POSLIJEOPERACIJSKA REHABILITACIJA ŠAKE

Šaka je dio sustava za kretanje koji izvršava niz motoričkih radnji i važna je za profesionalne aktivnosti, ali i komunikaciju te socijalnu interakciju. Gubitak funkcije šake dovodi do gubitka kvalitete svakodnevnog, profesionalnog, socijalnog i emotivnog aspekta života

A Comprehensive Approach to the Osteoporosis Patient / What is the Perspective of Cooperation in the Prevention, Recognition and Treatment of Osteoporotic Fractures?

Osteoporoza je bolest čije komplikacije značajno utječu na kvalitetu života bolesnika. Najznačajnija komplikacija je osteoporotski prijelom, osobito kralježnice i femura. Osteoporotski prijelomi povećavaju morbiditet i mortalitet bolesnika, što predstavlja veliko opterećenje za pojedinca, ali i društvo u cijelosti. Stoga se naglasak u liječenju stavlja na prevenciju osteoporotskih prijeloma. Važno je rano prepoznavanje čimbenika rizika, korekcija istih i pravodobno liječenje. Prevencija i liječenje provode se na svim razinama zdravstvene zaštite od obiteljskog liječnika do specijalista u ustanovama tercijarne razine. Uključeni su i ostali stručnjaci poput nutricionista i fizioterapeuta. Nezanemariva je i uloga bolesnika i zajednice u prepoznavanju čimbenika rizika, edukacija bolesnika o tome kada trebaju potražiti pomoć te u pridržavanju propisanog liječenja. Kako bi se postigli optimalni rezultati, liječenje je interdisciplinarno i teži se da bude prilagođeno pojedincu.Osteoporosis is a disease whose complications can significantly alter a patient\u27s quality of life. The most common complications are osteoporotic fractures of the spine and femur. Such fractures increase the morbidity and mortality of patients, which may become a great burden for the individual and society as a whole. Emphasis in treatment is thus placed on prevention of osteoporotic fractures. Risk factors should be identified as early as possible, then continue with correction and timely treatment. Prevention and treatment are interdisciplinary, from family physicians to specialists in tertiary level healthcare institutions. Other experts such as nutritionists and physiotherapists are also involved. The role of the patient and the community in risk factor recognition, patient education on when help and assistance should be sought, and adherence to prescribed treatment is not to be neglected. In order to achieve optimal results, treatment should be interdisciplinary and individualized

Current practice variations in the management of anterior cruciate ligament injuries in Croatia

AIM: To investigate current preferences and opinions on the diagnosis, treatment and rehabilitation of patients with anterior cruciate ligament (ACL) injury in Croatia. ----- METHODS: The survey was conducted using a questionnaire which was sent by e-mail to all 189 members of the Croatian Orthopaedic and Traumatology Association. Only respondents who had performed at least one ACL reconstruction during 2011 were asked to fill out the questionnaire. ----- RESULTS: Thirty nine surgeons responded to the survey. Nearly all participants (95%) used semitendinosus/gracilis tendon autograft for reconstruction and only 5% used bone-patellar tendon-bone autograft. No other graft type had been used. The accessory anteromedial portal was preferred over the transtibial approach (67% vs 33%). Suspensory fixation was the most common graft fixation method (62%) for the femoral side, followed by the cross-pin (33%) and bioabsorbable interference screw (5%). Almost all respondents (97%) used a bioabsorbable interference screw for tibial side graft fixation. ----- CONCLUSION: The results show that ACL reconstruction surgery in Croatia is in step with the recommendations from latest world literature