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Dr. Vlad Predescu, Orthopedic and Traumatologist
The personalized osteotomy is primarily aimed at patients aged 30 to 60 years suffering from chronic ligamentous fractures, nascent osteoarthritic lesions or constitutional or knee deformities. . More specifically, we refer to those who have what is called "knee football" (easily broken, using a popular term).
July brought a national first in Romanian orthopedics – the first two custom osteotomies were performed in our country by the team headed by orthopedic surgeon Vlad Predescu.
Regenerative medicine is gaining ground
If it does not intervene in time to correct this dislocation of the knee, the immediate effect is an increased degradation of articular cartilage, which will lead to a knee compromise irreparable and finally to the need for to replace the entire stent joint. Practically, osteotomy is part of surgical techniques that attempt to save or delay the degradation of articular cartilage
Read and Vlad Predescu, primary physician in orthopedics-traumatology, on the bone problems the more common
Sometimes it is necessary to associate the techniques of reconstruction of the ligament and to ] of the regeneration of articular cartilage, with osteotomy . All these procedures, performed simultaneously or successively, are part of the new concept of regenerative medicine which aims to maintain knee health until very old age, so that patients being active and deploying safely
Personalization increases success
Modern medicine has evolved enormously by introducing robotic planning and navigation techniques, preoperatively or intraoperatively. These led to the emergence of implants very close to the individual anatomy of each patient with increased resistance to the effort.
Performance can be achieved using the latest plate designs that allow the patient to resume knee support operated immediately after surgery Surgery This is extremely important not only for shortening the period of recovery, but also through social rehabilitation and rehabilitation of patients .
The classical technique involves immobilization in a gypsum apparatus and crutches for a period of about two months, since [19659908] the intervention allows a partial recovery of support on next day
3D reconstructed knee surgery
The personalized osteotomy has two obvious advantages: much less pain after surgery and a much more precise technique. The last is necessary since the difference of cold between a good result and a mediocre one is very good. Thus, an error greater than two degrees may result in a lower result.
It is easy to understand that such a deviation can only be perceived by the surgeon's eye, as experienced as it is. Therefore, he needs different tools to get the desired result. Innovation is the introduction of personalized guides that are built on the anatomy of each patient. They contain all the mechanical information and guide the surgeon's hand so that the gaps are minimal.
These instruments are constructed from a computed tomography complex e. is is is is is . On this restitution, I get on and simulates the intervention and the surgeon to be chosen the best man.
After completion of the surgical plan, the 3D fingerprints of the guides are taken, the bones of the bones are made and the plate fixed, so as to avoid surgical errors. This technique is extremely accurate and allows simultaneous interventions such as reconstruction of cartilage with artificial membranes or reconstruction of the ligament and 19659014] The Benefits of Custom Osteotomy [19659006] "We want these new techniques to become the norm in pre-articular knee surgery. It is clear that we can change the natural course of osteoarthritis, but only if our patients understand that they must come to the consultation in advance.
With the help of the 2018 medicine, the disability caused by these conditions is no longer an option. Patients can start practicing sports and have an active life very soon after surgery, which is really rewarding because knee pain disappears after these procedures. " concludes Dr. Vlad Predescu, Senior Orthopedic Physician trauma
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