{"id":29171,"date":"2024-11-26T12:24:46","date_gmt":"2024-11-26T09:24:46","guid":{"rendered":"https:\/\/www.utkuerdemozer.com\/chirurgia-de-reconstructie-a-ligamentului-incrucisat-anterior-lia\/"},"modified":"2026-04-01T02:20:37","modified_gmt":"2026-03-31T23:20:37","slug":"chirurgia-de-reconstructie-a-ligamentului-incrucisat-anterior-lia","status":"publish","type":"post","link":"https:\/\/www.utkuerdemozer.com\/ro\/chirurgia-de-reconstructie-a-ligamentului-incrucisat-anterior-lia\/","title":{"rendered":"Chirurgia de Reconstruc\u021bie a Ligamentului \u00cencruci\u0219at Anterior (LIA)"},"content":{"rendered":"<div class=\"HW6ttf\">\n<header class=\"PhCafd\"><\/header>\n<section class=\"VQDdIN\" data-hook=\"post-description\">\n<div class=\"moHCnT\">\n<div class=\"moHCnT\">\n<div class=\"fTEXDR\" data-rce-version=\"10.134.2\">\n<div class=\"_8HJdY\" dir=\"ltr\" style=\"--ricos-text-color-tuple: var(--textParagraphColor-rgb);--ricos-action-color-tuple: var(--postButtonBackgroundColor);--ricos-background-color-tuple: var(--postBackgroundColor);--ricos-fallback-color: #000000;--ricos-fallback-color-tuple: 0, 0, 0;--ricos-settings-action-color: #000000;--ricos-settings-action-color-tuple: 0, 0, 0;--ricos-text-on-action-color-tuple: var(--postButtonTextColor);--ricos-action-color-fallback: #000000;--ricos-action-color-fallback-tuple: 0, 0, 0;--ricos-custom-p-font-weight: var(--textParagraphFont-weight);--ricos-custom-p-font-style: var(--textParagraphFont-style);--ricos-custom-p-line-height: max(calc(var(--textParagraphFont-size) * 1.5), var(--textParagraphFont-line-height));--ricos-custom-p-font-size: var(--textParagraphFont-size);--ricos-custom-p-font-family: var(--textParagraphFont-family);--ricos-custom-p-text-decoration: var(--textParagraphFont-text-decoration);--ricos-custom-h1-font-weight: var(--textH1Font-weight);--ricos-custom-h1-font-style: var(--textH1Font-style);--ricos-custom-h1-line-height: var(--textH1Font-line-height);--ricos-custom-h1-font-size: var(--textH1Font-size);--ricos-custom-h1-font-family: var(--textH1Font-family);--ricos-custom-h1-text-decoration: var(--textH1Font-text-decoration);--ricos-custom-h2-font-weight: var(--textH2Font-weight);--ricos-custom-h2-font-style: var(--textH2Font-style);--ricos-custom-h2-line-height: var(--textH2Font-line-height);--ricos-custom-h2-font-size: var(--textH2Font-size);--ricos-custom-h2-font-family: var(--textH2Font-family);--ricos-custom-h2-text-decoration: var(--textH2Font-text-decoration);--ricos-custom-h3-font-weight: var(--textH3Font-weight);--ricos-custom-h3-font-style: var(--textH3Font-style);--ricos-custom-h3-line-height: var(--textH3Font-line-height);--ricos-custom-h3-font-size: var(--textH3Font-size);--ricos-custom-h3-font-family: var(--textH3Font-family);--ricos-custom-h3-text-decoration: var(--textH3Font-text-decoration);--ricos-custom-h4-font-weight: var(--textH4Font-weight);--ricos-custom-h4-font-style: var(--textH4Font-style);--ricos-custom-h4-line-height: var(--textH4Font-line-height);--ricos-custom-h4-font-size: var(--textH4Font-size);--ricos-custom-h4-font-family: var(--textH4Font-family);--ricos-custom-h4-text-decoration: var(--textH4Font-text-decoration);--ricos-custom-h5-font-weight: var(--textH5Font-weight);--ricos-custom-h5-font-style: var(--textH5Font-style);--ricos-custom-h5-line-height: var(--textH5Font-line-height);--ricos-custom-h5-font-size: var(--textH5Font-size);--ricos-custom-h5-font-family: var(--textH5Font-family);--ricos-custom-h5-text-decoration: var(--textH5Font-text-decoration);--ricos-custom-h6-font-weight: var(--textH6Font-weight);--ricos-custom-h6-font-style: var(--textH6Font-style);--ricos-custom-h6-line-height: var(--textH6Font-line-height);--ricos-custom-h6-font-size: var(--textH6Font-size);--ricos-custom-h6-font-family: var(--textH6Font-family);--ricos-custom-h6-text-decoration: var(--textH6Font-text-decoration);--ricos-custom-quote-line-height: var(--textQuoteFont-line-height);--ricos-custom-quote-font-size: var(--textQuoteFont-size);--ricos-custom-quote-font-style: var(--textQuoteFont-style);--ricos-custom-quote-font-family: var(--textQuoteFont-family);--ricos-custom-quote-font-weight: var(--textQuoteFont-weight);--ricos-custom-quote-text-decoration: var(--textQuoteFont-text-decoration);--ricos-custom-quote-margin-inline-start: var(--ricosQuoteMarginInlineStart);--ricos-custom-code-block-line-height: 1.5;--ricos-custom-link-font-style: inherit;--ricos-custom-link-font-weight: inherit;--ricos-custom-link-text-decoration: inherit;--ricos-custom-hashtag-font-style: inherit;--ricos-custom-hashtag-font-weight: inherit;--ricos-custom-hashtag-text-decoration: inherit;--ricos-custom-footer-toolbar-padding-inline-start: var(--ricosFooterPadding);--ricos-custom-footer-toolbar-padding-inline-end: var(--ricosFooterPadding);--ricos-custom-editor-add-plugin-button-position-inline-start: var(--ricosAddPluginButtonStart);--ricos-breakout-normal-padding-start: var(--ricosNormalPadding);--ricos-breakout-normal-padding-end: var(--ricosNormalPadding);--ricos-breakout-full-width-padding-start: var(--ricosFullWidthPadding);--ricos-breakout-full-width-padding-end: var(--ricosFullWidthPadding)\" data-id=\"content-viewer\">\n<div class=\"WZmlO\">\n<div class=\"Qvle0\">\n<div data-hook=\"rcv-block1\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-150gd\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Interven\u021bia chirurgical\u0103 pentru ligamentul \u00eencruci\u0219at anterior (LIA) implic\u0103 reconstruc\u021bia unui ligament \u00eencruci\u0219at anterior rupt cu un ligament nou. Procedura este realizat\u0103 artroscopic, denumit\u0103 \u00een mod obi\u0219nuit chirurgie minim invaziv\u0103. \u00cen ultimii 20 de ani, au fost f\u0103cute progrese semnificative \u00een tehnicile de chirurgie a LIA.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block2\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-fep94536\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block3\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ql9ri428\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Una dintre cele mai semnificative progrese \u00een chirurgia LIA este tehnica de reconstruc\u021bie anatomic\u0103 a LIA. Aceast\u0103 metod\u0103 urm\u0103re\u0219te s\u0103 reproduc\u0103 structura \u0219i loca\u021bia exact\u0103 a ligamentului original, asigur\u00e2nd o func\u021bie \u0219i stabilitate optime.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block4\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-rugza567\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block5\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-1kew7430\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cen chirurgia LIA, structura utilizat\u0103 pentru a \u00eenlocui ligamentul rupt se nume\u0219te gref\u0103. Exist\u0103 mai multe op\u021biuni de gref\u0103 disponibile. Cele mai utilizate grefe sunt autogrefele \u2013 prelevate din corpul propriu al pacientului. Dintre acestea, cele mai frecvent utilizate includ:<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block6\"><\/div>\n<div data-breakout=\"normal\">\n<ul class=\"ggbv- _6XZJW\">\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-lybj2434\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Tendonul ischiogambier<\/strong><\/span><\/p>\n<\/li>\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-87l1t437\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Tendonul cvadricepsului<\/strong><\/span><\/p>\n<\/li>\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-c5bc4440\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Grefa os-tendon patelar-os<\/strong> (prelevat\u0103 din partea anterioar\u0103 a genunchiului).<\/span><\/p>\n<div id=\"viewer-qes9t443\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<p id=\"viewer-6u1rw444\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\">\u00cen plus, alogrefele (\u021besut donor de la o banc\u0103 de \u021besuturi) pot fi, de asemenea, utilizate atunci c\u00e2nd este cazul.<\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<div data-hook=\"rcv-block7\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-7mymw446\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cen acest articol, ve\u021bi g\u0103si informa\u021bii detaliate despre chirurgia LIA, tipurile de proceduri \u0219i procesul de recuperare.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block8\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-3ts4p\" class=\"_04qQG jtShe wGvE1 UGHSE\" dir=\"auto\" style=\"padding-top: 0px;padding-bottom: 0px\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block9\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-bl0sp\" class=\"pEp3- PFqYV wGvE1 UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Cum se efectueaz\u0103 chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block10\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-r6rpx478\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Chirurgia LIA se realizeaz\u0103 artroscopic, cunoscut\u0103 \u0219i sub denumirea de chirurgie minim invaziv\u0103. Dou\u0103 incizii mici sunt f\u0103cute \u00een partea din fa\u021b\u0103 a genunchiului. Printr-una dintre aceste incizii, se introduce o camer\u0103 artroscopic\u0103 pentru a vizualiza interiorul genunchiului. Prin cealalt\u0103 incizie, instrumente chirurgicale artroscopice special concepute pentru proceduri minim invazive sunt utilizate pentru a efectua interven\u021bia.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block11\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-bnjs517760\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block12\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-3aztc480\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cen calitate de Chirurg Ortoped, Dr. Utku Erdem \u00d6zer, efectuez frecvent opera\u021bii de reconstruc\u021bie a LIA utiliz\u00e2nd tendoanele ischiogambiere \u0219i \u201etehnica liftului\u201d. Mai jos, voi explica aceast\u0103 tehnic\u0103 \u00een detaliu. Pute\u021bi g\u0103si \u0219i alte metode de chirurgie a LIA mai departe \u00een articol.