{"id":1093667,"date":"2025-12-16T22:45:52","date_gmt":"2025-12-16T19:45:52","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1093667"},"modified":"2025-12-16T22:45:52","modified_gmt":"2025-12-16T19:45:52","slug":"pseudartroza-ulnei","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1093667","title":{"rendered":"Pseudartroza ulnei"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_318350\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-318350\" loading=\"lazy\" class=\"size-medium wp-image-318350\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/taranu-razvan_publicatii-300x197-1.png\" width=\"300\" height=\"197\" title=\"taranu-razvan_publicatii-300x197-1\"><\/p>\n<p id=\"caption-attachment-318350\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/taranu-razvan\">Dr. R\u0103zvan \u021a\u0103ranu<\/a>, medic specialist Ortopedie-Traumatologie, supraspecializat \u00een chirurgia membrului superior, <a href=\"http:\/\/www.arcadiamedical.ro\">Arcadia<\/a><\/p>\n<\/div>\n<p>Pseudartroza reprezint\u0103 <strong>neconsolidarea unei fracturi dup\u0103 9 luni de la producerea acesteia, f\u0103r\u0103 a fi prezente semne radiologice de progresie a consolid\u0103rii \u00een ultimele 3 luni<\/strong>. A\u0219a cum reiese din denumire, pseudartroza este o <strong>\u201earticula\u021bie fals\u0103\u201d<\/strong> care nu poate suporta \u00eenc\u0103rcarea normal\u0103 a osului \u0219i se manifest\u0103 prin <strong>persisten\u021ba durerii<\/strong>.<\/p>\n<p><strong>Pseudartroza oaselor antebra\u021bului<\/strong> (radius \u0219i uln\u0103) prezint\u0103 o inciden\u021b\u0103 \u00eentre 2-10% din fracturile acestei regiuni \u0219i are la baz\u0103 factori biologici, mecanici, specifici pacientului \u0219i dependen\u021bi de tehnica chirurgical\u0103 adoptat\u0103. Antebra\u021bul este o unitate anatomic\u0103 \u0219i func\u021bional\u0103 complex\u0103, ce necesit\u0103 tratament ortopedic adecvat.<\/p>\n<p><strong>Caz clinic<\/strong><\/p>\n<p>Prezent\u0103m cazul unei paciente de 37 de ani, care s-a prezentat \u00een serviciul nostru cu o <strong>recidiv\u0103 a unei fracturi a ulnei<\/strong>. Cu aproximativ 1 an \u00eenainte a suferit o <strong>fractur\u0103 deschis\u0103 a ambelor oase ale antebra\u021bului prin c\u0103dere de la \u00een\u0103l\u021bime<\/strong>, care a fost tratat\u0103 prin reducere deschis\u0103 \u0219i fixare intern\u0103 cu pl\u0103ci DCP. Tot la momentul accidentului a prezentat \u0219i o <strong>leziune a nervului ulnar<\/strong>, care a necesitat explorare \u0219i grefare, interven\u021bie efectuat\u0103 la interval de 6 s\u0103pt\u0103m\u00e2ni dup\u0103 traumatismul ini\u021bial. Pl\u0103cile au fost ulterior extrase din cauza proeminen\u021bei materialului de osteosintez\u0103, iar la 6 s\u0103pt\u0103m\u00e2ni dup\u0103 aceast\u0103 interven\u021bie a suferit o <strong>refracturare a ulnei \u00een urma unui nou traumatism<\/strong>. Leziunea a fost tratat\u0103 nonoperator, dup\u0103 9 luni confirm\u00e2ndu-se diagnosticul de <strong>pseudartroz\u0103<\/strong>. Pacienta acuza <strong>durere<\/strong> \u0219i <strong>limitarea func\u021bional\u0103 a antebra\u021bului<\/strong> cu reducerea supina\u021biei.<\/p>\n<p>Av\u00e2nd \u00een vedere simptomatologia \u0219i examenul clinic \u0219i radiologic, s-a propus <strong>tratamentul chirurgical al pseudartrozei<\/strong>.<\/p>\n<p>S-a practicat un <strong>abord centrat pe cicatricea postoperatorie preexistent\u0103<\/strong>, cu <strong>excizia pseudartrozei \u0219i inser\u021bia unei grefe osoase tricorticale din creasta iliac\u0103<\/strong>. Fixarea s-a realizat cu ajutorul unei pl\u0103ci LCP 3.5 mm plasat\u0103 pe fa\u021ba dorsal\u0103 a ulnei, sub planul muscular.<\/p>\n<p><strong>Evolu\u021bia postoperatorie a fost foarte bun\u0103<\/strong>, cu restituirea mobilit\u0103\u021bii nedureroase a antebra\u021bului. Radiografia de control la 7 luni dup\u0103 interven\u021bie a demonstrat \u00eencorporarea complet\u0103 a grefei osoase cu restabilirea continuit\u0103\u021bii osoase.<\/p>\n<p><strong>Concluzii<\/strong><\/p>\n<ul>\n<li>Pseudartroza oaselor antebra\u021bului are o inciden\u021b\u0103 relativ crescut\u0103, apare ca o consecin\u021b\u0103 a unor factori multipli \u0219i are, de obicei, un impact semnificativ asupra calit\u0103\u021bii vie\u021bii pacientului.<\/li>\n<li>Pseudartroza poate fi tratat\u0103 cu succes printr-o tehnic\u0103 adecvat\u0103.<\/li>\n<\/ul>\n<p>\u00cen <a href=\"http:\/\/www.arcadiamedical.ro\">Spitalul Arcadia<\/a> sunt realizate \u00een siguran\u021b\u0103 interven\u021bii chirurgicale pentru afec\u021biuni ale membrului superior. Pentru program\u0103ri, pacien\u021bii au la dispozi\u021bie num\u0103rul de telefon <strong>0232 920, Call Center Arcadia<\/strong>.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. R\u0103zvan \u021a\u0103ranu, medic specialist Ortopedie-Traumatologie, supraspecializat \u00een chirurgia membrului superior, Arcadia Pseudartroza reprezint\u0103 neconsolidarea unei fracturi dup\u0103 9 luni de la producerea acesteia, f\u0103r\u0103 a fi prezente semne radiologice de progresie a consolid\u0103rii \u00een ultimele 3 luni. A\u0219a cum reiese din denumire, pseudartroza este o \u201earticula\u021bie fals\u0103\u201d care nu poate suporta \u00eenc\u0103rcarea normal\u0103 a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1093668,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1093667","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1093667","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1093667"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1093667\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1093668"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1093667"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1093667"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1093667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}