Abstract
Due to the extension of life expectancy, the number of elderly people increases, and thus the number of disease and injuries of the locomotor system, especially the hip joint. One of the persistent trend is an increasing trend in the number of patients with coxarthrosis and implanted total hip endoprosthesis. One of the postoperative complications that occurred after implantation a total hip endoprosthesis is heterotopic ossification (HO). HO is the most common complication that occurs after the implantation a total hip endoprosthesis with recorded cases in the range of 9-90%. HO are insufficiently understood phenomenon, which is characterized by the formation of bone in periarticular tissues. We prospectively followed patients who implanted total hip endoprostheses in the department of orthopedics ZC in Kos. Mitrovica in 2008. and 2009. year. We examined the influence of physical agents on the prevention of HO near the hip joint. In these patients the treatment was carried out kinesiotherapeutic at the Center for Rehabilitation Health Center Kosovska Mitrovica, as well as pulse therapy low frequency magnetic field frequency of 30 Hz, 30 minutes, 8 mT intensity and 15 minutes interferential current, 0-100 Hz frequency. All patients were on the rehabilitation of one month (20 days). Based on this research we confirmed the assumption that the use of low frequency pulsed magnetic fields, interference currents and kinesitherapy prevents HO in patients after implantation of total endoprosthesis of the hip joint.
Highlights
Ivković S.1, Minić S.2, Stanković I.3 1 Zdravstveni centar Kosovska Mitrovica, Centar za rehabilitaciju 2 KBC Priština 3 Medicinski fakultet Niš
Prema postavljenoj hipotezi očekuje se povoljno dejstvo rane primene NIMP I Interferentne struje (IFS) na smanjenje incidence ukupnih heterotopične osifikacije (HO) i sprečavanje stvaranja teških HO posle implantacije totalne endoproteze u zglob kuka
Based on this research we confirmed the assumption that the use of low frequency pulsed magnetic fields, interference currents and kinesitherapy prevents heterotopične osifikacije (HO) in patients after implantation of total endoprosthesis of the hip joint
Summary
Ivković S.1, Minić S.2, Stanković I.3 1 Zdravstveni centar Kosovska Mitrovica, Centar za rehabilitaciju 2 KBC Priština 3 Medicinski fakultet Niš. Broj starih ljudi se povećava, a time i broj bolesti i povreda lokomotornog aparata, naročito zgloba kuka. Godine.Kod njih je ispitivan uticaj niskofrekventnog impulsnog magnetnog polja i interferentnih struja na nastajanje HO u blizini operisanog kuka. Na osnovu ovog istraživanja potrvđuje se pretpostavka da primena NIMP , IFS i kineziterapije sprečava nastajanje HO u pacijenata posle ugradnje totalne endoproteze zgloba kuka. Opšti je trend porasta broja pacijenata sa degenerativnom bolestima zglobova, a naročito zgloba kuka. Jedna od postoperativnih komplikacija nastalih posle ugradnje totalne endoproteze kuka su heterotopične osifikacije(HO). Magnetno polje se opisuje dvema vektorskim veličinama: jačinom magnetnog polja I gustinom magnetnog fluksa, koja se drukčije naziva magnetna indukcija.Jačina magnetnog polja predstavlja silu kojom polje deluje na jedinicu naelektrisanja i izražava se jedinicama A/m.
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