\nT\u00e2n\u0103rul a fost diagnosticat cu aceast\u0103 afec\u0163iune \u00een urm\u0103 cu aproximativ un an \u015fi jum\u0103tate, dar s-a prezentat la clinic\u0103 recent, c\u00e2nd necroza se afla deja intr-un stadiu destul de avansat. Anterior, pacientul a fost la mai multe clinici din Anglia, unde i s-a propus varianta unui implant de silicon \u2013 un produs de o calitate mai slab\u0103 comparativ cu proteza de ultim\u0103 genera\u0163ie din pyrocarbon, produs\u0103 in SUA. <\/p>\n
\nDin cauza unei conforma\u0163ii anatomice anormale a oaselor antebra\u0163ului t\u00e2n\u0103rului, osul semilunar a fost \u00een timp supus unei presiuni suplimentare, ceea ce a determinat schimbarea formei, pierderea vasculariza\u0163iei \u015fi necrozarea. Pacientul a \u00eenceput s\u0103 prezinte dureri mari zilnice, \u00eempreun\u0103 cu limitarea func\u0163iei m\u00e2inii dominante. Dac\u0103 ar fi am\u00e2nat opera\u0163ia, acesta risca s\u0103 dezvolte artroz\u0103 \u015fi ar fi necesitat o interven\u0163ie chirurgicala mult mai invaziv\u0103, care implica excizia at\u00e2t a osului semilunar, c\u00e2t \u015fi a oaselor \u00eenvecinate \u015fi scurtarea m\u00e2inii sau blocarea total\u0103 a articula\u0163iei.<\/p>\n
\nOpera\u0163ia a constat \u00een excizia osului necrozat de la nivelul \u00eencheieturii pumnului, preg\u0103tirea oaselor \u00eenvecinate pentru protez\u0103, recoltarea unei grefe de tendon \u015fi fixarea protezei \u00een pozi\u0163ie anatomic\u0103 cu ajutorul grefei de tendon \u015fi al unor dispozitive din titan \u015fi gore-tex. Conform reprezentan\u0163ilor companiei Enlife Solutions, distribuitorul protezelor din pyrocarbon marca Integra, aceasta este prima comand\u0103 de astfel de implant \u00een Rom\u00e2nia.<\/p>\n
\nEchipa multidisciplinar\u0103 ortoplastic\u0103 a fost alcatuit\u0103 din Dr. Dragos Zamfirescu – doctor in \u015ftiin\u0163e medicale, medic primar chirurgie plastic\u0103, estetic\u0103 \u015fi microchirurgie reconstructiv\u0103, Dr. Iulian-Daniel V\u00eelcioiu – medic specialist ortopedie \u015fi traumatologie, doctor in \u015ftiin\u0163e medicale \u015fi Dr. Irina Luca \u2013 medic anestezist.<\/p>\n","protected":false},"excerpt":{"rendered":"
Pentru prima data in Rom\u00e2nia, o echip\u0103 de chirurgie ortoplastic\u0103 a realizat o interven\u0163ie de \u00eenlocuire a unui os necrozat al m\u00e2inii cu o protez\u0103 de ultim\u0103 genera\u0163ie din pyrocarbon. Echipa multidisciplinar\u0103 ortoplastic\u0103 a Clinicii Zetta \u2013 Centru de Excelen\u0163\u0103 \u00een Chirurgie Plastic\u0103 \u015fi Microchirurgie Reconstructiv\u0103, a efectuat interven\u0163ia de implant de protez\u0103 din pyrocarbon unui pacient \u00een varst\u0103 de 21 de ani, care suferea de necroza osului semilunar, localizat la nivelul \u00eencheieturii pumnului. <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[530],"tags":[36148,16543,12924,407,4641,12922,22153,26638,275,13815,19080,406,5831,12845,7547,541,32991,98,33681,32558,7960],"class_list":["post-158244","post","type-post","status-publish","format-standard","hentry","category-analize","tag-afectiune","tag-calitate","tag-chirurgie","tag-clinica","tag-clinici","tag-diagnostic","tag-generatie","tag-implant","tag-inlocuire","tag-interventie","tag-medic","tag-medici","tag-operatie","tag-pacient","tag-premiera","tag-propunere","tag-realizare","tag-romania","tag-stiinte","tag-suferinta","tag-tanar"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/158244","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=158244"}],"version-history":[{"count":1,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/158244\/revisions"}],"predecessor-version":[{"id":158246,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/158244\/revisions\/158246"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=158244"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=158244"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=158244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}