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block13\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-2rbg6482\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Odat\u0103 ce camera este introdus\u0103 \u00een genunchi, este evaluat\u0103 extinderea leziunii LIA. \u00cen plus, chirurgul evalueaz\u0103 \u0219i prezen\u021ba leziunilor asociate, cum ar fi leziuni de menisc, leziuni de cartilaj sau alte leziuni ligamentare. Acest pas ac\u021bioneaz\u0103 ca o evaluare complet\u0103 a daunelor.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block14\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-jodcj17567\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block15\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-xgg1h484\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dac\u0103 tendonul (grefa) pentru a \u00eenlocui LIA urmeaz\u0103 s\u0103 fie prelevat de la pacient \u0219i vor fi utilizate tendoanele ischiogambiere, se face o incizie mic\u0103 deasupra punctului de conectare a tendoanelor ischiogambiere la tibie, \u00een partea inferioar\u0103 intern\u0103 a genunchiului. Tendoanele gracilis \u0219i semitendinos se extrag apoi.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block16\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-bewpx17373\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block17\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-66ejf486\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dup\u0103 preg\u0103tirea acestor dou\u0103 tendoane, ele sunt pliate \u00een jum\u0103tate, cre\u00e2nd o gref\u0103 de tendon cvadrupl\u0103. Un cap\u0103t al grefei este securizat cu suturi speciale, a\u0219a cum se arat\u0103 \u00een Figura 1, \u0219i ata\u0219at la un dispozitiv asem\u0103n\u0103tor unui buton de titan.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block18\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-w9v3217179\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block19\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-bw8x6488\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Urm\u0103torul pas \u00een chirurgia LIA este crearea de tuneluri \u00een oase pentru a pozi\u021biona grefa. Mai \u00eent\u00e2i, se realizeaz\u0103 un tunel \u00een femur (condilul femural lateral) unde va fi securizat\u0103 partea superioar\u0103 a grefei. Apoi, se realizeaz\u0103 un al doilea tunel \u00een tibie (platoul tibial medial) utiliz\u00e2nd zona de unde au fost prelevate tendoanele.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block20\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-gjxki16790\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block21\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-q8v4r490\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Un fir ghid este folosit pentru a trece un fir prin aceste tuneluri. Folosind acest fir, grefa preg\u0103tit\u0103 este tras\u0103 prin tunelul tibial, articula\u021bia genunchiului \u0219i, \u00een final, tunelul femural. Odat\u0103 ce componenta metalic\u0103 de la cap\u0103tul grefei trece prin tunelul femural, este r\u0103sucit\u0103 \u0219i ancorat\u0103 la marginea osului femural. Grefa este apoi tensionat\u0103 \u00een direc\u021bia opus\u0103 folosind firele pentru a asigura pozi\u021bionarea sigur\u0103 a cap\u0103tului s\u0103u superior \u00een tunelul femural. Aceast\u0103 tehnic\u0103 este cunoscut\u0103 sub denumirea de \u201etehnica liftului\u201d, care asigur\u0103 o tensiune optim\u0103 a grefei. Tensionarea corect\u0103 este crucial\u0103 pentru succesul reconstruc\u021biei LIA.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block22\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-x30na16595\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block23\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-rjnu8492\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Grefa este fixat\u0103 suplimentar la tibie folosind un \u0219urub plasat la cap\u0103tul tunelului tibial. Odat\u0103 ce procedura este complet\u0103, grefa este verificat\u0103 pentru pozi\u021bionarea \u0219i tensiunea corect\u0103 folosind camera artroscopic\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block24\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-bbtsj16400\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block25\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ak3cy494\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Pute\u021bi viziona un exemplu de interven\u021bie chirurgical\u0103 LIA pe care am efectuat-o acces\u00e2nd acest link: <a class=\"WAzZp aiPD3\" href=\"https:\/\/www.youtube.com\/watch?v=k3KCtsji-CA\" target=\"_blank\" rel=\"noopener nofollow\" data-hook=\"web-link\"><strong style=\"font-weight: bold\">https:\/\/www.youtube.com\/watch?v=k3KCtsji-CA<\/strong><\/a><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block26\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-om1nw497\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\">\n<\/div>\n<div data-hook=\"rcv-block27\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-5neoq\" class=\"_42tfF\">\n<div class=\"_16CGD abqz1\">\n<figure class=\"Z--PZ\" data-hook=\"figure-IMAGE\">\n<div class=\"_8c85B\" data-hook=\"image-viewer\">\n<div id=\"5neoq\" class=\"zPKNC uh6iL eO1yr\" style=\"--dim-height: 1057;--dim-width: 637;--ricos-image-default-border-color: unset\" data-hook=\"image-viewer-5neoq\"><img decoding=\"async\" class=\"\" style=\"width: 373px;height: 619px;object-fit: cover;object-position: 50% 50%;max-width: 100%\" src=\"https:\/\/static.wixstatic.com\/media\/f7cce4_374258186d874c7f9426bb8d89176ab1~mv2.jpg\/v1\/fill\/w_637,h_1057,al_c,q_85\/f7cce4_374258186d874c7f9426bb8d89176ab1~mv2.jpg\" alt=\"\" data-pin-media=\"https:\/\/static.wixstatic.com\/media\/f7cce4_374258186d874c7f9426bb8d89176ab1~mv2.jpg\/v1\/fill\/w_637,h_1057,al_c,q_85\/f7cce4_374258186d874c7f9426bb8d89176ab1~mv2.jpg\" data-pin-url=\"https:\/\/www.utkuerdemozer.com\/en\/acl-reconstruction-surgery\/\" \/><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<\/div>\n<\/div>\n<div data-hook=\"rcv-block28\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-4p763\" class=\"_04qQG jtShe XCNbA UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Figura 1<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block29\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-kt4a4651\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Etapele chirurgiei LIA<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block30\"><\/div>\n<div data-breakout=\"normal\">\n<ul class=\"ggbv- _6XZJW\">\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-nz1o9655\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Preg\u0103tirea:<\/strong> Se efectueaz\u0103 o evaluare \u0219i preg\u0103tire preoperatorie pentru a evalua starea general\u0103 de s\u0103n\u0103tate a pacientului.<\/span><\/p>\n<\/li>\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-dm7do659\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Anestezia:<\/strong> Se administreaz\u0103 anestezie general\u0103 sau spinal\u0103 pentru a preg\u0103ti pacientul pentru interven\u021bie.<\/span><\/p>\n<\/li>\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-scs45663\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Artoscopia:<\/strong> Se fac incizii mici pentru a introduce o camer\u0103 \u0219i instrumente chirurgicale \u00een articula\u021bie.<\/span><\/p>\n<\/li>\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-6emey667\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Plasarea grefei:<\/strong> O gref\u0103, prelevat\u0103 de obicei din tendoanele pacientului, este pozi\u021bionat\u0103 pentru a \u00eenlocui ligamentul deteriorat.<\/span><\/p>\n<\/li>\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-lqiot671\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Inspec\u021bia final\u0103:<\/strong> Grefa este verificat\u0103 pentru a se asigura c\u0103 este pozi\u021bionat\u0103 corect \u0219i este stabil\u0103.<\/span><\/p>\n<\/li>\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-t2gn9675\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">\u00cenchiderea:<\/strong> Inciziile sunt \u00eenchise, iar interven\u021bia este finalizat\u0103.<\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<div data-hook=\"rcv-block31\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-4dtf016225\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block32\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-8dsb5678\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">De unde este prelevat noul LIA \u00een chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block33\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-cydqt16030\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\"><\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block34\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-gu9ix680\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cen chirurgia LIA, ligamentul reconstruit poate fi ob\u021binut prin dou\u0103 metode diferite:<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block35\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-hnu9t682\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block36\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-j36ts15836\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Tendon prelevat de la o banc\u0103 de \u021besuturi (Alogref\u0103):<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block37\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-f1f1u684\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">O gref\u0103 de tendon steril\u0103, gata de utilizare, este ob\u021binut\u0103 de la o banc\u0103 de \u021besuturi. Aceast\u0103 gref\u0103 este preg\u0103tit\u0103 \u0219i plasat\u0103 \u00een tunelurile forate, a\u0219a cum a fost descris anterior \u00een detaliu. Cel mai mare avantaj al acestei metode este c\u0103 nu este necesar\u0103 prelevarea unui tendon din corpul pacientului.