{"id":16398,"date":"2014-06-03T13:36:00","date_gmt":"2014-06-03T11:36:00","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=16398"},"modified":"2014-06-03T17:36:47","modified_gmt":"2014-06-03T15:36:47","slug":"voperovany-implantat-podpori-rust-nove-chrupavky-v-koleni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=16398","title":{"rendered":"Voperovan\u00fd implant\u00e1t podpo\u0159\u00ed r\u016fst nov\u00e9 chrupavky v koleni"},"content":{"rendered":"<p><strong>Kolagenov\u00fd implant\u00e1t, kter\u00fd dnes voperoval ortoped a sportovn\u00ed traumatolog Franti\u0161ek Picek do kolena pacientovi v Oblastn\u00ed nemocnici Kladno, podpo\u0159\u00ed r\u016fst nov\u00e9 chrupavky. Unik\u00e1tn\u00ed opera\u010dn\u00ed metodu jako prvn\u00ed v zemi provedli v dubnu l\u00e9ka\u0159i v Brn\u011b. <\/strong><!--more--><\/p>\n<p>Dne\u0161n\u00ed operace trvala p\u0159ibli\u017en\u011b t\u0159i \u010dtvrt\u011b hodiny a pacientem byl mu\u017e, kter\u00fd si p\u0159i sportu zp\u016fsobil defekt chrupavky. &#8222;Sleduji tuto metodu u\u017e t\u0159i roky v zahrani\u010d\u00ed a jsem p\u0159esv\u011bd\u010den, \u017ee p\u0159inese i \u010desk\u00fdm pacient\u016fm s defekty chrupavky velkou \u0161anci vr\u00e1tit se k aktivn\u00edmu pohybu a u\u0161et\u0159it si \u0159adu operac\u00ed,&#8220; \u0159ekl Picek.<\/p>\n<p>Jako prvn\u00ed v republice operovali touto metodou l\u00e9ka\u0159i z brn\u011bnsk\u00e9 SurGal Clinic. Pacientem byl sedmadvacetilet\u00fd Jan \u0160ib\u0159ina z Brna, kter\u00fd hr\u00e1l z\u00e1vodn\u011b fotbal a futsal, ale kv\u016fli zran\u011bn\u00ed musel p\u0159estat.<\/p>\n<p>Biologick\u00fd implant\u00e1t na b\u00e1zi kolagenu typu I m\u00e1 kruhovit\u00fd tvar ve 3D velikosti od jednoho do t\u0159\u00ed centimetr\u016f. Jeho slo\u017een\u00ed zaru\u010duje znovuobnoven\u00ed r\u016fstu kloubn\u00ed chrupavky.<\/p>\n<figure id=\"attachment_1940\" aria-describedby=\"caption-attachment-1940\" style=\"width: 220px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/www.mednes.cz\/wp-content\/uploads\/operace.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-1940\" src=\"http:\/\/www.mednes.cz\/wp-content\/uploads\/operace-220x120.jpg\" alt=\"ilustra\u010dn\u00ed foto: Flickr.com\" width=\"220\" height=\"120\" \/><\/a><figcaption id=\"caption-attachment-1940\" class=\"wp-caption-text\">ilustra\u010dn\u00ed foto: Flickr.com<\/figcaption><\/figure>\n<p>Implant\u00e1t podle Picka m\u016f\u017ee pomoci lidem s defektem chrupavky. Obvykle se naru\u0161\u00ed p\u0159i kontaktn\u00edch sportech, jako jsou fotbal \u010di hokej. Na v\u011bt\u0161\u00ed \u010di men\u0161\u00ed \u010d\u00e1sti kloubu je pak jen kost bez chrupavky. Pohyb je velmi bolestiv\u00fd, n\u00e1vrat ke sportov\u00e1n\u00ed prakticky nemo\u017en\u00fd.<\/p>\n<p>L\u00e9ka\u0159 upozornil, \u017ee operovat lze jen pom\u011brn\u011b mal\u00e9 po\u0161kozen\u00ed, pacient tak\u00e9 mus\u00ed b\u00fdt relativn\u011b mlad\u00fd, mezi 18 a\u017e 45 lety v\u011bku. D\u016fle\u017eitou roli pro \u00fasp\u011bch metody m\u00e1 i celkov\u00fd stav a stabilita kloubu. &#8222;Nen\u00ed t\u0159eba se z\u00e1kroku ob\u00e1vat. Trv\u00e1 asi 45 minut a my implant\u00e1t vlo\u017e\u00edme \u010di doslova p\u0159ilep\u00edme na m\u00edsto defektu. Za \u0161est t\u00fddn\u016f od operace se p\u0159ihoj\u00ed k pacientov\u011b chrupavce a za \u0161est m\u011bs\u00edc\u016f se kompletn\u011b p\u0159em\u011bn\u00ed v chrupavku,&#8220; vysv\u011btlil.<\/p>\n<p>Pacient podle Picka implant\u00e1t ani nepoc\u00edt\u00ed, materi\u00e1l se velmi brzy p\u0159em\u011b\u0148uje na chrupavku. L\u00e9ka\u0159 sestav\u00ed s pacientem pevn\u00fd pl\u00e1n rehabilitace, aby se do roka mohl vr\u00e1tit k aktivn\u00edmu \u017eivotu. Hojen\u00ed lze urychlit l\u00e9\u010dbou pomoc\u00ed vlastn\u00ed krve, kter\u00e1 vyu\u017e\u00edv\u00e1 velk\u00fdch regenera\u010dn\u00edch schopnost\u00ed b\u00edlkovin krevn\u00ed plazmy.<\/p>\n<p>&#8222;Vytvo\u0159ili jsme speci\u00e1ln\u00ed programy p\u0159edopera\u010dn\u00ed i poopera\u010dn\u00ed rehabilitace, d\u00edky nim\u017e dos\u00e1hneme lep\u0161\u00ed kondice sval\u016f a kloubn\u00ed hybnosti. Cviky po operaci tak jsou pro pacienta snaz\u0161\u00ed, nau\u010d\u00ed se tak\u00e9 s p\u0159edstihem spr\u00e1vn\u011b pou\u017e\u00edvat berle, proto\u017ee n\u00e1cvik a\u017e po operaci m\u016f\u017ee b\u00fdt bolestiv\u00fd a stresuj\u00edc\u00ed,&#8220; shrnul Picek a dodal, \u017ee k zaji\u0161t\u011bn\u00ed optim\u00e1ln\u00edch podm\u00ednek pro hojen\u00ed a regeneraci chrupavky mus\u00ed pacient chodit o berl\u00edch n\u011bkolik t\u00fddn\u016f.<\/p>\n<p>Kolagenov\u00e9 implant\u00e1ty k z\u00e1chran\u011b kolenn\u00edho kloubu se u\u017e\u00edvaj\u00ed v Rakousku, N\u011bmecku \u010di It\u00e1lii.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Kolagenov\u00fd implant\u00e1t, kter\u00fd dnes voperoval ortoped a sportovn\u00ed traumatolog Franti\u0161ek Picek do kolena pacientovi v Oblastn\u00ed nemocnici Kladno, podpo\u0159\u00ed r\u016fst nov\u00e9 chrupavky. Unik\u00e1tn\u00ed opera\u010dn\u00ed metodu <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=16398\" title=\"Voperovan\u00fd implant\u00e1t podpo\u0159\u00ed r\u016fst nov\u00e9 chrupavky v koleni\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-16398","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16398","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16398"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/16398\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16398"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16398"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16398"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}