{"id":27744,"date":"2025-08-05T13:52:00","date_gmt":"2025-08-05T10:52:00","guid":{"rendered":"https:\/\/www.utkuerdemozer.com\/%d8%ac%d8%b1%d8%a7%d8%ad%d8%a9-%d9%85%d9%84%d8%a1-%d8%a7%d9%84%d9%85%d9%81%d8%b5%d9%84-%d8%a8%d8%a7%d9%84%d9%85%d9%86%d8%b8%d8%a7%d8%b1-%d9%81%d9%8a-%d8%ae%d9%84%d8%b9-%d8%a7%d9%84%d9%83%d8%aa%d9%81\/"},"modified":"2026-03-16T00:27:56","modified_gmt":"2026-03-15T21:27:56","slug":"%d8%ac%d8%b1%d8%a7%d8%ad%d8%a9-%d9%85%d9%84%d8%a1-%d8%a7%d9%84%d9%85%d9%81%d8%b5%d9%84-%d8%a8%d8%a7%d9%84%d9%85%d9%86%d8%b8%d8%a7%d8%b1-%d9%81%d9%8a-%d8%ae%d9%84%d8%b9-%d8%a7%d9%84%d9%83%d8%aa%d9%81","status":"publish","type":"post","link":"https:\/\/www.utkuerdemozer.com\/ar\/%d8%ac%d8%b1%d8%a7%d8%ad%d8%a9-%d9%85%d9%84%d8%a1-%d8%a7%d9%84%d9%85%d9%81%d8%b5%d9%84-%d8%a8%d8%a7%d9%84%d9%85%d9%86%d8%b8%d8%a7%d8%b1-%d9%81%d9%8a-%d8%ae%d9%84%d8%b9-%d8%a7%d9%84%d9%83%d8%aa%d9%81\/","title":{"rendered":"\u062c\u0631\u0627\u062d\u0629 \u0645\u0644\u0621 \u0627\u0644\u0645\u0641\u0635\u0644 \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631 \u0641\u064a \u062e\u0644\u0639 \u0627\u0644\u0643\u062a\u0641"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Omuz \u00e7\u0131k\u0131\u011f\u0131 sonras\u0131 tekrarlayan instabiliteye yol a\u00e7an sorunlardan biri, omuz ba\u015f\u0131nda olu\u015fan \u00e7\u00f6k\u00fcnt\u00fc lezyonlar\u0131d\u0131r.<\/strong>\u00a0\u00d6n omuz \u00e7\u0131k\u0131\u011f\u0131 s\u0131ras\u0131nda omuz ba\u015f\u0131, omuz yuvas\u0131n\u0131n \u00f6n kenar\u0131na \u00e7arparak hem yuvada hem ba\u015f\u0131n arkas\u0131nda hasar olu\u015fturabilir. Bu \u00e7\u00f6k\u00fcnt\u00fcye Hill-Sachs lezyonu ad\u0131 verilir. E\u011fer bu lezyon b\u00fcy\u00fckse ve omuzun yeniden \u00e7\u0131kma riskini art\u0131r\u0131yorsa, sadece <a href=\"https:\/\/www.utkuerdemozer.com\/artroskopik-bankart-tamiri-ameliyat\/\">labrum onar\u0131m\u0131 (Bankart tamiri) <\/a>yeterli olmaz. B\u00f6yle durumlarda, \u00e7\u00f6k\u00fcnt\u00fcy\u00fc yumu\u015fak dokuyla dolduran\u00a0<strong>Remplissage<\/strong>\u00a0ad\u0131 verilen artroskopik bir teknik devreye girer.<\/p>\n\n<h2 class=\"wp-block-heading\"><strong>Remplissage Neden Uygulan\u0131r?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">\u00d6n omuz \u00e7\u0131k\u0131klar\u0131 s\u0131ras\u0131nda omuz ba\u015f\u0131 (humerus ba\u015f\u0131), omuz yuvas\u0131n\u0131n (glenoid) \u00f6n kenar\u0131na \u00e7arparak iki farkl\u0131 b\u00f6lgede hasara neden olabilir. Yuvan\u0131n \u00f6n alt k\u0131sm\u0131nda\u00a0<a href=\"https:\/\/www.utkuerdemozer.com\/omuzun-labrum-yirtiklari\/\"><strong>Bankart lezyonu<\/strong><\/a>, omuz ba\u015f\u0131n\u0131n arka d\u0131\u015f k\u0131sm\u0131nda ise \u00e7\u00f6kme \u015feklinde bir hasar olu\u015fur. Bu \u00e7\u00f6kme, t\u0131pta\u00a0<strong>Hill-Sachs lezyonu<\/strong>\u00a0olarak adland\u0131r\u0131l\u0131r ve pinpon topuna bast\u0131r\u0131lm\u0131\u015f bir iz gibi d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n\n<p class=\"wp-block-paragraph\">Baz\u0131 vakalarda bu \u00e7\u00f6k\u00fcnt\u00fc derin ve geni\u015f olabilir. Sadece Bankart onar\u0131m\u0131 yap\u0131lan hastalarda, bu \u00e7\u00f6k\u00fcnt\u00fc g\u00f6z ard\u0131 edilirse omuz yeniden \u00e7\u0131kabilir. Ba\u015far\u0131s\u0131z omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyatlar\u0131n\u0131n \u00f6nemli bir k\u0131sm\u0131nda, Hill-Sachs lezyonunun tedavi edilmemesi rol oynar. \u0130\u015fte bu t\u00fcr durumlarda \u00e7\u00f6k\u00fcnt\u00fcy\u00fc yumu\u015fak doku ile doldurmay\u0131 ama\u00e7layan\u00a0<strong>Remplissage<\/strong>\u00a0tekni\u011fi uygulan\u0131r.