protocol afectiuni mi cluj

8/17/2019 Protocol Afectiuni MI Cluj

1/20

http://rojprm.srmfr.ro/index.php/RoJPRM/issue/view/1

PROTOCOL D !"C#RC$R P"TR% $&C'(%"(L M%)C%LO)C*LT$LC*(R%R+(C$L ,( "O"-C*(R%R+(C$L $L MMRLOR ("&R(O$R

$ndree Coto0e12 $nd "e03u12 L4s56 (rs7 128

1)pitu Cini0 de Re0uperre2 Cuj-"po0

8

%niversitte de Medi0in9 3i &rm0ie (uiu *;ie


2/20

situtions iBe: the mus0e strens2 the >iit7 to mintin the stti0 >n0e2 the inteoi0 nd respirtor7 disorders.

The proto0o >eow heps the Ph7si0 Medi0ine nd Reh>iittion ph7si0in in 0hoosin<

the on weierin< rh7thm. (t is mentioned tht the on weierin< of the ower im>s isdone stri0t7 on n individu >sis nd there is no proto0o deAute for the situtions.

ndoprote59 tot9 de 3od 0imentt9

• mersu 0u sprijin tot se rei imedit

• ortosttismu 3i mersu din 5iu -

• 0dru de mers se pote re0omnd E s9pt9mFni

• >ston ?n mFn opus9 prote5ei -E uni. 222

ndoprote59 tot9 de 3od ne0imentt9

• ritm ent de 0re3tere ?n09r09rii 0u proximtiv G-1H Bii5re pt


3/20

• mo>ii5re f9r9 sprijin timp de - uni

• poi ?n09 8- uni ?n 0Frje f9r9 ?n09r0 mem>ru inferior opert

• period de sprijin pr;i se preun5in

• imo>ii5re E- s9pt9mFni

• poi uni f9r9 sprijin pe mem>ru inferior

• poi ?n09r0re pro


4/20

• prt ii5re s9pt9mFni

• mers dup9 ?n09 - s9pt9mFni

• 0u depsre


5/20

• osteosinte59

• imo>ii5re 8- s9pt9mFni

• ?n09r0re 0ompet9 este permis9 dup9 0onsoidre fr0turii- proximtiv E-

s9pt9mFni

&r0turie mi0uui trohnter

• imo>ii5re pt - s9pt9mFni

• f9r9 efort timp de G-E s9pt9mFni. 2

&r0turi difi5re e femuruui

• trtment 0hirurru opert dup9 - s9pt9mFni

• tije esti0e nder

• sprijin dup9 8- uni.

&r0turie extremit9;ii diste e femuruui

• Fractură fără deplasare

• prt


6/20

&r0turie 0ondiiene

• fr0turie i5ote de 0ondi medi su ter sunt rre

• trtmentu este 0hirurii5re

• ?n0r0re este permis9 de o>i0ei uni postopertor K0Fnd vem 0onsoidrerdioo


7/20

Menis0e0tomie

- mers 0u ?n09r0re 0ompet9 8- 5i postopertor. 2 2 2

)utur9 menis09

-fexie H-Ho f9r9


8/20

• se v evit pe o period de E-18 s9pt9mFni fexi so0it9 0u ?n0r0re 0ompet9. 2 2

$rtropstie tot9 de


9/20

- E s9pt9mFni 0u ?n09r0re minim9

- E- s9pt9mFni - mers 0u ?n09r0re 0ompet9 0u orte59 st>ii5tore f9r9 imitrefexiei/extensiei. 2 2

Ruptur9 de tendon 0vdri0ipit - trtment 0hirur pi0ior 0u orte5 >o0t9 Ho

- s9pt9mFnie -G - mers 0u ?n09r0re pr;i9 0u orte59 >o0t9 ?n extensie

- s9pt9mFnie E- postopertor - mers 0u ?n09r0re 0ompet9 0u orte59 >o0t9 ?n extensie fexieH-HH f9r9 o0t9 Ho

- s9pt9mFnie -G - mers 0u ?n09r0re pr;i9 0u orte59 >o0t9 ?n extensie

- s9pt9mFnie E- postopertor

- mers 0u ?n09r0re 0ompet9 0u orte59 >o0t9 ?n extensie fexie H-HH f9r9 erwire= 0re proteje59 sutur periodee de re0uperre se redu0 jum9tte. 2

Ruptură de tendon ahilian- tratament chirurgical

Proto0o ent :

- s9pt9mFnie 1-8 - mers f9r9 ?n09r0re Kii5t9 ?n te9


10/20

- s9pt9mFnie - - mers f9r9 ?n09r0re Kse s0him>9 te


11/20

ne0esr9 pentru evitre pierderii redu0erii o>;inute. !n 05u fr0turior st>ie ?mpiedi090ompresiune interfr


12/20

reoii2 neexistFnd poten;i de vinde0re spontn9.G2

%iastazisul ti!io-peronier

• trtment 0hirur


13/20

• 8- s9pt9mFniimo>ii5re


14/20

• ?n0epFnd din s9pt9mFn 8- ?n0epe ?n09r0re

• p0ientu rei sportu E-1H s9pt9mFni postopertor.

Fractura de navicular

• imo>ii5re ii5re


15/20

• poi timp de ?n09 E s9pt9mFni - 0i5m9 de mers.

&r0turie de 00neu

Trtment 0onservtiv Kfr0turie f9r9 depsre

f9r9 ?n09r0re timp de - s9pt9mFni KpFn9 pri;i semneor rdiooii5;i ?n te


16/20

• imo>ii5re


17/20

Osteo0ondrit dise0nt9 de tus

• sunt des0rise stdii

• trtment 0hirurii5re


18/20

• D09 depsre este de peste - mm se pr0ti09 trtment 0hirurros irs0hner se extr


19/20

• re0uperre postopertorie pote in0ude mi309ri psive 0ontinue N =0ontinuous pssivmovement KCPM= Npentru ?m>un9t9;ii 0itte vinde09rii

• nu se permite mersu 0u sprijin E- s9pt9mFni postopertor.

Le5iuni de 0rtij rti0ur trtte prin trnspnt de 0ondro0ite utoo


20/20

• mers f9r9 ?n09r0re E s9pt9mFni.

protocol afectiuni mi cluj

Documents