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master's thesis
Rekonstrukcija prednjeg križnog ligamenta
2021. urn:nbn:hr:184:225686
Branković, Gordan
University of Rijeka
Faculty of Medicine
Department of Orthopedics and Physical Medicine

Cite this document

Branković, G. (2021). Rekonstrukcija prednjeg križnog ligamenta (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:225686

Branković, Gordan. "Rekonstrukcija prednjeg križnog ligamenta." Master's thesis, University of Rijeka, Faculty of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:184:225686

Branković, Gordan. "Rekonstrukcija prednjeg križnog ligamenta." Master's thesis, University of Rijeka, Faculty of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:184:225686

Branković, G. (2021). 'Rekonstrukcija prednjeg križnog ligamenta', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 28 October 2024, https://urn.nsk.hr/urn:nbn:hr:184:225686

Branković G. Rekonstrukcija prednjeg križnog ligamenta [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2021 [cited 2024 October 28] Available at: https://urn.nsk.hr/urn:nbn:hr:184:225686

G. Branković, "Rekonstrukcija prednjeg križnog ligamenta", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2021. Available at: https://urn.nsk.hr/urn:nbn:hr:184:225686

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Metadata
TitleRekonstrukcija prednjeg križnog ligamenta
Title (english)Anterior cruciate ligament reconstruction
AuthorGordan Branković
MentorZdravko Jotanović (mentor)
Committee memberAnton Tudor (predsjednik povjerenstva)
Committee memberNikola Gržalja (član povjerenstva)
Committee memberDalen Legović (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Orthopedics and Physical Medicine)
Rijeka
Defense date and country2021-07, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Abstract
Rekonstrukcija ACL-a jedan je od najčešćih zahvata u ortopediji. Simptomi rupture su bol u koljenu, lokalni edem te pojava nestabilnosti koljena. Znakovi bolesti uključuju pozitivan Lachmannov test, test „prednje ladice“ i test zaokretnog pomaka. Ruptura ligamenta može biti udružena s oštećenjem medijalnog meniska te medijalnog kolateralnog ligamenta. Dijagnoza se potvrđuje MR-om pogotovo ako postoji sumnja u kombiniranu ozljedu. Kod plastike ACL-a trenutna metoda izbora je intra-artikularna rekonstrukcija autogenim tkivom tetiva m. semitendinosusa i m. gracilisa ili ligamenta patele s obstranim koštanim okrajcima. Uspješnost zahvata velikim dijelom ovisi o načinju bušenja femoralnog i tibijalnog tunela koji moraju biti postavljeni na način da budući presadak što točnije biomehanički oponaša funkciju ACL-a. Fiksacija presatka ostvaruje se interferencijskim vijkom, ekstraartikularnom fiksacijom ili kombinacijom obje metode. U poslijeoperacijskom periodu najvažniji ciljevi su sprječavanje infekcije te očuvanje opsega pokreta.
Abstract (english)
ACL reconstruction is one of the most common procedures in orthopedic surgery. The most common symptoms of this injury are knee pain, local oedema and knee instability. Clinnicaly most common signs include positive anterior drawer test, Lachmann test, and pivot shift test. ACL rupture can also be combined with medial meniscus and medial collateral ligament injury. Diagnosis is confirmed by MR imaging. Intra-articular reconstruction with autogenous tissue is today's method of choice in ACL treatment. Hamstring and patellar tendon are the most commonly used transplants. One of the most important parts of surgery is tunnel drilling. Both femoral and tibial tunnel have to be placed in a way so that the graft in place can biomechanicaly mimic ACL function. Graft fixation is achieved with interference screws, cortical stabilisation, or both. In postoperative period, it is very important to prevent knee infection and loss of motion.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:225686
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2021-07-12 18:09:28