{"id":29141,"date":"2017-09-23T09:39:43","date_gmt":"2017-09-23T07:39:43","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29141"},"modified":"2017-09-23T09:43:32","modified_gmt":"2017-09-23T07:43:32","slug":"ceska-firma-ziskala-cenu-za-endoprotezy-ktere-s-pacienty-rostou","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29141","title":{"rendered":"\u010cesk\u00e1 firma z\u00edskala cenu za endoprot\u00e9zy, kter\u00e9 s pacienty rostou"},"content":{"rendered":"

Za endoprot\u00e9zy stehenn\u00ed kosti pro d\u011bti, kter\u00e9 s pacientem dok\u00e1\u017e\u00ed r\u016fst, dostala firma Beznoska ocen\u011bn\u00ed Technologick\u00e9 agentury \u010cR. Agentura cenu ud\u011blila za „\u0159e\u0161en\u00ed pro kvalitu \u017eivota“, z\u00e1stupci firmy ho p\u0159evezmou dnes ve\u010der. Vyvinut\u00e9 endoprot\u00e9zy stehenn\u00ed kosti v sou\u010dasnosti u\u017e\u00edvaj\u00ed v \u010cesku dva d\u011bt\u0161t\u00ed pacienti, operovali je l\u00e9ka\u0159i Fakultn\u00ed nemocnice u sv. Anny v Brn\u011b. V rozhovoru pro \u010cTK to \u0159ekl hlavn\u00ed konstrukt\u00e9r David Sitte.<\/strong><\/p>\n

Endoprot\u00e9zou se nahrazuje kolenn\u00ed kloub a \u010d\u00e1st stehenn\u00ed kosti p\u0159edev\u0161\u00edm u n\u00e1dorov\u00fdch onemocn\u011bn\u00ed. Tato diagn\u00f3za je u d\u011bt\u00ed \u010dast\u011bj\u0161\u00ed ne\u017e u dosp\u011bl\u00fdch, jen\u017ee pr\u00e1v\u011b u d\u011bt\u00ed se obt\u00ed\u017en\u011bji \u0159e\u0161\u00ed. D\u016fvodem je to, \u017ee kosti d\u011bt\u00ed do ur\u010dit\u00e9ho v\u011bku rostou, zat\u00edmco klasick\u00e1 endoprot\u00e9za z\u016fst\u00e1v\u00e1 st\u00e1le stejn\u011b velk\u00e1. Konstrukt\u00e9\u0159i proto museli vyvinout takovou n\u00e1hradu, kterou p\u016fjde jednodu\u0161e prodlu\u017eovat podle toho, jak pacient roste.<\/p>\n

„Unik\u00e1tn\u00ed je tato endoprot\u00e9za i t\u00edm, \u017ee je to modul\u00e1rn\u00ed syst\u00e9m, kter\u00fd funguje jako stavebnice. M\u00e1me pevn\u00fd z\u00e1klad obsahuj\u00edc\u00ed distrak\u010dn\u00ed mechanismus a modul\u00e1rn\u00ed d\u00edly. Z\u00e1le\u017e\u00ed na konkr\u00e9tn\u00edm pacientovi, jak\u00e9 d\u00edly mu d\u00e1me a jak\u00e9 d\u0159\u00edky na ukotven\u00ed do kosti zvol\u00edme,“ vysv\u011btlil Sitte. Jak d\u00edt\u011b roste, n\u00e1hradu je mo\u017en\u00e9 prodlu\u017eovat. To se d\u011bje p\u0159i kr\u00e1tk\u00e9m z\u00e1kroku v anestezii zhruba jednou za p\u016fl roku.<\/p>\n