<\/p>\n\n<h2 class=\"wp-block-heading\"><strong>Omuz \u00c7\u0131k\u0131\u011f\u0131 Ameliyat\u0131nda Remplissage Nedir?\u00a0<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">\u201cRemplissage\u201d kelimesi Frans\u0131zca k\u00f6kenlidir ve \u201cdoldurma\u201d anlam\u0131na gelir. Bu teknikle, omuz ba\u015f\u0131ndaki \u00e7\u00f6k\u00fcnt\u00fc (Hill-Sachs lezyonu) doldurularak omuzun yeniden \u00e7\u0131kmas\u0131 engellenmi\u015f olur.<\/p>\n\n<h2 class=\"wp-block-heading\"><strong>Remplissage Ameliyat\u0131 Ne Zaman Gerekir?<\/strong><\/h2>\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/utkuerdemozer.com\/wp-content\/uploads\/2025\/06\/f7cce4_04d3bf30545d4a7b8aa69ac62131a132mv2-9.jpg\" alt=\"\" style=\"width:326px;height:auto\"\/><\/figure>\n\n<p class=\"wp-block-paragraph\"><strong>Remplissage tekni\u011fi, her omuz \u00e7\u0131k\u0131\u011f\u0131nda uygulanmaz. Ancak baz\u0131 \u00f6zel durumlarda omuzun yeniden \u00e7\u0131kmas\u0131n\u0131 \u00f6nlemek i\u00e7in gereklidir. \u00d6zellikle \u015fu durumlarda tercih edilir:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>B\u00fcy\u00fck Hill-Sachs lezyonu<\/strong>\u00a0varsa (omuz ba\u015f\u0131ndaki \u00e7\u00f6k\u00fcnt\u00fc derinse)<\/li>\n\n\n\n<li><strong>\u00c7\u00f6k\u00fcnt\u00fc yuvaya denk gelip tak\u0131lma riski<\/strong>\u00a0ta\u015f\u0131yorsa (off-track lezyon)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.utkuerdemozer.com\/glenoid-kemik-kaybi-icin-artroskopik-glenoid-destekleme-augmentasyon\/\"><strong>Glenoid kemi\u011finde kay\u0131p<\/strong><\/a>\u00a0varsa (\u00f6n-arka denge bozulmu\u015fsa)<\/li>\n\n\n\n<li><strong>Artroskopik Bankart onar\u0131m\u0131 tek ba\u015f\u0131na yetersiz kalacaksa<\/strong><\/li>\n\n\n\n<li><a href=\"https:\/\/www.utkuerdemozer.com\/omuz-eklem-cikigi\/\"><strong>Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131<\/strong><\/a><strong> \u00f6yk\u00fcs\u00fc<\/strong>\u00a0olan ve omuzda yap\u0131sal sorunlar\u0131 bulunan hastalarda<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Bu kriterler, cerrah taraf\u0131ndan yap\u0131lan g\u00f6r\u00fcnt\u00fcleme ve artroskopik de\u011ferlendirmelerle belirlenir. Ameliyat s\u0131ras\u0131nda omuz ba\u015f\u0131ndaki \u00e7\u00f6k\u00fcnt\u00fcn\u00fcn yuvaya tak\u0131lma riski y\u00fcksekse, cerrah Remplissage i\u015flemini ek olarak uygular.<\/p>\n\n<h2 class=\"wp-block-heading\"><strong>Omuz \u00c7\u0131k\u0131\u011f\u0131nda \u201cOn-Track\u201d ve \u201cOff-Track\u201d Lezyonlar Ne Anlama Gelir?