLANTARE IN ZONA CU DEFECT ZONA CU DEFECT
DE CARTILAJDE CARTILAJ
AUTOGREFE
MOZAICOPLASTIA
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Homogrefele Homogrefele osteocondraleosteocondrale
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OSTEOTOMIILEOSTEOTOMIILE
INTERVENŢII CORECTOARE INTERVENŢII CORECTOARE ALE AXULUI MECANIC ALE AXULUI MECANIC
DEVIAT DEVIAT
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OSTEOTOMII
TIBIALE FEMURALE
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OSTEOTOMII
INCHIDERE DESCHIDERE
GREFA OSOASAFIXARE CU UN MATERIAL DE
OSTEOSINTEZA - PLACA
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GONARTROZA GONARTROZA SECUNDARASECUNDARA
GENU VARUMGENU VARUM
OSTEOTOMIE DE OSTEOTOMIE DE ÎNCHIDEREÎNCHIDERE CU BAZA CU BAZA EXTERNEXTERN
OSTEOTOMIE DE OSTEOTOMIE DE DESCHIDERE INTERNÃDESCHIDERE INTERNÃ
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OSTEOTOMIA DE INCHIDERE EXTERNA
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• Autogrefa (iliaca) • Allogreffe (cap femural )
• Substituent osos
OSTEOTOMIA DE DESCHIDERE INTERNA
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GONARTROZA SECUNDARĂ GONARTROZA SECUNDARĂ
GENU VALGUMGENU VALGUM
Osteotomie femuralã :Osteotomie femuralã :A ) de închidere internãA ) de închidere internãB ) de deschidere externãB ) de deschidere externã
OSTEOTOMIE TIBIALA DE VARIZAREOSTEOTOMIE TIBIALA DE VARIZARE
- - ÎNCHIDERE INTERNÃÎNCHIDERE INTERNÃ
- DESCHIDERE EXTERNÃ- DESCHIDERE EXTERNÃ
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ARTROPLASTIA ARTROPLASTIA UNICOMPARTIMENTALAUNICOMPARTIMENTALA
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Oxford Knee
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ARTROPLASTIA TOTALA ARTROPLASTIA TOTALA DE GENUNCHIDE GENUNCHI
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DUPA MODUL DE FIXARE :
1.PTG NECIMENTATE
2.PTG CIMENTATE
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Link
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COMPLICATII -- DECIMENTAREA PTG
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RECUPERARE MOTORIE …
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PLANUL CURSULUIPLANUL CURSULUI
DEFINITIEDEFINITIE EPIDEMIOLOGIEEPIDEMIOLOGIE ETIOPATOGENIEETIOPATOGENIE EXAMENUL EXAMENUL
CLINICCLINIC EXAMENUL EXAMENUL
RADIOLOGICRADIOLOGIC
TRATAMENTTRATAMENT
I.I. MEDICAMENTOMEDICAMENTOSS
II.II. PROFILACTICPROFILACTIC
III.III. CHIRURGICALCHIRURGICAL
IV.IV. METODE METODE MODERNEMODERNE
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Am scapat de curs…..
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DA….DA….
Daca rezolvati grila de examen corect, mai Daca rezolvati grila de examen corect, mai ales intrebarile din cursul de astazi…..ales intrebarile din cursul de astazi…..
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