„Implant\u00e1t m\u00e1 v sob\u011b kanalizovan\u00fd \u0161nek vnit\u0159n\u00edm \u0161estihranem. Operat\u00e9r pod rentgenem otvor vid\u00ed, prop\u00edchne m\u011bkk\u00e9 tk\u00e1n\u011b takzvan\u00fdm kirschnerov\u00fdm dr\u00e1tem a p\u0159ipoj\u00ed se na \u0161estihran v implant\u00e1tu. N\u00e1sledn\u011b ud\u011bl\u00e1 kr\u00e1tk\u00fd \u0159ez a pomoc\u00ed distraktoru – \u0161roubov\u00e1ku, ot\u00e1\u010d\u00ed mechanismem a implant\u00e1t se prodlu\u017euje,“ popsal Sitte. Prodlu\u017eov\u00e1n\u00ed je pomal\u00e9 a plynul\u00e9, p\u011bt ot\u00e1\u010dek distraktoru znamen\u00e1 prodlou\u017een\u00ed o jeden milimetr.<\/p>\n

T\u00edmto zp\u016fsobem se endoprot\u00e9za p\u0159izp\u016fsobuje p\u0159irozen\u00e9mu r\u016fstu. Kdy\u017e d\u00edt\u011b dos\u00e1hne dosp\u011blosti, vym\u011bn\u00ed se za trvalou n\u00e1hradu, kterou ji\u017e nen\u00ed pot\u0159eba prodlu\u017eovat. Jak uvedl Sitte, endoprot\u00e9za mus\u00ed b\u00fdt pevn\u00e1, aby vydr\u017eela velkou z\u00e1t\u011b\u017e, ale z\u00e1rove\u0148 nesm\u00ed b\u00fdt robustn\u00ed a t\u011b\u017ek\u00e1, aby se do d\u011btsk\u00e9ho t\u011bla dob\u0159e ve\u0161la a mohla v n\u011bm fungovat.<\/p>\n

V\u00fdvoj endoprot\u00e9zy trval od ledna 2013 do prosince 2015. P\u016fl roku na to ji l\u00e9ka\u0159i I. ortopedick\u00e9 kliniky Fakultn\u00ed nemocnice u sv. Anny v Brn\u011b voperovali patn\u00e1ctilet\u00e9 d\u00edvce. Podle Sitteho m\u011bla p\u0159edt\u00edm klasickou endoprot\u00e9zu, kter\u00e1 s n\u00ed ale nerostla, co\u017e zp\u016fsobilo zkr\u00e1cen\u00ed kon\u010detiny o 5,5 centimetru. „Po na\u0161\u00ed endoprot\u00e9ze po dvou operac\u00edch, to je implantaci a prodlu\u017eov\u00e1n\u00ed, m\u00e1 zkratek pouze dva centimetry. A postupn\u011b se kon\u010detina bude d\u00e1le prodlu\u017eovat,“ uvedl Sitte.<\/p>\n

Druh\u00fdm pacientem, kter\u00fd rostouc\u00ed endoprot\u00e9zu u\u017e\u00edv\u00e1, je osmilet\u00fd chlapec. Podle Sitteho m\u00e1 zhruba p\u016fl roku od operace a v nejbli\u017e\u0161\u00ed dob\u011b ho \u010dek\u00e1 prvn\u00ed distrakce.<\/p>\n

Firma by nyn\u00ed cht\u011bla za\u010d\u00edt se standardn\u00ed s\u00e9riovou v\u00fdrobou t\u011bchto endoprot\u00e9z. V\u00fdvoj rostouc\u00ed endoprot\u00e9zy stehenn\u00ed kosti podpo\u0159ila Technologick\u00e1 agentura \u010cR. Firma Beznoska na v\u00fdvoji spolupracovala s L\u00e9ka\u0159skou fakultou Masarykovy univerzity.<\/p>\n","protected":false},"excerpt":{"rendered":"

Za endoprot\u00e9zy stehenn\u00ed kosti pro d\u011bti, kter\u00e9 s pacientem dok\u00e1\u017e\u00ed r\u016fst, dostala firma Beznoska ocen\u011bn\u00ed Technologick\u00e9 agentury \u010cR. Agentura cenu ud\u011blila za „\u0159e\u0161en\u00ed pro kvalitu […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29142,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29141","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\/29141","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=29141"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29141\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29142"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29141"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29141"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}