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Omuzun yuvas\u0131n\u0131 lastik gibi, omuz ba\u015f\u0131ndaki \u00e7\u00f6k\u00fcnt\u00fcy\u00fc de yoldaki bir \u00e7ukur gibi d\u00fc\u015f\u00fcn\u00fcn. E\u011fer \u00e7ukur k\u00fc\u00e7\u00fckse lastik i\u00e7ine d\u00fc\u015fmez, sorun olmaz. Ama \u00e7ukur b\u00fcy\u00fckse ya da lastik k\u00fc\u00e7\u00fclm\u00fc\u015fse (yani kemikte kay\u0131p varsa), lastik \u00e7ukura d\u00fc\u015fer ve s\u0131k\u0131\u015f\u0131r. Bu durumda omuz yeniden \u00e7\u0131kabilir.<\/p>\n\n<p class=\"wp-block-paragraph\">Buna t\u0131pta \u2018off-track lezyon\u2019 denir. B\u00f6yle bir durumda, sadece labrumu tamir etmek yetmez. Lasti\u011fin \u00e7ukura d\u00fc\u015fmesini \u00f6nlemek i\u00e7in, \u00e7ukurun doldurulmas\u0131 gerekir. \u0130\u015fte bu \u2018doldurma\u2019 i\u015flemi Remplissage y\u00f6ntemidir.<\/p>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.utkuerdemozer.com\/omuz-eklem-cikigi\/\">Omuz \u00e7\u0131k\u0131\u011f\u0131<\/a> sonras\u0131nda olu\u015fan\u00a0<strong>Hill-Sachs lezyonu<\/strong>, her zaman tedavi gerektirmez. Ancak baz\u0131 durumlarda bu lezyon, omuzun tekrar \u00e7\u0131kmas\u0131na yol a\u00e7abilecek kadar risklidir. Bu riskin derecesi, lezyonun b\u00fcy\u00fckl\u00fc\u011f\u00fcne ve konumuna g\u00f6re de\u011ferlendirilir. Bu de\u011ferlendirme i\u00e7in kullan\u0131lan en g\u00fcncel ve g\u00fcvenilir kavramlar:\u00a0<strong>on-track<\/strong>\u00a0ve\u00a0<strong>off-track<\/strong>\u00a0lezyonlard\u0131r.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf\u00a0On-Track Lezyon (Ray\u0131nda Olan):<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Hill-Sachs \u00e7\u00f6k\u00fcnt\u00fcs\u00fc, omuz yuvas\u0131 (glenoid) ile kar\u015f\u0131la\u015fmaz. Yani omuz ne kadar hareket etse de bu \u00e7\u00f6k\u00fcnt\u00fc yuvaya denk gelmez, tak\u0131lmaz ve omuz yeniden \u00e7\u0131kmaz. Sadece labrum tamiri (Bankart onar\u0131m\u0131) yeterli olabilir.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>\u25cf\u00a0Off-Track Lezyon (Raydan \u00c7\u0131km\u0131\u015f):<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Hill-Sachs lezyonu o kadar b\u00fcy\u00fck ya da glenoid kemi\u011finde \u00f6yle bir kay\u0131p vard\u0131r ki, \u00e7\u00f6k\u00fcnt\u00fc omuz hareketleri s\u0131ras\u0131nda glenoidin kenar\u0131na tak\u0131l\u0131r. Bu durumda omuzun yeniden \u00e7\u0131kma riski \u00e7ok y\u00fcksektir. \u0130\u015fte bu lezyonlar tehlikelidir ve mutlaka\u00a0<strong>remplissage ameliyat\u0131 bankart tamiri ameliyat\u0131na eklenmelidir.\u00a0<\/strong><\/p>\n\n<h2 class=\"wp-block-heading\"><strong>Remplissage Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Remplissage i\u015flemi, artroskopik (kapal\u0131) y\u00f6ntemle yap\u0131lan bir cerrahidir ve genellikle Bankart onar\u0131m\u0131 ile ayn\u0131 seansta uygulan\u0131r. Ek bir kesi yap\u0131lmas\u0131na gerek yoktur; mevcut artroskopik giri\u015f yollar\u0131 (portal) kullan\u0131l\u0131r.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Ameliyat\u0131n a\u015famalar\u0131 \u015fu \u015fekilde \u00f6zetlenebilir:<\/strong><\/p>\n\n<ol class=\"wp-block-list\">\n<li><strong>Labrum onar\u0131m\u0131 (Bankart tamiri)<\/strong>\u00a0tamamland\u0131ktan sonra, omuz ba\u015f\u0131n\u0131n arkas\u0131ndaki\u00a0<strong>Hill-Sachs lezyonu <\/strong>artroskopik kamera ile de\u011ferlendirilir.