\u00darazov\u00ed chirurgov\u00e9 z Masarykovy nemocnice v \u00dast\u00ed nad Labem provedli unik\u00e1tn\u00ed operaci. Jednalo se o rozs\u00e1hlou rekonstrukci holenn\u00ed kosti s vyu\u017eit\u00edm ti\u0161t\u011bn\u00e9ho titanov\u00e9ho 3D implant\u00e1tu, kter\u00fd byl vytvo\u0159en na m\u00edru. V\u00fdjime\u010dnost z\u00e1kroku spo\u010d\u00edv\u00e1 v um\u00edst\u011bn\u00ed n\u00e1hrady kosti a detailn\u00edm designu implant\u00e1tu.<\/p>\n\n\n\n
\u201eUnik\u00e1tnost operace spo\u010d\u00edvala p\u0159edev\u0161\u00edm v rozsahu a um\u00edst\u011bn\u00ed n\u00e1hrady cel\u00e9 doln\u00ed t\u0159etiny holenn\u00ed kosti posti\u017een\u00e9 infekc\u00ed. D\u00e1le v jedine\u010dnosti ukotven\u00ed pomoc\u00ed h\u0159ebu s povrchovou strukturou napodobuj\u00edc\u00ed kostn\u00ed tk\u00e1\u0148. Implant\u00e1t vytvo\u0159en\u00fd 3D tiskem m\u00e1 v\u00fdbornou nosnost a umo\u017en\u00ed pacientovi okam\u017eitou z\u00e1t\u011b\u017e kon\u010detiny ihned po dohojen\u00ed opera\u010dn\u00edch ran,\u201c p\u0159ibl\u00ed\u017eila mluv\u010d\u00ed Krajsk\u00e9 zdravotn\u00ed, pod kterou \u00fasteck\u00e1 nemocnice spad\u00e1, Miloslava Ku\u010derov\u00e1.<\/p>\n\n\n\n
Implant\u00e1t dokonale imituje velikost a tvar p\u016fvodn\u00ed kosti. Na povrchu m\u00e1 i \u017el\u00e1bky pro pr\u016fb\u011bh \u0161lach oh\u00fdba\u010d\u016f a \u017el\u00e1bek pro ukotven\u00ed l\u00fdtkov\u00e9 kosti.<\/p>\n\n\n\n
\u201eTy jsou povrchov\u011b upraveny pro maxim\u00e1ln\u00ed sn\u00ed\u017een\u00ed t\u0159en\u00ed tak, aby nepo\u0161kozovaly pohybuj\u00edc\u00ed se \u0161lachy. Celkov\u00e1 p\u0159esnost anatomick\u00e9ho p\u0159izp\u016fsoben\u00ed implant\u00e1tu je dosa\u017eena 3D tiskem pomoc\u00ed po\u010d\u00edta\u010dov\u00e9ho zrcadlen\u00ed druhostrann\u00e9 zdrav\u00e9 holenn\u00ed kosti pacienta,\u201c dodala mluv\u010d\u00ed.<\/p>\n\n\n\n
Operaci provedl Lubom\u00edr Kopp z Kliniky \u00farazov\u00e9 chirurgie se sv\u00fdm t\u00fdmem.<\/p>\n\n\n\n
\u201eModern\u00ed 3D tisk n\u00e1m i na\u0161im pacient\u016fm p\u0159in\u00e1\u0161\u00ed zcela nov\u00e9 mo\u017enosti. Stavy, kter\u00e9 d\u0159\u00edve kon\u010dily t\u011b\u017ek\u00fdm funk\u010dn\u00edm posti\u017een\u00edm kon\u010detiny, nebo dokonce jej\u00ed ztr\u00e1tou, jsme dnes schopni \u0159e\u0161it tak, aby byla zachov\u00e1na nejen kon\u010detina, ale i jej\u00ed funkce. To je i p\u0159\u00edpad na\u0161eho pacienta, kter\u00e9mu by v minulosti hrozila amputace,\u201c vysv\u011btlil chirurg.<\/p>\n\n\n\n