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block38\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-n54n7686\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block39\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-vdswv15643\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Tendon prelevat din corpul propriu al pacientului (Autogref\u0103):<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block40\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ld4el15255\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Cele mai comune tipuri de autogrefe prelevate din corpul pacientului sunt:<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block41\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-yie2x690\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block42\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-dh4ng15061\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Gref\u0103 os-tendon-os:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block43\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-cejkt692\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Aceast\u0103 gref\u0103 este prelevat\u0103 din partea din fa\u021b\u0103 a genunchiului, incluz\u00e2nd un segment osos din rotul\u0103 (patel\u0103) \u0219i tibie, cu tendonul patelar \u00eentre ele.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block44\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-679uh694\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block45\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-o9fb914868\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Gref\u0103 din tendon ischiogambier:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block46\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ot54r696\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dou\u0103 tendoane ischiogambiere (semitendinos \u0219i gracilis) sunt prelevate din partea inferioar\u0103 \u0219i intern\u0103 a genunchiului. Fiecare tendon este pliat \u00een jum\u0103tate pentru a crea un total de patru fascicule tendinoase. Ast\u0103zi, grefele din tendon ischiogambier sunt cele mai frecvent utilizate \u00een reconstruc\u021bia LIA.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block47\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-36fk5698\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block48\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-pq05214675\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Gref\u0103 din tendon cvadriceps:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block49\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-vnul0700\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">O por\u021biune de tendon, cu o grosime de aproximativ 8-9 mm, este prelevat\u0103 din tendonul cvadricepsului, situat chiar deasupra rotulei, pentru a \u00eenlocui LIA rupt.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block50\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-rzkdl14482\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block51\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-1qq96702\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">De ce se introduce un dren \u00een genunchi dup\u0103 chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block52\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-yjgww704\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dup\u0103 interven\u021bia chirurgical\u0103, este crucial s\u0103 se elimine \u00een siguran\u021b\u0103 orice s\u00e2nge scurs \u00een zona chirurgical\u0103. \u00cen majoritatea interven\u021biilor, un tub mic (dren) este introdus pentru a permite drenarea s\u00e2ngelui din locul opera\u021biei.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block53\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-n4ytg706\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cen chirurgia LIA, un dren este l\u0103sat \u00een interiorul articula\u021biei genunchiului timp de aproximativ 24 de ore. Odat\u0103 ce fluxul sanguin prin dren se opre\u0219te, acesta este \u00eendep\u0103rtat. Prezen\u021ba unui dren \u00een genunchi nu \u00eempiedic\u0103 pacientul s\u0103 mearg\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block54\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-5pf4l14290\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block55\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-u779b708\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">C\u00e2nd pot \u00eencepe s\u0103 merg dup\u0103 chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block56\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-e2gdr710\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dac\u0103 se efectueaz\u0103 doar chirurgia LIA (f\u0103r\u0103 reparare de menisc sau chirurgie de cartilaj), pacientul poate \u00eencepe s\u0103 mearg\u0103 la doar c\u00e2teva ore dup\u0103 opera\u021bie. Managementul durerii este factorul cheie \u00een acest proces.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block57\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-zr85014097\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block58\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-ym5qk712\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">C\u00e2nd pot \u00eencepe s\u0103 alerg dup\u0103 chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block59\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-gnan5714\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Alergarea u\u0219oar\u0103 poate fi permis\u0103 \u00eenc\u0103 din a treia lun\u0103 dup\u0103 interven\u021bia chirurgical\u0103, cu condi\u021bia ca for\u021ba muscular\u0103 a pacientului s\u0103 fie adecvat\u0103. For\u021ba muscular\u0103 este evaluat\u0103 folosind testul de genuflexiune pe un singur picior. Dac\u0103 pacientul poate efectua acest test corect \u0219i cu repet\u0103rile necesare, este considerat preg\u0103tit s\u0103 \u00eenceap\u0103 exerci\u021biile de alergare f\u0103r\u0103 probleme.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block60\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-2zlct13904\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block61\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-g3mvn716\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">De ce genunchiul meu scoate sunete dup\u0103 chirurgia LIA? Este normal?<\/strong><\/span>\u00a0<\/h2>\n<\/div>\n<div data-hook=\"rcv-block62\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-scvrk718\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Este normal ca genunchiul s\u0103 scoat\u0103 sunete \u00een primele luni dup\u0103 chirurgia LIA. Totu\u0219i, dac\u0103 sunetele sunt \u00eenso\u021bite de durere, aceast\u0103 problem\u0103 ar trebui evaluat\u0103 suplimentar. Durerea \u00eempreun\u0103 cu sunetele poate indica o problem\u0103 poten\u021bial\u0103 \u00een interiorul articula\u021biei.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block63\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-7rmo613711\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block64\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-88vlw720\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Principalul motiv pentru sunetele din genunchi dup\u0103 chirurgia LIA este pierderea masei musculare a cvadricepsului. Mu\u0219chii cvadricepsului sl\u0103bi\u021bi modific\u0103 biomecanica rotulei, provoc\u00e2nd apari\u021bia sunetelor. Odat\u0103 ce for\u021ba muscular\u0103 este restabilit\u0103, aceste sunete dispar de obicei.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block65\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-jesqw13517\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block66\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-rx6f3722\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Un alt motiv pentru sunete este schimbarea propriet\u0103\u021bilor lichidului sinovial din interiorul articula\u021biei dup\u0103 interven\u021bia chirurgical\u0103. O sc\u0103dere a v\u00e2scozit\u0103\u021bii acestui lichid poate provoca sunete anormale de la suprafe\u021bele cu care rotula intr\u0103 \u00een contact. Aceast\u0103 afec\u021biune se rezolv\u0103 de obicei \u00een timp, pe m\u0103sur\u0103 ce lichidul revine la normal.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block67\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-4673q13323\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block68\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-mzmr3724\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Ce pot face pentru a m\u0103 recupera rapid dup\u0103 chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block69\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-c63as726\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">O recuperare rapid\u0103 \u0219i eficient\u0103 dup\u0103 chirurgia LIA necesit\u0103 o aten\u021bie deosebit\u0103 la c\u00e2\u021biva factori cheie. Participarea regulat\u0103 la programele de fizioterapie \u0219i reabilitare, respectarea exerci\u021biilor recomandate de medic \u0219i evitarea activit\u0103\u021bii excesive sunt cruciale. Iat\u0103 c\u00e2teva sfaturi:<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block70\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-hbug6728\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block71\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-1say013130\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Sfatul 1:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block72\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-phsml730\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cenainte de opera\u021bie, \u00eenv\u0103\u021ba\u021bi cum s\u0103 v\u0103 activa\u021bi mu\u0219chii cvadricepsului sub \u00eendrumarea unui fizioterapeut. \u00cen perioada postoperatorie timpurie, activa\u021bi-v\u0103 cvadricepsul \u00een timpul mersului, c\u00e2nd v\u0103 ridica\u021bi din pat sau c\u00e2nd suporta\u021bi greutatea. Beneficiul acestui lucru este semnificativ \u2013 reduce sarcina asupra grefei \u00een stadiile incipiente, minimizeaz\u0103 umflarea \u0219i edemul \u0219i asigur\u0103 un proces de reabilitare mai u\u0219or \u0219i mai rapid.