<\/li>\n\n\n\n<li>Lezyonun oldu\u011fu b\u00f6lge, arka portalden girilerek \u00f6zel aletlerle temizlenir.<\/li>\n\n\n\n<li>Bu b\u00f6lgeye, ucunda ipler bulunan \u00f6zel bir vida (<strong>s\u00fct\u00fcr ankor<\/strong>) yerle\u015ftirilir.<\/li>\n\n\n\n<li>Diki\u015f ipleri,\u00a0<strong>infraspinatus tendonu<\/strong>\u00a0ve\u00a0<strong>arka kaps\u00fcl<\/strong>\u00a0i\u00e7inden ge\u00e7irilir.<\/li>\n\n\n\n<li>\u0130pler, \u201c<strong>para\u015f\u00fct tekni\u011fi<\/strong>\u201d olarak adland\u0131r\u0131lan \u00f6zel bir y\u00f6ntemle ba\u011flan\u0131r. B\u00f6ylece omuz ba\u015f\u0131ndaki \u00e7\u00f6k\u00fcnt\u00fc yumu\u015fak doku ile doldurulmu\u015f olur.<\/li>\n<\/ol>\n\n<p class=\"wp-block-paragraph\"><strong>Bu i\u015flem sayesinde:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Omuz ba\u015f\u0131ndaki \u00e7\u00f6k\u00fcnt\u00fc eklem d\u0131\u015f\u0131na ta\u015f\u0131nm\u0131\u015f olur.<\/li>\n\n\n\n<li>Glenoid kenar\u0131na denk gelip tak\u0131lma ihtimali ortadan kalkar.<\/li>\n\n\n\n<li>Omuzun yeniden \u00e7\u0131kma riski belirgin \u015fekilde azal\u0131r.<\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\"><strong>Remplissage Tekni\u011finin Avantajlar\u0131<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Remplissage, tekrar eden omuz \u00e7\u0131k\u0131klar\u0131n\u0131n tedavisinde etkili ve g\u00fcvenli bir y\u00f6ntemdir. \u00d6zellikle b\u00fcy\u00fck Hill-Sachs lezyonu olan ve Bankart onar\u0131m\u0131n\u0131n tek ba\u015f\u0131na yetersiz kald\u0131\u011f\u0131 durumlarda tercih edilir.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Ba\u015fl\u0131ca avantajlar\u0131 \u015funlard\u0131r:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>\u00c7\u00f6k\u00fcnt\u00fc (Hill-Sachs lezyonu) eklem d\u0131\u015f\u0131na ta\u015f\u0131n\u0131r:<\/strong><br\/>B\u00f6ylece omuz ba\u015f\u0131, glenoidin \u00f6n kenar\u0131na tak\u0131lamaz hale gelir ve \u00e7\u0131k\u0131k riski azalt\u0131l\u0131r.<\/li>\n\n\n\n<li><strong>Omuzun tekrar \u00e7\u0131kma riskini azalt\u0131r:<\/strong><br\/>Off-track lezyonlar, Remplissage ile stabilize edilerek ileriye d\u00f6n\u00fck \u00e7\u0131k\u0131klar\u0131n \u00f6n\u00fcne ge\u00e7ilir.<\/li>\n\n\n\n<li><strong>Artroskopik olarak uygulan\u0131r:<\/strong><br\/>Ek bir kesi gerekmez, mevcut portallar kullan\u0131l\u0131r. Bu da cerrahi travmay\u0131 azalt\u0131r.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.utkuerdemozer.com\/rotator-cuff-sendromu\/\"><strong>Rotator man\u015fet<\/strong><\/a><strong> yap\u0131lar\u0131 fonksiyonel olarak korunur:<\/strong><br\/>\u0130nfraspinatus tendonu kullan\u0131lsa da \u00e7o\u011fu hastada d\u0131\u015f rotasyon hareketinde anlaml\u0131 bir kay\u0131p g\u00f6r\u00fclmez.<\/li>\n\n\n\n<li><strong>Bankart tamiriyle ayn\u0131 seansta uygulanabilir:<\/strong><br\/>Remplissage, di\u011fer artroskopik i\u015flemlerle kombine edilebilir ve ameliyat s\u00fcresine ciddi ek y\u00fck getirmez.