{"id":1652,"date":"2019-05-03T10:32:25","date_gmt":"2019-05-03T08:32:25","guid":{"rendered":"https:\/\/www.cematec.org\/traumatologia\/artroscopies\/artroscopia-de-turmell\/"},"modified":"2022-06-16T21:55:19","modified_gmt":"2022-06-16T19:55:19","slug":"artroscopia-de-turmell","status":"publish","type":"page","link":"https:\/\/www.cematec.org\/ca\/traumatologia\/artroscopies\/artroscopia-de-turmell\/","title":{"rendered":"Artrosc\u00f2pia de turmell"},"content":{"rendered":"

La artrosc\u00f2pia<\/span> de turmell<\/span><\/strong> o de la articulaci\u00f3<\/span> tebi-astragalina<\/span> \u00e9s<\/span> la visualitzaci\u00f3<\/span> de aquesta<\/span> articulaci\u00f3<\/span> amb \u00f2ptiques<\/span> semblants<\/span> a les<\/span> del espatlla<\/span> o genoll<\/span> , a trav\u00e9s<\/span> de unes<\/span> m\u00ednimes<\/span> incisions<\/span> . Amb elles<\/span> podem<\/span> veure<\/span> , explorar<\/span> i efectuar<\/span> cirurgia<\/span> visualitzant<\/span> -la amb un monitor de televisi\u00f3<\/span> .<\/p>\n

\"\"<\/p>\n

La visi\u00f3<\/span> interna<\/span> ens permet<\/span> valorar<\/span> amb m\u00e9s exactitud<\/span> les<\/span> estructures<\/span> , mobilitzar<\/span> el turmell<\/span> , saber a quins<\/span> punts<\/span> pot<\/span> pin\u00e7ar<\/span> o fregar<\/span> i actuar<\/span> quir\u00fargicament<\/span> a les<\/span> diferents<\/span> patologies<\/span> .<\/p>\n

QUAN<\/span> ES POT<\/span> APLICAR<\/span> L’ ARTROSC\u00d2PIA<\/span> DE TURMELL<\/span> ?<\/strong><\/p>\n

Es pot<\/span> utilitzar<\/span> la artrosc\u00f2pia<\/span> a sinovitis<\/span> reum\u00e0tica<\/span> de turmell<\/span><\/strong> per<\/span> efectuar<\/span> una<\/span> sinovectomia<\/span><\/strong> , a traumatismes<\/span> residuals<\/span> alliberant<\/span> els pin\u00e7aments<\/span> i resoldre el dolor. Podem<\/span> utilitzar<\/span> -la a les<\/span> lesions<\/span> de cart\u00edlag<\/span> (osteocondritis<\/span><\/strong> o osteonecrosi<\/span><\/strong> ) per<\/span> retirar<\/span> fragments<\/span> ossis<\/span> o cartilaginosos<\/span> o per a<\/span> la reinserci\u00f3<\/span> dels mateixos<\/span> .<\/p>\n

Podem<\/span> aplicar-<\/span> la per<\/span> retirar<\/span> vorells<\/span> ossis<\/span> per<\/span> osteofits<\/span> de la articulaci\u00f3<\/span> tebi-astragalina<\/span> que<\/span> impedeixen<\/span> la mobilitat<\/span> completa<\/span> i tamb\u00e9<\/span> com a<\/span> ajuda<\/span> per<\/span> efectuar<\/span> una<\/span> fixaci\u00f3<\/span> del turmell<\/span> (artr\u00f2desi<\/span> ).<\/p>\n

\"\"<\/p>\n

\n

COM<\/span> \u00c9S<\/span> EL POST-OPERATARI<\/span> DE L’ ARTROSC\u00d2PIA<\/span> DE TURMELL<\/span> ?<\/strong><\/p>\n<\/div>\n

Donat que<\/span> la artrosc\u00f2pia<\/span> es efectua<\/span> amb anest\u00e8sia<\/span> regional, es pot<\/span> iniciar<\/span> la deambulaci\u00f3<\/span> al passar<\/span> els efectes<\/span> de la anest\u00e8sia<\/span> , per\u00f2<\/span> habitualment<\/span> es han de<\/span> deixar<\/span> drenatges<\/span> al turmell<\/span> , ho que<\/span> obliga<\/span> al rep\u00f2s<\/span> durant<\/span> unes<\/span> 12-24 hores<\/span> i una<\/span> vegada<\/span> retirats<\/span> els drenatges<\/span> es inicia<\/span> la mobilitat<\/span> del turmell<\/span> de forma passiva<\/span> i activa<\/span> .<\/p>\n

Depenent<\/span> de la patologia<\/span> tractada<\/span> , es podr\u00e0<\/span> iniciar<\/span> la marxa<\/span> amb o sense suport<\/span> total, ajuda<\/span> de bastons<\/span> , gel<\/span> localment<\/span> i mobilitat<\/span> progressiva<\/span> .<\/p>\n

El temps<\/span> de la recuperaci\u00f3<\/span> sol<\/span> ser<\/span> molt<\/span> variable, ja<\/span> que<\/span> tamb\u00e9<\/span> ho s\u00f3n les<\/span> patologies<\/span> que<\/span> podem<\/span> tractar<\/span> . Definitivament<\/span> , la artrosc\u00f2pia<\/span> minimitza<\/span> els efectes<\/span> de una<\/span> cirurgia<\/span> oberta<\/span> ja<\/span> que<\/span> preserva<\/span> les<\/span> insercions<\/span> capsulars<\/span> , sistema<\/span> neuro-vascular<\/span> i la propiocepci\u00f3<\/span> de la marxa<\/span> .<\/p>\n<\/div>

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