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block73\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-db0fs732\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block74\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-hc0kj12937\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Sfatul 2:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block75\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-41ut2734\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Reabilitarea este un proces lung, iar r\u0103bdarea este esen\u021bial\u0103. Progresul pas cu pas prin etapele de reabilitare este crucial. Acest interval de timp este natural pentru procesul de recuperare. \u00cencercarea de a reveni la jocul competitiv sau la meciuri (revenirea la joc) \u00eenainte ca grefa de tendon s\u0103 se fi fuzionat complet cu osul este extrem de riscant\u0103. \u00cen prezent, cel mai devreme timp recomandat pentru revenirea la sport este dup\u0103 a 9-a lun\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block76\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-e4jfd736\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block77\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-9w13e12744\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Sfatul 3:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block78\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-zy4u0738\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Realizarea extensiei complete a genunchiului dup\u0103 opera\u021bie este extrem de important\u0103. \u00cen special dup\u0103 reconstruc\u021bia LIA folosind tendoanele ischiogambiere, plasarea unei perne sub genunchi pentru a reduce durerea poate p\u0103rea confortabil\u0103. Cu toate acestea, acest lucru poate duce la o pierdere a mi\u0219c\u0103rii \u0219i poate \u00eent\u00e2rzia procesul de reabilitare. \u00cen schimb, a\u0219eza\u021bi perna sub c\u0103lc\u00e2i pentru a v\u0103 asigura c\u0103 genunchiul este complet extins. Dac\u0103 durerea este sever\u0103, perna poate r\u0103m\u00e2ne sub genunchi pentru perioade scurte, dar evita\u021bi utilizarea prelungit\u0103 \u00een aceast\u0103 pozi\u021bie.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block79\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-6shf912551\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block80\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-f1wz0740\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">De ce unii sportivi revin la sport la timp dup\u0103 chirurgia LIA, \u00een timp ce al\u021bii sunt \u00eent\u00e2rzia\u021bi?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block81\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-j2pws742\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Exist\u0103 mai multe motive pentru aceasta. Cel mai semnificativ factor este dac\u0103 au ap\u0103rut alte leziuni la genunchi pe l\u00e2ng\u0103 ruptura LIA. O leziune a LIA nu este o simpl\u0103 leziune ligamentar\u0103 \u2013 implic\u0103 adesea dislocarea temporar\u0103 a articula\u021biei genunchiului \u0219i apoi realinierea acesteia \u00een c\u00e2teva milisecunde \u00een timpul traumei. \u00cen func\u021bie de severitatea traumei, pot ap\u0103rea rupturi de menisc, leziuni ale ligamentelor colaterale, leziuni ale ligamentului \u00eencruci\u0219at posterior, leziuni de cartilaj sau chiar fracturi intra-articulare.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block82\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-upuk312358\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block83\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-yds53744\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">De exemplu, s\u0103 presupunem c\u0103 o ruptur\u0103 de LIA este \u00eenso\u021bit\u0103 de o ruptur\u0103 de menisc lateral care necesit\u0103 suturi. \u00cen acest caz, suportul de greutate pe menisc trebuie evitat \u00een timpul procesului de vindecare. Acest lucru necesit\u0103 de obicei ca pacientul s\u0103 utilizeze dou\u0103 c\u00e2rje \u0219i s\u0103 evite suportul de greutate timp de aproximativ o lun\u0103. Aceast\u0103 \u00eent\u00e2rziere poate duce la pierderea masei musculare, pierderea propriocep\u021biei \u0219i o gam\u0103 limitat\u0103 de mi\u0219care \u00een articula\u021bie.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block84\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-bn5e112164\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block85\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-sqwu7746\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Toate aceste probleme pot fi abordate \u0219i \u00eembun\u0103t\u0103\u021bite printr-o reabilitare adecvat\u0103, dar atletul va avea nevoie de o perioad\u0103 mai lung\u0103 de reabilitare pentru a-\u0219i recupera ceea ce a pierdut. Acest lucru extinde termenul de revenire la sport, provoc\u00e2nd stres psihologic pentru atlet \u0219i o poten\u021bial\u0103 pierdere financiar\u0103 din cauza \u00eent\u00e2rzierii. Este important s\u0103 re\u021binem c\u0103 mul\u021bi atle\u021bi profesioni\u0219ti au contracte bazate pe participarea lor la meciuri.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block86\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-v9d8c11970\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block87\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-oxfuz748\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Un alt factor critic este calitatea reabilit\u0103rii post-chirurgicale. Pentru atle\u021bii profesioni\u0219ti, acest proces implic\u0103 adesea lucrul unu la unu cu un fizioterapeut timp de 2-3 ore, uneori chiar 4 ore pe zi, \u00een fiecare zi.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block88\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-qkdzl11776\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block89\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-aylcs750\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">C\u00e2nd ar trebui s\u0103 fac chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block90\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-4qdgf752\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Nu exist\u0103 un consens definitiv \u00een literatura medical\u0103 pe acest subiect. Pe baza experien\u021bei mele, pacien\u021bii care \u0219i-au rec\u0103p\u0103tat aproape \u00eentreaga gam\u0103 de mi\u0219care \u0219i au \u00eenv\u0103\u021bat s\u0103-\u0219i activeze mu\u0219chii cvadricepsului pot fi supu\u0219i interven\u021biei chirurgicale \u00een siguran\u021b\u0103 \u00eenc\u0103 de la 1-2 zile dup\u0103 leziune.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block91\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-ksmyc11583\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block92\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-x2nhp754\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">C\u00e2t dureaz\u0103 chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block93\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-0hk25756\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dac\u0103 nu exist\u0103 probleme suplimentare, cum ar fi o ruptur\u0103 de menisc sau o leziune de cartilaj care necesit\u0103 interven\u021bie, interven\u021bia chirurgical\u0103 dureaz\u0103 de obicei aproximativ o or\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block94\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-yhond11390\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block95\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-g8mbo758\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Ce tip de anestezie se utilizeaz\u0103 \u00een chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block96\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-1xh34760\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cen chirurgia LIA, se administreaz\u0103 fie anestezie general\u0103, fie anestezie spinal\u0103 (regional\u0103).<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block97\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-i03x6762\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block98\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-r5on711197\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Anestezia general\u0103:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block99\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-gtomq764\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Pacientul este complet incon\u0219tient \u0219i nu simte nicio durere \u00een timpul procedurii. \u00cen acest tip de anestezie, respira\u021bia pacientului este sus\u021binut\u0103 printr-un tub plasat \u00een trahee.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block100\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-hz00u766\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Anestezia spinal\u0103:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block101\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-1jnpd11005\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block102\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-mdt49768\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Pacientul este anesteziat de la br\u00e2u \u00een jos printr-o injec\u021bie \u00een partea inferioar\u0103 a spatelui. Aceast\u0103 metod\u0103 asigur\u0103, de asemenea, c\u0103 nu se simte durere \u00een timpul procedurii. \u00cen plus, pot fi administrate medicamente sedative pentru a ameliora stresul \u00een timpul interven\u021biei chirurgicale.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block103\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-tkmf610811\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block104\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ojlds770\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Alegerea anesteziei este o decizie luat\u0103 colectiv de c\u0103tre medicul anestezist, chirurg \u0219i pacient.