<\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\"><strong>Remplissage Ameliyat\u0131 Sonras\u0131 \u0130yile\u015fme S\u00fcreci<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Remplissage ameliyat\u0131, genellikle\u00a0<strong>Bankart onar\u0131m\u0131 ile birlikte<\/strong>\u00a0uyguland\u0131\u011f\u0131 i\u00e7in iyile\u015fme s\u00fcreci bu ameliyatla ayn\u0131d\u0131r. Yani Remplissage tek ba\u015f\u0131na iyile\u015fme s\u00fcresini uzatmaz.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Ameliyat sonras\u0131 iyile\u015fme s\u00fcreci genellikle \u015fu \u015fekilde ilerler:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0130lk 3\u20134 hafta:<\/strong>\u00a0Omuz ask\u0131s\u0131yla kol immobilize edilir. Bu d\u00f6nemde pasif ve yard\u0131mc\u0131 egzersizlerle omuz hareket a\u00e7\u0131kl\u0131\u011f\u0131 korunmaya \u00e7al\u0131\u015f\u0131l\u0131r.<\/li>\n\n\n\n<li><strong>4\u20136. haftalar:<\/strong>\u00a0Aktif hareketlere ve omuz \u00e7evresi kaslar\u0131n\u0131 g\u00fc\u00e7lendirmeye y\u00f6nelik egzersizlere ba\u015flan\u0131r.<\/li>\n\n\n\n<li><strong>8\u201312. haftalar:<\/strong>\u00a0Fonksiyonel egzersizler ve spora d\u00f6n\u00fc\u015f haz\u0131rl\u0131klar\u0131 yap\u0131l\u0131r.<\/li>\n\n\n\n<li><strong>3. aydan itibaren:<\/strong>\u00a0G\u00fcnl\u00fck ya\u015fam aktivitelerine tam d\u00f6n\u00fc\u015f m\u00fcmk\u00fcnd\u00fcr. Temas i\u00e7eren sporlara d\u00f6n\u00fc\u015f s\u00fcresi genellikle 4\u20136 ay aras\u0131ndad\u0131r.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>Not:<\/strong>\u00a0Remplissage s\u0131ras\u0131nda infraspinatus tendonu kullan\u0131ld\u0131\u011f\u0131 i\u00e7in baz\u0131 hastalarda\u00a0<strong>omuzun d\u0131\u015fa d\u00f6nd\u00fcrme hareketinde (eksternal rotasyon) hafif k\u0131s\u0131tl\u0131l\u0131k<\/strong>\u00a0olabilir. Ancak bu durum \u00e7o\u011fu vakada fonksiyonel k\u0131s\u0131tl\u0131l\u0131\u011fa neden olmaz.<\/p>\n\n<h2 class=\"wp-block-heading\"><strong>Tekrarlayan Omuz \u00c7\u0131k\u0131\u011f\u0131nda Yap\u0131lan Ameliyat Remplissage Tekni\u011fi ile \u0130lgili S\u0131k Sorulan Sorular (SSS)<\/strong><\/h2>\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-question-1\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage ne i\u015fe yarar?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Remplissage, omuz ba\u015f\u0131ndaki \u00e7\u00f6k\u00fcnt\u00fcn\u00fcn (Hill-Sachs lezyonu) yumu\u015fak dokuyla doldurularak omuzun yeniden \u00e7\u0131kmas\u0131n\u0131n engellenmesini sa\u011flar.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-2\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage her hastaya yap\u0131l\u0131r m\u0131?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Hay\u0131r. Remplissage sadece b\u00fcy\u00fck Hill-Sachs lezyonu olan ve bu lezyonun glenoide tak\u0131lma riski bulunan (off-track) hastalarda uygulan\u0131r.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-3\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage ile iyile\u015fme s\u00fcresi uzar m\u0131?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Hay\u0131r. Remplissage genellikle Bankart tamiri ile ayn\u0131 seansta yap\u0131l\u0131r ve iyile\u015fme s\u00fcresine ek bir y\u00fck getirmez.