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DAWID MROZIK M.D., Ph.D . Hand & reconstructive surgery Orthopaedic & Trauma

Is the orthopaedic operation necessary ... ? Ortopedik operasyon gerekli mi ? Orthopaedic problems in the hip and knee arthroplasties in Elderly. DAWID MROZIK M.D., Ph.D . Hand & reconstructive surgery Orthopaedic & Trauma Medical Practice , Gdańsk, POLAND.

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DAWID MROZIK M.D., Ph.D . Hand & reconstructive surgery Orthopaedic & Trauma

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  1. Is the orthopaedicoperationnecessary...?Ortopedikoperasyongereklimi ? Orthopaedicproblemsin the hip and kneearthroplasties in Elderly DAWID MROZIK M.D., Ph.D. Hand & reconstructivesurgery Orthopaedic & Trauma MedicalPractice, Gdańsk, POLAND

  2. The most commonlyorthopaedicproblems • hip and kneeartritis • hip fractures • radius fractures • spinearthritis • Halluxvalgus • RZS

  3. The most commonlyperformedorthopaedicoperations

  4. What do YouneedwhenYou'regoing to orthopaedist? • Tell me what'swrong • Whendid the symptoms start? • DidYouhaveany trauma...? • X-rayspicturesimportant • CT or MRI scans • Whatkind of medications do Youtake? importante.g. aspirin (antitromboticdrugs)

  5. DIAGNOSIShip arthrosis:

  6. DIAGNOSIShip fractures:

  7. DIAGNOSISkneearthrosis:

  8. DIAGNOSISkneearthrosis:

  9. AFTER DIAGNOSISchoice of procedure:

  10. Minimallyinvasiveprocedures • injection of hialuronicacids, kolagens, PRP (1-5x) • restoration of structures • restoration of the articularsurface • improve the slip • elimination of pain • steroidalinjection (1-3x) • eliminationof pain • anti-inflammatory • temporarysolution

  11. Minimallyinvasiveprocedures

  12. WhenYouneedanoperation: • hip fractures (fractures of collifemoris) • painwakesyouupatnight • youneed to take 4 ormorepainkillers per day • injection of steroids, collagen, hyaluronicacid do not work • youcan't no longer walk

  13. HIP ENDOPROTHESIS

  14. HIP ENDOPROTHESIS

  15. HIP ENDOPROTHESIS

  16. HIP ENDOPROTHESIS

  17. HIP ENDOPROTHESIS

  18. HIP ENDOPROTHESIS

  19. HIP ENDOPROTHESIS

  20. HIP ENDOPROTHESIS

  21. KNEE ENDOPROTHESIS

  22. KNEE ENDOPROTHESIS

  23. KNEE ENDOPROTHESIS

  24. KNEE ENDOPROTHESIS

  25. KNEE ENDOPROTHESIS

  26. KNEE ENDOPROTHESIS

  27. KNEE ENDOPROTHESIS

  28. KNEE ENDOPROTHESIS Whatafteroperation?

  29. AFTER hip nad kneeoperation:

  30. COMPLICATIONS duringoperation

  31. COMPLICATIONS AFTER OPERATION

  32. IMPORTANT • Kneereplacementismorebiggeroperationthan hip replacement • 2-3 monthsbeforeoperationyoucangiveyourblood to the Bank of blood for future for youifitwill be necessaryduring/afteroperation: Yourbloodisbetter for Youthanblood from otherpeople • Time: waiting for operation in ourcity: 2-6 yearsdepent of the hospital

  33. IMPORTANT • Take yourmedication with yourself to the hospitale.g. HA drugs • Don’tforgetaboutstickwhichhelpyouwalkingafteroperation • Findgoodrehabilitationdepartment • Go to pharmacy and buy: • Steriledressings • Disinfectants (needafteroperation)

  34. IMPORTANT beforeoperation • Youmust be healthly: • No bacterialinfection (14days prioroperation) • No virusesinfection • Normalbloodpressure • No renalfailure • Goodglucoselevels • Skin beforeoperationmust be clean, drywithoutanychangese.g. (scratches, bruises)

  35. THINK ABOUT?

  36. QUESTION? Do I reallyneed the hip orkneeendoprosthesis?

  37. THANK YOU for attention

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