\u201eM\u00e9 osobn\u00ed zku\u0161enosti s pl\u00e1nov\u00e1n\u00edm a p\u0159\u00edpravou individualizovan\u00fdch implant\u00e1t\u016f jsou velmi pozitivn\u00ed. D\u00edky m\u00e9mu kon\u00ed\u010dku, kter\u00fdm je technick\u00e9 kreslen\u00ed, nem\u00e1m probl\u00e9m vytv\u00e1\u0159et pro pr\u016fmyslov\u00e9ho partnera z\u00e1kladn\u00ed n\u00e1vrhy vych\u00e1zej\u00edc\u00ed z o\u010dek\u00e1van\u00e9 funkce a um\u00edst\u011bn\u00ed implant\u00e1tu. Proces vzniku kone\u010dn\u00e9ho designu je spojen se simulacemi z\u00e1t\u011b\u017ee, slou\u017e\u00edc\u00ed k zaji\u0161t\u011bn\u00ed bezpe\u010dnosti n\u00e1hrady, a v\u00fdb\u011brem povrchov\u00e9 \u00fapravy, umo\u017e\u0148uj\u00edc\u00ed nap\u0159\u00edklad vr\u016fst\u00e1n\u00ed kosti \u010di bezpe\u010dn\u00e9 um\u00edst\u011bn\u00ed \u0161lach a nervov\u011b \u2013 c\u00e9vn\u00edch svazk\u016f kolem kovu,\u201c dodal.<\/p>\n\n\n\n
Pacientovi hrozila amputace<\/p>\n\n\n\n
Operovan\u00fd pacient je st\u0159edn\u00edho v\u011bku a poch\u00e1z\u00ed z Vyso\u010diny. V minulosti byl po zlomenin\u011b posti\u017een rozs\u00e1hl\u00fdm z\u00e1n\u011btem kosti, hrozila mu dokonce amputace.<\/p>\n\n\n\n
Doktor Kopp ve spolupr\u00e1ci se specialisty z region\u00e1ln\u00ed nemocnice v prvn\u00edm kroku sanoval infekci rozs\u00e1hl\u00fdm odstran\u011bn\u00edm napaden\u00e9 kosti, do kon\u010detiny vlo\u017eil do\u010dasnou kostn\u00ed n\u00e1hradu a p\u0159ipravil ji k n\u00e1sledn\u00e9 implantaci titanov\u00e9 n\u00e1hrady.<\/p>\n\n\n\n
Nyn\u00ed bylo p\u0159istoupeno k druh\u00e9mu kroku, tedy v\u00fdm\u011bn\u011b do\u010dasn\u00e9 kostn\u00ed n\u00e1hrady za definitivn\u00ed implant\u00e1t.<\/p>\n\n\n\n
\u201eKlinika \u00farazov\u00e9 chirurgie dlouhodob\u011b dosahuje excelentn\u00edch v\u00fdsledk\u016f na poli v\u00fdzkumu a vzd\u011bl\u00e1v\u00e1n\u00ed na evropsk\u00e9 a sv\u011btov\u00e9 \u00farovni i d\u00edky zav\u00e1d\u011bn\u00ed takto progresivn\u00edch opera\u010dn\u00edch metod. Od po\u010d\u00e1tku p\u0159\u00ed\u0161t\u00edho roku bude za\u0159azena na seznam v\u00fdukov\u00fdch traumatologicko-ortopedick\u00fdch pracovi\u0161\u0165 presti\u017en\u00ed organizace AO Trauma, kam doposud pat\u0159\u00ed jen dv\u011b dal\u0161\u00ed kliniky v \u010cesk\u00e9 republice,\u201c uzav\u0159el p\u0159ednosta kliniky Karel Edelmann.<\/p>\n\n\n\n
Martin Ko\u0161\u0165\u00e1l<\/p>\n\n\n\n
Den\u00edk.cz<\/p>\n\n\n\n
https:\/\/www.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" \u00darazov\u00ed chirurgov\u00e9 z Masarykovy nemocnice v \u00dast\u00ed nad Labem provedli unik\u00e1tn\u00ed operaci. Jednalo se o rozs\u00e1hlou rekonstrukci holenn\u00ed kosti s vyu\u017eit\u00edm ti\u0161t\u011bn\u00e9ho titanov\u00e9ho 3D implant\u00e1tu, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29680,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-53894","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\/53894","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=53894"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/53894\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29680"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=53894"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=53894"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=53894"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}