KINEZITERAPIJA U REHABILITACIJI NAKON OPERACIJE POPUNJAVANJA TIBIJALNOG KANALA I REKONSTRUKCIJE PREDNJE UKRIŽENE SVEZE. PRIKAZ SLUČAJA

master's thesis

• Title (english): KINEZITHERAPY IN REHABILITATION AFTER FILLING THE TIBIAL TUNNEL SURGERY AND ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
• Author: Domagoj Perić
• Mentor: Tatjana Trošt Bobić (mentor)
• Committee member: Tatjana Trošt Bobić (predsjednik povjerenstva)
• Committee member: Saša Janković (član povjerenstva)
• Committee member: Dubravka Ciliga (član povjerenstva)
• Granter: University of Zagreb; Faculty of Kinesiology; Zagreb
• Defense date and country: 2020-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Kinesiology

Abstract

Uvod: Ozljeda prednjeg križnog ligamenta jedna je od najtežih, ali i sve češćih ozljeda kako u sportu tako i kod rekreativaca. Može se liječiti operativnim i konzervativnim putem, a u oba slučaja je potrebna dugotrajna i zahtjevna rehabilitacija. Postoji više rehabilitacijskih protokola koji se provode kod ove ozljede, te bi u idealnom slučaju potpuni oporavak trajao 6 mjeseci. Međutim, u tako dugotrajnom i zahtjevnom procesu može doći do komplikacija koje će otežati i usporiti ionako tešku rehabilitaciju.
Prikaz slučaja: Pacijent je nakon potpune rupture ACL-a prilikom rotacijskog pokreta podvrgnut operativnom zahvatu pomoću tetive m. semitendinosus i Tight rope, metodom All inside. Nakon 6 mjeseci rehabilitacije i dalje je osjećao nestabilnost u koljenu i bio je pozitivan na Lachmannov test. Nakon magnetske rezonance i CT utvrđuje se proširen tibijalni tunel zbog kojeg ligament ne obavlja svoju funkciju, te se preporučuje revizija operacije u dva akta. U prvom je učinjena artroskopija i priprema tibijalnog tunela za drugu operaciju u kojoj je napravljena rekonstrukcija ACL-a tetivom m. quadriceps femoris Nakon toga provodi rehabilitaciju koja bi imala za cilj siguran povratak sportu.
Zaključak: Radi se o vrlo specifičnom slučaju u kojem pacijent prolazi puno kompleksniju rehabilitaciju od ionako zahtjevne rehabilitacije rupture ACL-a. Svakom slučaju je potreban individualiziran pristup, a u ovom radu će biti prikazan iznimno specifičan slučaj, te kinezterapijski protokol kroz koji je pacijent prolazio.

Abstract (english)

Introduction: Anterior cruciate ligament injury is one of the most difficult injuryes and unfortunately very often in athletes and non-athletes. It can be treated by surgery or conservatively, only by kinezitherapy. In both ways a very long and difficult rehabilitation is necessary. There are more rehabilitation protocols for this injury rehabilitation and in the ideal case a full recovery would take at least 6 months. However, in such a long and demanding process there are always possible complications that will prolong an already long and difficult rehabilitation.
Case report: After a complete rupture of ACL during rotation, patient had surgery with semitendinosus graft and Tight-rope, All inside method. After 6 months of rehabilitation he still felt lack of knee stability and was positive on Lachmann's test. After MR and CT it was diagnosed that he has expaned tibial tunnel and his ACL does not have necessary stability because of that. A two part surgery revision was reccomended. In the first one an arthroscopy and preparation of tibial tunnel for next ACL reconstruction with quadriceps tendon graft was done. After that he started a rehabilitation process which helped him return to sport.
Conclusion: This is a very specific case in which the patient passes through more complexed rehabilitation than the usual rehabilitation after ACL reconstruction. Every case is different and it needs to be individualized. In this paper a very specific case is presented as well as the kinezitherapy protocol he went through.

• Keywords: komplikacije; postoperativno vježbanje; individualiziran pristup; koljeno; kineziterapijski protokol
• Keywords (english): complications; postoperative exercising; individualized approach; knee; kinezitherapy protocol
• Language: croatian
• URN:NBN: urn:nbn:hr:117:569143
• Study programme: Title: Kinesiology; specializations in: Kinesiology in Education and Track-and-Field, Kinesiology in Education and Fitness, Kinesiology in Education and Wrestling, Kinesiology in Education and Sailing, Kinesiology in Education and Windsurfing, Kinesiology in Education and Judo, Kinesiology in Education and Kayaking, Kinesiology in Education and Kinesiological Recreation, Kinesiology in Education and Kinesitherapy, Kinesiology in Education and Physical Conditioning of Athletes, Kinesiology in Education and Basketball, Kinesiology in Education and Football, Kinesiology in Education and Volleyball, Kinesiology in Education and Basic Kinesiological Transformations, Kinesiology in Education and Dancing, Kinesiology in Education and Swimming, Kinesiology in Education and Rhythmic Gymnastics, Kinesiology in Education and Handball, Kinesiology in Education and Skiing, Kinesiology in Education and Artistic Gymnastics, Kinesiology in Education and Management of Sport, Kinesiology in Education and Tennis, Kinesiology in Education and Rowing; Course: Kinesiology in Education and Football; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: magistar / magistra kineziologije (magistar / magistra kineziologije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-01-29 10:42:54