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-4\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage d\u0131\u015f rotasyon hareketini k\u0131s\u0131tlar m\u0131?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Baz\u0131 hastalarda omuzun d\u0131\u015fa d\u00f6nd\u00fcrme (eksternal rotasyon) hareketinde hafif bir k\u0131s\u0131tl\u0131l\u0131k olabilir ancak \u00e7o\u011fu hastada bu, g\u00fcnl\u00fck ya\u015fam\u0131 etkilemez.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-5\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage spor yapmaya engel olur mu?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Temas i\u00e7ermeyen sporlara d\u00f6n\u00fc\u015f genellikle sorunsuzdur. Ancak atma hareketi gerektiren \u00fcst d\u00fczey sporcularda dikkatli de\u011ferlendirme gerekir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-6\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage uygulanmazsa ne olur?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Off-track bir lezyon varsa ve Remplissage yap\u0131lmazsa, ameliyat sonras\u0131 omuzun tekrar \u00e7\u0131kma riski artabilir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-7\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage hangi durumlarda tercih edilmez?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>K\u00fc\u00e7\u00fck Hill-Sachs lezyonu olan, omuzu on-track kalan veya ileri d\u00fczey sporcu olup d\u0131\u015f rotasyon hareketi kritik olan hastalarda Remplissage genellikle uygulanmaz.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-8\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage yerine ba\u015fka hangi y\u00f6ntem uygulanabilir?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Glenoid kemi\u011finde ciddi kay\u0131p varsa, Remplissage yerine Latarjet gibi kemik destekli cerrahiler tercih edilebilir.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-9\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage a\u00e7\u0131k cerrahi midir?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Hay\u0131r. Remplissage, artroskopik (kapal\u0131) cerrahi ile yap\u0131l\u0131r ve ek bir kesi gerekmez.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-10\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Tekrarlayan omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131nda Remplissage sonras\u0131 omuz yeniden \u00e7\u0131kar m\u0131?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Do\u011fru hasta se\u00e7imi yap\u0131ld\u0131\u011f\u0131nda ve cerrahi teknik uygun \u015fekilde uyguland\u0131\u011f\u0131nda, Remplissage sonras\u0131 omuzun yeniden \u00e7\u0131kma riski olduk\u00e7a d\u00fc\u015f\u00fckt\u00fcr.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2 class=\"wp-block-heading\">Sonu\u00e7<\/h2>\n\n<p class=\"wp-block-paragraph\">Artroskopik Remplissage, tekrarlayan omuz \u00e7\u0131k\u0131klar\u0131nda omuz ba\u015f\u0131ndaki &#8220;Hill-Sachs&#8221; ad\u0131 verilen \u00e7\u00f6k\u00fcnt\u00fcy\u00fc doldurmak i\u00e7in yap\u0131lan kapal\u0131 bir ameliyatt\u0131r. Her hastaya uygulanmaz; yaln\u0131zca bu \u00e7\u00f6k\u00fcnt\u00fcn\u00fcn b\u00fcy\u00fck oldu\u011fu ve omuzun yeniden \u00e7\u0131kmas\u0131na neden olma riski ta\u015f\u0131d\u0131\u011f\u0131 (&#8220;off-track&#8221; lezyon) \u00f6zel durumlarda tercih edilir.