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block105\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-fbfsj10617\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block106\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-kqjw0772\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Dac\u0103 o ruptur\u0103 de menisc este prezent\u0103 \u00een timpul chirurgiei LIA, se efectueaz\u0103 repararea meniscului \u00een aceea\u0219i opera\u021bie?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block107\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ycpos774\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cen timpul chirurgiei LIA, se efectueaz\u0103 o evaluare a daunelor chiar la \u00eenceput pentru a verifica alte leziuni. Dac\u0103 sunt prezente alte leziuni, acestea trebuie abordate \u00een timpul aceleia\u0219i opera\u021bii.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block108\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-mwvor776\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dac\u0103 este necesar\u0103 repararea meniscului sau o interven\u021bie asupra cartilajului, aceste proceduri sunt esen\u021biale. Ignorarea unor astfel de leziuni \u00een timpul chirurgiei LIA poate duce la complica\u021bii \u00een timpul reabilit\u0103rii, necesit\u00e2nd o a doua interven\u021bie chirurgical\u0103 \u0219i \u00eent\u00e2rziind \u0219i mai mult revenirea la sport.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block109\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-qtkww10425\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block110\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-9cbjl778\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Pentru informa\u021bii detaliate despre leziunile de menisc \u0219i tratamentele acestora, accesa\u021bi acest link: [<a class=\"WAzZp aiPD3\" href=\"https:\/\/www.utkuerdemozer.com\/ro\/rupturi-de-menisc-medial\/\" target=\"_blank\" rel=\"noopener\" data-hook=\"web-link\">https:\/\/www.utkuerdemozer.com\/en\/meniscal-tears-and-treatments\/<\/a>].<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block111\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-xzxso10233\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block112\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-ea0a5782\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Procesul de recuperare dup\u0103 chirurgia LIA<\/strong><\/span>\u00a0<\/h2>\n<\/div>\n<div data-hook=\"rcv-block113\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-48alc784\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00centreb\u0103ri precum \u201eCare este procesul de recuperare dup\u0103 chirurgia LIA?\u201d, \u201eC\u00e2nd m\u0103 voi recupera?\u201d, \u201eC\u00e2nd pot \u00eencepe s\u0103 fac sport?\u201d \u0219i \u201eC\u00e2nd pot reveni la jocuri?\u201d se num\u0103r\u0103 printre cele mai frecvente \u00eentreb\u0103ri ale pacien\u021bilor.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block114\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-2bfu210040\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block115\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-wjshq786\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Mai jos, pute\u021bi citi despre procesul de recuperare, imediat dup\u0103 chirurgia LIA p\u00e2n\u0103 la revenirea la sport.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block116\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-3ociz9846\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block117\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-vht0f788\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dac\u0103 nu exist\u0103 leziuni suplimentare la genunchi \u0219i s-a efectuat doar chirurgia LIA, pacientul poate \u00eencepe s\u0103 mearg\u0103 cu c\u00e2rje la c\u00e2teva ore dup\u0103 interven\u021bie, odat\u0103 ce efectele anesteziei dispar. Iat\u0103 o prezentare detaliat\u0103 a procesului de recuperare dup\u0103 chirurgia LIA:<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block118\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-810899652\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block119\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-ks9dr790\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Etapele cheie \u00een procesul de recuperare<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block120\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ykvj2792\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Imediat dup\u0103 opera\u021bie:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block121\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-q5zcx794\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Odat\u0103 ce anestezia \u00ee\u0219i pierde efectul, pacientul poate folosi c\u00e2rje pentru a merge la toalet\u0103 cu asisten\u021ba unui medic, asistent medical sau fizioterapeut.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block122\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-wfo399460\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block123\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-an7gg796\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Materialele de pansament impermeabile permit pacien\u021bilor s\u0103 fac\u0103 du\u0219 dup\u0103 opera\u021bie. Alternativ, zona pansamentului poate fi \u00eenvelit\u0103 cu 3-4 straturi de folie de plastic.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block124\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-zyhep9266\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block125\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-y6dfe798\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Majoritatea pacien\u021bilor pot merge cu o singur\u0103 c\u00e2rj\u0103 la o zi dup\u0103 opera\u021bie, dup\u0103 \u00eendep\u0103rtarea drenului. Drenul nu \u00eempiedic\u0103 mersul, dar este \u00eendep\u0103rtat pentru un confort sporit.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block126\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-xdwao800\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">O singur\u0103 schimbare de pansament este suficient\u0103 dup\u0103 \u00eendep\u0103rtarea drenului.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block127\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-8gphw802\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">R\u0103nile chirurgicale se vindec\u0103 \u00een 7-10 zile, dup\u0103 care pansamentele nu mai sunt necesare, iar r\u0103nile pot r\u0103m\u00e2ne expuse.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block128\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-jco5t804\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block129\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-g19219074\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Fizioterapia:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block130\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-w74lm8686\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Fizioterapia \u00eencepe \u00een a doua zi dup\u0103 opera\u021bie, cu \u0219edin\u021be de 5 zile pe s\u0103pt\u0103m\u00e2n\u0103. Durata fizioterapiei variaz\u0103 de la 2-3 luni, \u00een unele cazuri, p\u00e2n\u0103 la 6 luni.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block131\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-40qqo808\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Obiectivele sunt restabilirea amplitudinii de mi\u0219care a articula\u021biei, rec\u0103p\u0103tarea for\u021bei musculare \u00een jurul genunchiului \u0219i \u00eembun\u0103t\u0103\u021birea echilibrului \u0219i agilit\u0103\u021bii.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block132\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-y71iu810\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Pacien\u021bii care urmeaz\u0103 un program regulat de fizioterapie pot merge aproape normal \u00een decurs de 2-3 s\u0103pt\u0103m\u00e2ni dup\u0103 opera\u021bie.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block133\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-rr4r9812\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block134\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-swwi78494\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Revenirea la munc\u0103:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block135\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-yb0ci814\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Pacien\u021bii cu munci de birou pot reveni la munc\u0103 \u00een jurul celei de-a 10-a zile dup\u0103 opera\u021bie.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block136\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-2k2qw816\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Cei cu munci solicitante fizic ar trebui s\u0103 a\u0219tepte p\u00e2n\u0103 la \u00eemplinirea unei luni.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block137\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-fuei8818\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block138\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-k84he8302\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Alergare:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block139\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-idrle820\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Alergarea este o preocupare comun\u0103, mai ales pentru sportivi. Pacien\u021bii pot \u00eencepe alergarea u\u0219oar\u0103 la sf\u00e2r\u0219itul celei de-a doua luni, \u00een func\u021bie de for\u021ba muscular\u0103. Un test de genuflexiune pe un singur picior este utilizat pentru a evalua preg\u0103tirea. Dac\u0103 testul este efectuat corect, sesiunile scurte de alergare u\u0219oar\u0103 pot \u00eencepe \u0219i pot cre\u0219te treptat \u00een durat\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block140\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-dpqc8822\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block141\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-gp8wb8109\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Antrenament specific sportului:<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block142\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-cs3tq824\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">La sf\u00e2r\u0219itul lunii a 4-a, pot \u00eencepe exerci\u021biile specifice sportului.