{"id":28621,"date":"2017-07-06T12:20:03","date_gmt":"2017-07-06T10:20:03","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28621"},"modified":"2017-07-06T12:25:49","modified_gmt":"2017-07-06T10:25:49","slug":"olomoucky-lekar-vyvinul-novy-meziobratlovy-implantat-z-titanu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28621","title":{"rendered":"Olomouck\u00fd l\u00e9ka\u0159 vyvinul nov\u00fd meziobratlov\u00fd implant\u00e1t z titanu"},"content":{"rendered":"<p><strong>Nov\u00fd titanov\u00fd implant\u00e1t, kter\u00fd umo\u017en\u00ed \u0161etrn\u011bj\u0161\u00ed postup p\u0159i zav\u00e1d\u011bn\u00ed n\u00e1hrady meziobratlov\u00e9 plot\u00e9nky a p\u0159inese pacient\u016fm rychlej\u0161\u00ed \u00falevu od bolesti, vyvinul prim\u00e1\u0159 Neurochirurgick\u00e9 kliniky Fakultn\u00ed nemocnice Olomouc a L\u00e9ka\u0159sk\u00e9 fakulty Univerzity Palack\u00e9ho v Olomouci Lum\u00edr Hrab\u00e1lek.<\/strong><!--more--><\/p>\n<p>&nbsp;<\/p>\n<p>Prvn\u00ed operaci bedern\u00ed p\u00e1te\u0159e s vyu\u017eit\u00edm origin\u00e1ln\u00ed techniky pl\u00e1nuje ve sv\u011btov\u00e9 premi\u00e9\u0159e letos na podzim.<\/p>\n<p>Do meziobratlov\u00e9ho prostoru dosud neurochirurgov\u00e9 vkl\u00e1dali m\u00edsto p\u016fvodn\u00ed plot\u00e9nky implant\u00e1t vyroben\u00fd z termoplastick\u00e9ho materi\u00e1lu. &#8222;Je to um\u011bl\u00e1 hmota, kter\u00e1 m\u00edrn\u011b pru\u017e\u00ed, je m\u011bkk\u00e1, dob\u0159e se obr\u00e1b\u00ed a jej\u00ed v\u00fdroba je relativn\u011b levn\u00e1. Pro po\u017eadovanou stabilitu a n\u00e1sledn\u00e9 zhojen\u00ed v\u0161ak nen\u00ed ide\u00e1ln\u00ed,&#8220; uvedl Hrab\u00e1lek.<\/p>\n<p>P\u0159ednost nov\u00e9ho titanov\u00e9ho implant\u00e1tu s integrovanou dlahou, nazvan\u00e9ho po sv\u00e9m autorovi LUMIR XLIF CAGE, spo\u010d\u00edv\u00e1 podle Hrab\u00e1lka zejm\u00e9na v lep\u0161\u00edch funk\u010dn\u00edch parametrech a pou\u017eit\u00e9m materi\u00e1lu. Slitina titanu, aluminia a vanadu je dob\u0159e tolerovan\u00e1 lidsk\u00fdm organismem. Hrab\u00e1lek m\u00e1 s t\u00edmto materi\u00e1lem dobrou zku\u0161enost i z jin\u00fdch opera\u010dn\u00edch postup\u016f. &#8222;Vykazuje tzv. prim\u00e1rn\u00ed stabilitu &#8211; l\u00e9pe se &#8222;zakousne&#8220; a dr\u017e\u00ed hned od okam\u017eiku zaveden\u00ed,&#8220; uvedl neurochirurg.<\/p>\n<p>Nov\u00fd implant\u00e1t m\u00e1 z\u00e1rove\u0148 lep\u0161\u00ed funk\u010dn\u00ed parametry a je to prvn\u00ed typ n\u00e1hrady, kter\u00e1 je schopna p\u0159izp\u016fsobit se velikosti meziobratlov\u00e9ho prostoru. &#8222;Vlivem degenerativn\u00edho onemocn\u011bn\u00ed se prostor pro plot\u00e9nku \u010dasto sn\u00ed\u017e\u00ed, sesedne. Jeho zp\u011btn\u00fd n\u00e1vrat do p\u016fvodn\u00ed v\u00fd\u0161ky umo\u017en\u00ed to, \u017ee je implant\u00e1t expandibiln\u00ed, schopn\u00fd distrakce, tedy rozta\u017een\u00ed. Sn\u00ed\u017een\u00fd prostor lze takto rozt\u00e1hnout na p\u016fvodn\u00ed rozm\u011br,&#8220; uvedl Hrab\u00e1lek.