{"id":3975,"date":"2023-08-08T12:31:02","date_gmt":"2023-08-08T11:31:02","guid":{"rendered":"https:\/\/www.ortho-hart.at\/intraartikularni-rekonstrukce-loketniho-kloubu\/"},"modified":"2024-10-31T09:49:11","modified_gmt":"2024-10-31T08:49:11","slug":"intraartikularni-rekonstrukce-loketniho-kloubu","status":"publish","type":"post","link":"https:\/\/www.ortho-hart.at\/cs\/intraartikularni-rekonstrukce-loketniho-kloubu\/","title":{"rendered":"Intraartikul\u00e1rn\u00ed rekonstrukce loketn\u00edho kloubu"},"content":{"rendered":"\t\t
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Intraartikul\u00e1rn\u00ed rekonstrukce loketn\u00edho kloubu<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Kontaktn\u00ed s\u00edly na kloubn\u00ed plochy loketn\u00edho kloubu odpov\u00eddaj\u00ed dvoj- a\u017e trojn\u00e1sobku<\/b> hmotnosti t\u011bla p\u0159i b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech a sedmin\u00e1sobku <\/b>hmotnosti t\u011bla p\u0159i vysok\u00e9m dynamick\u00e9m zat\u00ed\u017een\u00ed. Vnit\u0159n\u00ed \u010d\u00e1st loketn\u00edho kloubu m\u00e1 tvar kloubu kloubn\u00edho, kde i mal\u00e1 nerovnost kloubn\u00edho povrchu m\u016f\u017ee v\u00e9st k opot\u0159eben\u00ed <\/b>a n\u00e1sledn\u00e9 osteoartr\u00f3ze. artr\u00f3za <\/b><\/a>a t\u00edm vede k bolesti <\/b>. Vn\u011bj\u0161\u00ed \u010d\u00e1st loketn\u00edho kloubu m\u00e1 tvar kloubu kolov\u00e9ho. I zde je nerovnost kloubn\u00edch ploch zna\u010dn\u00e1 a zp\u016fsobuje omezen\u00ed pohybu. Zm\u011bny nebo kroky na kloubn\u00edch ploch\u00e1ch loketn\u00edho kloubu proto pacient vn\u00edm\u00e1 negativn\u011b. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Jak\u00e9 jsou p\u0159\u00ed\u010diny nerovnost\u00ed kloubn\u00edch ploch lokte?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Nerovn\u00e9 kloubn\u00ed plochy loketn\u00edho kloubu jsou obvykle zp\u016fsobeny \u0161patn\u011b zhojen\u00fdmi zlomeninami,<\/a> p\u0159i kter\u00fdch se zlomenina roz\u0161\u00ed\u0159ila do kloubu. V t\u011bchto p\u0159\u00edpadech existuj\u00ed v z\u00e1sad\u011b t\u0159i typy probl\u00e9m\u016f. Za prv\u00e9, <\/b>zlomenina m\u016f\u017ee v\u00e9st k nerovnosti <\/b>(schodku) na kloubn\u00edm povrchu, co\u017e n\u00e1sledn\u011b vede k opot\u0159eben\u00ed kloubu spojen\u00e9mu s bolest\u00ed. Aby se p\u0159ede\u0161lo opot\u0159eben\u00ed lokte<\/a>, mus\u00ed se p\u016fvodn\u00ed linie zlomeniny obnovit<\/span> tzv. osteotomi\u00ed, p\u0159\u00edslu\u0161n\u00fd \u00falomek mus\u00ed b\u00fdt spr\u00e1vn\u011b nastaven a fixov\u00e1n v obnoven\u00e9 poloze.<\/span> <\/p>\n

Za druh\u00e9, <\/b>nerovnost povrchu kloubu zp\u016fsoben\u00e1 zlomeninou m\u016f\u017ee b\u00fdt tak v\u00fdrazn\u00e1, \u017ee br\u00e1n\u00ed pohybu v loketn\u00edm kloubu, co\u017e je pro pacienty velmi nep\u0159\u00edjemn\u00e9. \u0158e\u0161en\u00ed v t\u011bchto p\u0159\u00edpadech je podobn\u00e9, tj. obnoven\u00ed p\u016fvodn\u00ed linie zlomeniny, vyrovn\u00e1n\u00ed p\u0159\u00edslu\u0161n\u00e9ho \u00falomku a obnoven\u00ed jeho imobilizace. <\/p>\n