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block143\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-uid0x826\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Revenirea complet\u0103 la sport, inclusiv antrenamentele de echip\u0103 \u0219i jocurile, nu ar trebui s\u0103 aib\u0103 loc \u00eenainte de a 9-a lun\u0103. Aceasta pentru a permite LIA-ului reconstruit suficient timp s\u0103 se integreze cu osul.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block144\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-7l2xc7917\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block145\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-z8gf3828\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Prezentare general\u0103 a cronologiei recuper\u0103rii<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block146\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-b5ock830\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block147\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-gzgzu7723\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Primele 20 de zile post-chirurgie<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block148\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-kyewf832\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Controlul umfl\u0103turii \u0219i inflama\u021biei.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block149\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-6efni834\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Restabilirea amplitudinii de mi\u0219care a genunchiului: atingerea extensiei complete a genunchiului \u0219i limitarea flexiei la 90 de grade.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block150\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-0unzm836\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Exerci\u021bii de activare a cvadricepsului pentru a rec\u0103p\u0103ta controlul muscular.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block151\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-x9i9q838\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cenv\u0103\u021barea utiliz\u0103rii c\u00e2rjelor: utilizarea unei singure c\u00e2rje este ideal\u0103 pentru primele 7-10 zile.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block152\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ov1q0840\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Mobilizarea rotulei de c\u0103tre un fizioterapeut pentru a preveni aderen\u021bele.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block153\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-8q97z842\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cenv\u0103\u021barea exerci\u021biilor izometrice, cum ar fi ridic\u0103rile de picior drept.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block154\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-e7dc4844\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block155\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-l22in7535\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">S\u0103pt\u0103m\u00e2nile 3-6 post-chirurgie<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block156\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-5uu8t846\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dac\u0103 obiectivele ini\u021biale sunt atinse, se progreseaz\u0103 la Faza 2.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block157\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-dxup3848\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Flexia genunchiului cre\u0219te de la 90 de grade la 120 de grade.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block158\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-7eui8850\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Se introduc exerci\u021bii de \u00eent\u0103rire, cum ar fi presele de picioare \u0219i mini-genuflexiunile.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block159\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-bc8dq852\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Se ini\u021biaz\u0103 exerci\u021bii de propriocep\u021bie.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block160\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-eweki854\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block161\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-i92v37345\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Luna a 3-a post-chirurgie<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block162\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ptg2d856\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Se pune accent pe exerci\u021biile avansate de \u00eent\u0103rire, \u00een special dezvoltarea cvadricepsului prin genuflexiuni mai profunde.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block163\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-97ssv858\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cencep programele de step-down \u0219i exerci\u021biile de agilitate.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block164\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-uv1ba860\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Presele de picioare \u0219i fand\u0103rile sunt \u00eencorporate \u00een rutina.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block165\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-ov5rt862\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block166\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-bbqpc7154\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">S\u0103pt\u0103m\u00e2nile 14-22 post-chirurgie<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block167\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-01is7864\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cencepe alergarea u\u0219oar\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block168\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-vqebn866\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Programele de for\u021b\u0103 \u0219i flexibilitate continu\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block169\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-36pea868\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Se adaug\u0103 exerci\u021bii de agilitate specifice sportului.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block170\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ldxlo870\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Se introduc exerci\u021bii pliometrice.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block171\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-olr6u872\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block172\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-q2pk06964\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">22 de s\u0103pt\u0103m\u00e2ni \u0219i peste<\/strong><\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block173\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-m9ryi874\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Se \u00eencep exerci\u021biile pliometrice avansate.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block174\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-6afzr876\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Sportivii revin la sport sub supravegherea unui medic sau a unui fizioterapeut sportiv experimentat.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block175\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-ngdi06772\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block176\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-pfb6g878\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">C\u00e2nd dispare durerea dup\u0103 chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block177\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-igk04880\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Durerea este cea mai pronun\u021bat\u0103 \u00een primele 24 de ore post-chirurgical. Aceasta este gestionat\u0103 cu analgezice intravenoase \u0219i aplicarea intensiv\u0103 de ghea\u021b\u0103. P\u00e2n\u0103 \u00een ziua a 5-a sau a 7-a, durerea scade semnificativ.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block178\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-dgc4p882\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Activarea cvadricepsului \u00een timpul mi\u0219c\u0103rilor precum mersul, \u0219ezutul \u0219i statul \u00een picioare poate contribui, de asemenea, la reducerea durerii \u0219i a umfl\u0103turii.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block179\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-imy9w6580\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block180\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-fo3tq884\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Se utilizeaz\u0103 materiale metalice \u00een chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block181\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-15rea886\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Da, se utilizeaz\u0103 materiale metalice pentru a fixa grefa \u00een interiorul tunelurilor osoase. Aceste componente sunt foarte mici \u0219i nu trebuie \u00eendep\u0103rtate.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block182\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-p8kx96387\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block183\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-fdh85888\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Trebuie \u00eendep\u0103rtate implanturile?