<\/p>\n<p>Implant\u00e1t je nav\u00edc konstruov\u00e1n ve 12 z\u00e1kladn\u00edch velikostech a oproti b\u011b\u017en\u00fdm n\u00e1hrad\u00e1m je jeho sou\u010d\u00e1st\u00ed integrovan\u00e1 dlaha. &#8222;P\u0159i\u0161roubuje se, a t\u00edm se stabilita n\u00e1hrady podstatn\u011b zv\u00fd\u0161\u00ed,&#8220; uvedl Hrab\u00e1lek. K pevn\u00e9mu spojen\u00ed obratl\u016f pak dojde sr\u016fstem kostn\u00ed hmoty vlo\u017een\u00e9 do vnit\u0159n\u00edho prostoru implant\u00e1tu, kter\u00e1 j\u00edm n\u00e1sledn\u011b proroste a spoj\u00ed se s kostn\u00ed tk\u00e1n\u00ed p\u00e1te\u0159e.<\/p>\n<p>Podle Hrab\u00e1lka u\u017e bylo zah\u00e1jeno patentov\u00e9 \u0159\u00edzen\u00ed a nov\u00fd implant\u00e1t by pro klinickou praxi m\u011bl b\u00fdt k dispozici na p\u0159elomu srpna a z\u00e1\u0159\u00ed, kdy olomou\u010dt\u00ed neurochirurgov\u00e9 pl\u00e1nuj\u00ed prvn\u00ed operaci s jeho vyu\u017eit\u00edm. Uplatn\u011bn\u00ed implant\u00e1tu bude po skon\u010den\u00ed patentov\u00e9ho \u0159\u00edzen\u00ed mo\u017en\u00e9 v neurochirurgii kdekoliv na sv\u011bt\u011b. Neurochirurgick\u00e1 klinika na projektu spolupracuje s \u010deskou firmou BoneCare a \u010d\u00ednskou spole\u010dnost\u00ed Beijing Fule Science &amp; Technology Development, kter\u00e1 pat\u0159\u00ed k nejv\u011bt\u0161\u00edm v\u00fdrobc\u016fm p\u00e1te\u0159n\u00edch implant\u00e1t\u016f v \u010c\u00edn\u011b.<\/p>\n<p>L\u00e9ka\u0159i Neurochirurgick\u00e9 kliniky Fakultn\u00ed nemocnice Olomouc ro\u010dn\u011b nahrad\u00ed plot\u00e9nku 30 a\u017e 50 pacient\u016fm. Operace n\u00e1hrady na jedn\u00e9 plot\u00e9nce l\u00e9ka\u0159\u016fm zabere p\u0159ibli\u017en\u011b 75 minut. Chirurgick\u00fd z\u00e1krok pom\u00e1h\u00e1 p\u0159edev\u0161\u00edm pacient\u016fm s diagn\u00f3zou diskopatie, co\u017e je onemocn\u011bn\u00ed meziobratlov\u00fdch plot\u00e9nek, kter\u00e9 s p\u0159ib\u00fdvaj\u00edc\u00edm v\u011bkem degeneruj\u00ed a n\u00e1sledkem je nestabiln\u00ed p\u00e1te\u0159. Nemocn\u00ed poci\u0165uj\u00ed intenzivn\u00ed bolest zad, kter\u00e1 n\u011bkdy vyst\u0159eluje a\u017e do nohou.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><!--more--><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nov\u00fd titanov\u00fd implant\u00e1t, kter\u00fd umo\u017en\u00ed \u0161etrn\u011bj\u0161\u00ed postup p\u0159i zav\u00e1d\u011bn\u00ed n\u00e1hrady meziobratlov\u00e9 plot\u00e9nky a p\u0159inese pacient\u016fm rychlej\u0161\u00ed \u00falevu od bolesti, vyvinul prim\u00e1\u0159 Neurochirurgick\u00e9 kliniky Fakultn\u00ed nemocnice <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28621\" title=\"Olomouck\u00fd l\u00e9ka\u0159 vyvinul nov\u00fd meziobratlov\u00fd implant\u00e1t z titanu\">[&#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":[9],"tags":[],"class_list":["post-28621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28621","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=28621"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28621\/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=28621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}