<\/p>\n\n<p class=\"wp-block-paragraph\">Bu i\u015flem, standart omuz \u00e7\u0131k\u0131\u011f\u0131 ameliyat\u0131 olan Bankart tamirine ek olarak yap\u0131l\u0131r. \u00c7\u00f6k\u00fcnt\u00fcy\u00fc yumu\u015fak dokuyla doldurarak omuzun tak\u0131lmas\u0131n\u0131 \u00f6nler ve yeniden \u00e7\u0131k\u0131k riskini ciddi oranda azalt\u0131r. \u0130yile\u015fme s\u00fcrecini uzatmadan ameliyat\u0131n ba\u015far\u0131 \u015fans\u0131n\u0131 art\u0131ran etkili bir tekniktir.<\/p>\n\n<p class=\"wp-block-paragraph\">Remplissage ameliyat\u0131 gibi ileri tekniklerin gereklili\u011fi, ancak uzman bir ortopedi doktorunun detayl\u0131 muayenesi ve g\u00f6r\u00fcnt\u00fcleme sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmesiyle belirlenebilir. Do\u011fru tan\u0131, tedavinin ba\u015far\u0131s\u0131 i\u00e7in en \u00f6nemli ad\u0131md\u0131r.<\/p>\n\n<p class=\"wp-block-paragraph\">Ameliyat\u0131n ba\u015far\u0131s\u0131, cerrahi kadar \u00f6nemlidir. Ancak omuz fonksiyonlar\u0131n\u0131n tam olarak geri kazan\u0131lmas\u0131 ve g\u00fcnl\u00fck hayata g\u00fcvenle d\u00f6n\u00fclmesi i\u00e7in ameliyat sonras\u0131 fizik tedavi program\u0131na eksiksiz uyum g\u00f6stermek de kritik rol oynar.<\/p>\n\n<p class=\"wp-block-paragraph\">Ki\u015fisel durumunuzun de\u011ferlendirilmesi ve size en uygun tedavi y\u00f6ntemlerinin belirlenmesi i\u00e7in<a href=\"https:\/\/www.utkuerdemozer.com\/\"> <strong>utku erdem \u00f6zer<\/strong><\/a> ile ileti\u015fime ge\u00e7ebilirsiniz. Detayl\u0131 bilgi i\u00e7in<a href=\"https:\/\/www.utkuerdemozer.com\/iletisim\/\"> <strong>ileti\u015fim kanallar\u0131n\u0131<\/strong><\/a> kullanabilir veya do\u011frudan<a href=\"https:\/\/www.utkuerdemozer.com\/randevu-al\/\"> <strong>randevu alabilirsiniz<\/strong><\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Omuz \u00e7\u0131k\u0131\u011f\u0131 sonras\u0131 tekrarlayan instabiliteye yol a\u00e7an sorunlardan biri, omuz ba\u015f\u0131nda olu\u015fan \u00e7\u00f6k\u00fcnt\u00fc lezyonlar\u0131d\u0131r.\u00a0\u00d6n omuz [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":27746,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[84,86],"tags":[],"class_list":["post-27744","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-84","category-86"],"_links":{"self":[{"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/posts\/27744","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/comments?post=27744"}],"version-history":[{"count":5,"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/posts\/27744\/revisions"}],"predecessor-version":[{"id":32621,"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/posts\/27744\/revisions\/32621"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/media\/27746"}],"wp:attachment":[{"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/media?parent=27744"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/categories?post=27744"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ar\/wp-json\/wp\/v2\/tags?post=27744"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}