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block184\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-pfdo7890\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Implanturile utilizate \u00een chirurgia LIA nu d\u0103uneaz\u0103 corpului \u0219i pot r\u0103m\u00e2ne permanent. Nu este necesar\u0103 \u00eendep\u0103rtarea lor.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block185\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-3jzqn6194\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block186\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-yo0m7892\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Nu pot \u00eendoi genunchiul dup\u0103 chirurgia LIA. Cum pot s\u0103-l \u00eendoi?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block187\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ccniz894\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Dificultatea de a \u00eendoi genunchiul dup\u0103 chirurgia LIA este o problem\u0103 comun\u0103 \u0219i, de obicei, temporar\u0103. Principalele cauze sunt umfl\u0103turile post-chirurgicale \u0219i durerea.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block188\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-w168s6001\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block189\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-5s8s7896\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Rec\u0103p\u0103tarea mobilit\u0103\u021bii genunchiului dup\u0103 chirurgia LIA este crucial\u0103. Respecta\u021bi cu aten\u021bie instruc\u021biunile medicului \u0219i fizioterapeutului dumneavoastr\u0103 \u0219i evita\u021bi s\u0103 \u00eencerca\u021bi s\u0103 m\u0103ri\u021bi singur amplitudinea de mi\u0219care a genunchiului.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block190\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-sxqcj898\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Genunchiul are dou\u0103 mi\u0219c\u0103ri primare: extensia (\u00eendreptarea genunchiului) \u0219i flexia (\u00eendoirea genunchiului). Atingerea extensiei complete devreme dup\u0103 opera\u021bie este critic\u0103. Dac\u0103 aceasta este \u00eent\u00e2rziat\u0103, abordarea problemei devine mai dificil\u0103. Pentru a preveni acest lucru, a\u0219eza\u021bi o pern\u0103 sub c\u0103lc\u00e2i, nu sub genunchi, \u00een timpul repausului sau somnului.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block191\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-20jmo5223\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block192\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-cwh72900\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Mul\u021bi pacien\u021bi consider\u0103 c\u0103 plasarea unei perne sub genunchi amelioreaz\u0103 durerea, dar acest lucru poate men\u021bine genunchiul \u00eentr-o pozi\u021bie \u00eendoit\u0103, duc\u00e2nd la probleme pe termen lung. Asigura\u021bi-v\u0103 \u00eentotdeauna c\u0103 perna este plasat\u0103 sub c\u0103lc\u00e2i pentru a men\u021bine genunchiul drept.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block193\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-b05vj5809\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block194\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-xru2y902\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Restabilirea flexiei genunchiului este, \u00een general, mai u\u0219oar\u0103, dar ar trebui ghidat\u0103 de un fizioterapeut experimentat.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block195\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-suibu904\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block196\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-vjp3w5030\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Obiective de flexie a genunchiului:<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block197\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-vofmt906\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">P\u00e2n\u0103 la sf\u00e2r\u0219itul primelor 2 s\u0103pt\u0103m\u00e2ni: atinge\u021bi 90 de grade de flexie a genunchiului.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block198\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-5f4v7908\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block199\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-rjh064642\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">P\u00e2n\u0103 la s\u0103pt\u0103m\u00e2nile 2-4: atinge\u021bi 120 de grade de flexie a genunchiului.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block200\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-uvwcx910\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Exerci\u021bii pentru \u00eembun\u0103t\u0103\u021birea flexibilit\u0103\u021bii genunchiului<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block201\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-cuvy1912\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block202\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-e2d714839\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Alunec\u0103ri ale c\u0103lc\u00e2iului: \u00centinde\u021bi-v\u0103 pe spate \u0219i trage\u021bi \u00eencet c\u0103lc\u00e2iul spre dumneavoastr\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block203\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-kvom9914\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Ridicarea piciorului drept: \u00cen timp ce sta\u021bi \u00eentins pe spate, ridica\u021bi piciorul drept \u00een sus.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block204\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-derhs4451\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block205\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-rhbbm916\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cempinsul \u00een perete: Sta\u021bi \u00een picioare \u0219i \u00eempinge\u021bi-v\u0103 de un perete cu m\u00e2inile \u00een timp ce extinde\u021bi piciorul \u00eenapoi.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block206\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-3ceur918\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00cendoiri ale genunchiului: \u00cen timp ce v\u0103 \u021bine\u021bi de un scaun, \u00eendoi\u021bi genunchiul \u00eenapoi.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block207\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-0va0r4258\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block208\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-ixlyu920\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Exerci\u021bii de echilibru: Sta\u021bi pe un picior \u0219i men\u021bine\u021bi-v\u0103 echilibrul.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block209\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-bmzzq4064\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block210\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-sdf3k922\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Posibile complica\u021bii dup\u0103 chirurgia LIA<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block211\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-rvr7l924\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Umflarea genunchiului:<\/strong> Umflarea este cea mai comun\u0103 problem\u0103 dup\u0103 chirurgia LIA. De\u0219i temporar\u0103, poate \u00eent\u00e2rzia recuperarea. Predarea exerci\u021biilor de activare a cvadricepsului pacientului este esen\u021bial\u0103 pentru a reduce umflarea. Angajarea cvadricepsului \u00een timpul activit\u0103\u021bilor precum \u0219ezutul, statul \u00een picioare, mersul \u0219i ridicarea piciorului reduce semnificativ umflarea. Aplicarea ghe\u021bii poate ajuta, de asemenea, la gestionarea umfl\u0103turii. Dac\u0103 umflarea devine sever\u0103, consulta\u021bi imediat chirurgul.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block212\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-kli3o927\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block213\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-es4cv3872\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Dificultate \u00een atingerea extensiei complete a genunchiului:<\/strong> Incapacitatea de a \u00eendrepta complet genunchiul dup\u0103 chirurgia LIA este o problem\u0103 serioas\u0103 care trebuie abordat\u0103 prompt. Cea mai comun\u0103 cauz\u0103 este plasarea incorect\u0103 a pernei sub genunchi \u00een timpul recuper\u0103rii. Plasarea unei perne sub c\u0103lc\u00e2i \u00een timpul repausului asigur\u0103 c\u0103 genunchiul r\u0103m\u00e2ne drept, prevenind aceast\u0103 problem\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block214\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-i2fu9930\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block215\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-nss5s3679\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Mobilitate restric\u021bionat\u0103:<\/strong> Succesul procesului de fizioterapie este la fel de important ca \u0219i succesul interven\u021biei chirurgicale \u00een sine. Un proces de reabilitare inadecuat poate duce la sl\u0103biciune muscular\u0103, mobilitate limitat\u0103, incapacitatea de a suporta greutatea \u0219i frica de mi\u0219care. Urm\u0103rirea atent\u0103 a programului de fizioterapie de c\u0103tre chirurg este crucial\u0103 pentru a evita aceste probleme. \u00cen cazuri rare, se poate dezvolta o afec\u021biune numit\u0103 artrofibroz\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block216\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-m38l9933\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block217\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-9sgfn3486\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\"><strong style=\"font-weight: bold\">Infec\u021bia:<\/strong> De\u0219i rar\u0103, exist\u0103 un u\u0219or risc de infec\u021bie dup\u0103 chirurgia LIA. Se iau m\u0103suri preventive pentru a minimiza acest risc. Detectarea precoce a infec\u021biei este critic\u0103. Semnele de infec\u021bie includ o cre\u0219tere brusc\u0103 a durerii (similar\u0103 cu durerea resim\u021bit\u0103 imediat dup\u0103 opera\u021bie), ro\u0219ea\u021b\u0103 \u00een jurul genunchiului \u0219i febr\u0103. Dac\u0103 observa\u021bi oricare dintre aceste simptome, consulta\u021bi imediat medicul dumneavoastr\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block218\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-2wee12904\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block219\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-c4h0m936\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Experien\u021bele pacien\u021bilor dup\u0103 chirurgia LIA<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block220\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-fw14a938\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Experien\u021bele pacien\u021bilor ofer\u0103 informa\u021bii valoroase despre procesul de recuperare dup\u0103 chirurgia LIA. Partajarea acestor experien\u021be poate \u00eencuraja \u0219i informa al\u021bi pacien\u021bi.