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Revizijske operacije pri implantirani endoprotezi kolka
Kramberger, Slavko ; Kramberger, Miloš
Število revizijskih operacij po implantacijah kolčnih endoprotez se povečuje. Vzroki revizijskih operacij po primarno implantiranih endoprotezah kolka so: septično ali aseptično omajanje endoproteze, ...periprotetični zlom stegnenice ali acetabula, izpahljivost endoproteze, izraba polietilenskega acetabularnega vložka, zlom endoproteze in obsežne osifikacije mehkih tkiv z moteno funkcijo kolka (Myositis ossificans). Skupna značilnost je ponoven nastop bolečine in izguba obsega gibljivosti kolka. Indicirana reoperacija je običajno zahteven kirurški poseg, ki potrebuje dobro predoperativno diagnostiko in pripravo bolnika, izkušenost operaterja, anesteziologa in negovalnega tima, ustrezna tehnična pomagala (revizijske endoproteze, sistem za odstranjevanje kostnega cementa, sistem za učvrstitev periprotetičnih zlomov, kostno banko) in strokovno vodeno rehabilitacijo. Zapleti so pogostejši kot pri primarnih implantacijah.
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