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2015, vol. 44, br. 2, str. 31-34
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Uticaj NIMP i IFS na nastajanje heterotopičnih osifikacija posle ugradnje totalne endoproteze zgloba kuka
Impact of low-frequency pulsed electromagnetic fields and interference currents in the formation of heterotopic ossification after total hip instalation in the hip joint
aUniverzitet u Prištini sa privremenim sedištem u Kosovskoj Mitrovici, Medicinski fakultet, Kliničko-bolnički centar, Srbija bKBC, Priština cUniverzitet u Nišu, Medicinski fakultet, Srbija
e-adresa: ivkovic_srdjan@yahoo.com
Ključne reči: niskofrekventno impulsno magnetno polje; interferentne struje; heterotopične osifikacije; totalnaendoproteza; kuk
Keywords: low-frequency pulsed electromagnetic fields; interference currents; heterotopic ossification; total endoprostheses; hipjoint
Sažetak
Usled produženja ljudskog veka, broj starih ljudi se povećava, a time i broj bolesti i povreda lokomotornog aparata, naročito zgloba kuka. Jedan od stalno prisutnih trendova je i trend porasta broja pacijenata sa koksartrozom i ugrađenim veštačkim kukom. Jedna od postoperativnih komplikacija nastalih posle ugradnje totalne endoproteze kuka su heterotopične osifikacije (HO). HO je komplikacija koja se javljaju 9-90% slučajeva. HO su nedovoljno razjašnjen fenomen, koji se karakteriše formiranjem kosti u vanskeletnim, periartikularnim tkivima. Postoperativno su praćeni pacijenti kod kojih je ugrađena totalna endoproteza zgloba kuka na odeljenju ortopedije Zdravstvenog centra u Kos. Mitrovici u toku 2008. i 2009. godine.Kod njih je ispitivan uticaj niskofrekventnog impulsnog magnetnog polja i interferentnih struja na nastajanje HO u blizini operisanog kuka. Kod njih je sproveden i kineziterapijski tretman u Centru za rehabilitaciju ZC u Kosovskoj Mitrovici. Svi pacijenti su bili na rehabilitaciji mesec dana (20 radnih dana). Na osnovu ovog istraživanja potrvđuje se pretpostavka da primena NIMP , IFS i kineziterapije sprečava nastajanje HO u pacijenata posle ugradnje totalne endoproteze zgloba kuka.
Abstract
Due to the extension of life expectancy, the number of elderly people increases, and thus the number of disease and injuries of the locomotor system, especially the hip joint. One of the persistent trend is an increasing trend in the number of patients with coxarthrosis and implanted total hip endoprosthesis. One of the postoperative complications that occurred after implantation a total hip endoprosthesis is heterotopic ossification (HO). HO is the most common complication that occurs after the implantation a total hip endoprosthesis with recorded cases in the range of 9-90%. HO are insufficiently understood phenomenon, which is characterized by the formation of bone in periarticular tissues. We prospectively followed patients who implanted total hip endoprostheses in the department of orthopedics ZC in Kos. Mitrovica in 2008. and 2009. year. We examined the influence of physical agents on the prevention of HO near the hip joint. In these patients the treatment was carried out kinesiotherapeutic at the Center for Rehabilitation Health Center Kosovska Mitrovica, as well as pulse therapy low frequency magnetic field frequency of 30 Hz, 30 minutes, 8 mT intensity and 15 minutes interferential current, 0-100 Hz frequency. All patients were on the rehabilitation of one month (20 days). Based on this research we confirmed the assumption that the use of low frequency pulsed magnetic fields, interference currents and kinesitherapy prevents HO in patients after implantation of total endoprosthesis of the hip joint.
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