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block221\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-ofjwm940\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block222\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-o7rr23101\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Feedback-ul pacien\u021bilor:<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block223\"><\/div>\n<div data-breakout=\"normal\">\n<ul class=\"ggbv- _6XZJW\">\n<li class=\"_8T5i3\" dir=\"auto\" style=\"margin-inline-start: 1.5em;list-style-type: disc\">\n<p id=\"viewer-4ksxx944\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"\"><span class=\"mVzZr\">\u201eC\u00e2nd am fost supus chirurgiei LIA cu Dr. Utku Erdem \u00d6zer, am fost profund recunosc\u0103tor pentru expertiza \u0219i \u00eengrijirea sa. Am fost bine informat \u00eenainte de opera\u021bie \u0219i ghidat pas cu pas prin procesul de recuperare. Datorit\u0103 cuno\u0219tin\u021belor \u0219i experien\u021bei sale, am avut o recuperare u\u0219oar\u0103, f\u0103r\u0103 nicio grij\u0103.\u201d<\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<div data-hook=\"rcv-block224\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-q907y2713\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block225\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-mquxv946\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">C\u00e2te zile de odihn\u0103 sunt necesare dup\u0103 chirurgia LIA?<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block226\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-1w7n3948\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">De obicei, se acord\u0103 3-4 s\u0103pt\u0103m\u00e2ni de concediu medical dup\u0103 chirurgia LIA. Odihna \u00een prima s\u0103pt\u0103m\u00e2n\u0103 este esen\u021bial\u0103 pentru a reduce umflarea. Revenirea treptat\u0103 la activit\u0103\u021bile zilnice este posibil\u0103 dup\u0103 aceast\u0103 perioad\u0103 ini\u021bial\u0103 de recuperare.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block227\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-j1rat2520\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block228\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-pqwg4950\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Diferen\u021be \u00eentre chirurgia LIA \u0219i cea de menisc<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block229\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-jqyw3952\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Chirurgia LIA implic\u0103 reconstruc\u021bia ligamentului deteriorat cu o gref\u0103 (de obicei din tendoanele proprii ale pacientului) pentru a restabili \u0219i men\u021bine stabilitatea genunchiului. Aceast\u0103 procedur\u0103 este de obicei efectuat\u0103 artroscopic.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block230\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-0r39s2327\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block231\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-a0c5v954\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Chirurgia meniscului, pe de alt\u0103 parte, abordeaz\u0103 rupturile cartilajului absorbant de \u0219ocuri al genunchiului. Implic\u0103 repararea sau \u00eendep\u0103rtarea meniscului deteriorat \u0219i este, de asemenea, efectuat\u0103 artroscopic.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block232\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-7c61k2133\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block233\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-wehp1956\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Costul chirurgiei LIA \u00een 2025<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block234\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-bcpc7959\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Costul chirurgiei LIA \u00een 2025 variaz\u0103 \u00een func\u021bie de mai mul\u021bi factori, inclusiv tehnicile utilizate \u0219i starea pacientului. Din acest motiv, recomand\u0103m pacien\u021bilor care planific\u0103 o interven\u021bie chirurgical\u0103 LIA s\u0103 ne contacteze prin canalele noastre de comunicare pentru a ob\u021bine informa\u021bii detaliate despre cost \u0219i procedur\u0103.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block235\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-fysyf1941\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block236\"><\/div>\n<div data-breakout=\"normal\">\n<h2 id=\"viewer-a57d5961\" class=\"pEp3- PFqYV _6XZJW UGHSE\" dir=\"auto\"><span class=\"NsX9Q\"><strong style=\"font-weight: bold\">Concluzie<\/strong><\/span><\/h2>\n<\/div>\n<div data-hook=\"rcv-block237\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-dthvi963\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Odat\u0103 cu progresele tehnologice din ultimii ani, rata de succes a chirurgiei LIA s-a \u00eembun\u0103t\u0103\u021bit semnificativ, iar rata de revenire la joc pentru sportivi a crescut.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block238\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-t3sca1748\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block239\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-alkit965\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Chirurgia LIA este o procedur\u0103 extrem de tehnic\u0103, \u0219i este esen\u021bial s\u0103 se plaseze ligamentul reconstruit \u00een exact aceea\u0219i pozi\u021bie ca LIA original rupt. Cea mai comun\u0103 cauz\u0103 a e\u0219ecului chirurgiei LIA este pozi\u021bionarea incorect\u0103 a tunelurilor osoase.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block240\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-upumf1554\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block241\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-tlvdh967\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Procesul de fizioterapie postoperatorie este la fel de important ca \u0219i succesul interven\u021biei chirurgicale \u00een sine. \u00cen aceast\u0103 perioad\u0103, pacien\u021bii ar trebui s\u0103 fie monitoriza\u021bi \u00eendeaproape at\u00e2t de chirurgul ortoped, c\u00e2t \u0219i de fizioterapeut.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block242\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-9lip51360\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block243\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-75gqo969\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">Pentru fotbali\u0219tii care sunt supu\u0219i chirurgiei LIA, revenirea la antrenamentele de echip\u0103 \u0219i meciuri dureaz\u0103 de obicei 9-12 luni. Este crucial ca pacien\u021bii s\u0103 r\u0103m\u00e2n\u0103 r\u0103bd\u0103tori \u0219i dedica\u021bi tratamentului lor \u00een timpul acestei perioade de recuperare.<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block244\"><\/div>\n<div data-breakout=\"normal\">\n<div id=\"viewer-7akp81166\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">\u00a0<\/span><\/div>\n<\/div>\n<div data-hook=\"rcv-block245\"><\/div>\n<div data-breakout=\"normal\">\n<p id=\"viewer-9lyhi971\" class=\"_04qQG jtShe _6XZJW UGHSE\" dir=\"auto\"><span class=\"mVzZr\">V\u0103 mul\u021bumim c\u0103 a\u021bi citit articolul nostru. Nu ezita\u021bi s\u0103 vizita\u021bi pagina noastr\u0103 de pornire la <a class=\"WAzZp aiPD3\" href=\"https:\/\/utkuerdemozer.com\" target=\"_blank\" rel=\"noopener\" data-hook=\"web-link\"><strong style=\"font-weight: bold\"><u style=\"text-decoration: underline\">utkuerdemozer.com<\/u><\/strong><\/a> pentru mai multe informa\u021bii.<br \/>\n<\/span><\/p>\n<\/div>\n<div data-hook=\"rcv-block246\"><\/div>\n<\/div>\n<div data-hook=\"rcv-block-last\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Descoperi\u021bi la ce s\u0103 v\u0103 a\u0219tepta\u021bi de la interven\u021bia chirurgical\u0103 de reconstruc\u021bie a LIA. Afla\u021bi sfaturi pentru recuperare, beneficii \u0219i riscuri. Ac\u021biona\u021bi acum pentru ameliorare!<\/p>\n","protected":false},"author":1,"featured_media":16321,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89,137],"tags":[],"class_list":["post-29171","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgia-genunchiului","category-chirurgie-sportiva-si-artroscopie"],"_links":{"self":[{"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/posts\/29171","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/comments?post=29171"}],"version-history":[{"count":2,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/posts\/29171\/revisions"}],"predecessor-version":[{"id":32973,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/posts\/29171\/revisions\/32973"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/media\/16321"}],"wp:attachment":[{"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/media?parent=29171"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/categories?post=29171"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/ro\/wp-json\/wp\/v2\/tags?post=29171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}