Za t\u0159et\u00ed, <\/b> men\u0161\u00ed fragmenty kloubn\u00edho povrchu<\/b> mohou po zlomenin\u011b odum\u0159\u00edt spolu s chrupavkou a m\u016f\u017ee vzniknout defekt. \u0158e\u0161en\u00edm m\u016f\u017ee b\u00fdt pouze transplantace \u010d\u00e1sti kloubn\u00edho povrchu (velk\u00e9ho \u00falomku kosti a chrupavky) od d\u00e1rce. Pomoc\u00ed zobrazovac\u00edch metod (CT) je t\u0159eba ur\u010dit p\u0159ibli\u017enou velikost kostn\u00edho defektu a podle toho objednat vhodn\u00fd kostn\u00ed \u0161t\u011bp s chrupavkou. \u0160t\u011bp po\u017eadovan\u00e9 velikosti nemus\u00ed b\u00fdt okam\u017eit\u011b k dispozici a pacient bude muset po\u010dkat na vhodn\u00e9ho<\/strong> d\u00e1rce<\/strong>. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Hled\u00e1te specialistu na lokty?<\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tSpojte se se mnou!<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Jsme odborn\u00edci v t\u00e9to oblasti!<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pro hodnocen\u00ed na\u0161ich v\u00fdsledk\u016f ve slo\u017eit\u00fdch p\u0159\u00edpadech pou\u017e\u00edv\u00e1me specifick\u00e9 sk\u00f3re. V\u00fdznamn\u00e9 je sk\u00f3re bolesti a sk\u00f3re denn\u00edch funkc\u00ed. Po t\u011bchto n\u00e1ro\u010dn\u00fdch z\u00e1kroc\u00edch jsme nezaznamenali \u017e\u00e1dn\u00e9 v\u00fdznamn\u00e9 komplikace. <\/p>\n

Lze \u0159\u00edci, \u017ee v\u00fdrazn\u00e1 nerovnost kloubn\u00edho povrchu je pro loketn\u00ed kloub<\/a> velk\u00fdm probl\u00e9mem. Stejn\u011b jako u jin\u00fdch velk\u00fdch kloub\u016f je nutn\u00e9 patologii aktivn\u011b \u0159e\u0161it. Rekonstrukce b\u00fdvaj\u00ed v t\u011bchto p\u0159\u00edpadech vz\u00e1cnost\u00ed. V\u00fdsledky po transplantac\u00edch a nitrokloubn\u00edch osteotomi\u00edch jsou v\u0161ak dobr\u00e9. <\/p>\n

Jedn\u00e1 se o velmi jemn\u00e9 z\u00e1kroky, kter\u00e9 jsou vyhrazeny pouze nejzku\u0161en\u011bj\u0161\u00edm ortoped\u016fm<\/a>, kte\u0159\u00ed se specializuj\u00ed na operace lokte <\/strong>.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Nerovn\u00e9 kloubn\u00ed plochy loketn\u00edho kloubu jsou obvykle zp\u016fsobeny \u0161patn\u011b zhojen\u00fdmi zlomeninami, p\u0159i kter\u00fdch se zlomenina roz\u0161\u00ed\u0159ila do kloubu. V t\u011bchto p\u0159\u00edpadech existuj\u00ed v z\u00e1sad\u011b t\u0159i typy probl\u00e9m\u016f. <\/p>\n","protected":false},"author":2,"featured_media":3976,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":""},"categories":[45],"tags":[],"class_list":["post-3975","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osetreni"],"yoast_head":"\nIntraartikul\u00e1rn\u00ed rekonstrukce loketn\u00edho kloubu - Ellenbogenspezialist Wien - Dr. Radek Hart<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ortho-hart.at\/cs\/intraartikularni-rekonstrukce-loketniho-kloubu\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Intraartikul\u00e1rn\u00ed rekonstrukce loketn\u00edho kloubu - Ellenbogenspezialist Wien - Dr. Radek Hart\" \/>\n<meta property=\"og:description\" content=\"Nerovn\u00e9 kloubn\u00ed plochy loketn\u00edho kloubu jsou obvykle zp\u016fsobeny \u0161patn\u011b zhojen\u00fdmi zlomeninami, p\u0159i kter\u00fdch se zlomenina roz\u0161\u00ed\u0159ila do kloubu. 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