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Народна библиотека Србије, Београд
61
MD : Medical Data : medicinska revija = medical review / glavni i odgovorni urednik Dušan Lalošević. - Vol. 1, no. 1 (2009)- . - Zemun : Udruženje za kulturu povezivanja Most Art Jugoslavija ; Novi Sad : Pasterovo društvo, 2009- (Beograd : Scripta Internacional). - 30 cm

Dostupno i na: http://www.md-medicaldata.com. - Tri puta godišnje.

ISSN 1821-1585 = MD. Medical Data
COBISS.SR-ID 158558988


REHABILITACIJA PRELOMA KOSTIJU POTKOLENICE U ADOLESCENTSKOM UZRASTU /

REHABILITATION OF LOWER LEG BONE FRACTURES IN ADOLESCENTS

Authors

Milica Stanić1,2, Aleksandra Mikov1,2, Vladimir Đan1,3, Jelena Zvekić-Svorcan1,4, Dragana Vukliš1, Milena Kovačević1, Rastislava Krasnik1,2 , Tijana Vuković1,5

1Univerzitet u Novom Sadu, Medicinski fakultet Novi Sad, Srbija
2Klinika za fizikalnu medicinu i rehabilitaciju. Institut za zdravstvenu zaštitu dece i omladine Vojvodine, Novi Sad, Srbija
3Klinika za dečju hirurgiju. Institut za zdravstvenu zaštitu dece i omladine Vojvodine, Novi Sad, Srbija
4Specijalna bolnica za reumatske bolesti Novi Sad, Srbija
5Zavod za zdravstvenu zaštitu radnika Novi Sad, Novi Sad, Srbija

 

UDK: 616.717.5-001.5-08‑053.6


The paper was received / Rad primljen 17.03.2025.

Accepted / Rad prihvaćen: 21.04.2025.

 


Correspondence to:


Prof. dr Rastislava Krasnik
Medicinski fakultet Univerziteta u Novom Sadu
Katedra za medicinsku rehabilitaciju
Klinika za fizikalnu medicinu i rehabilitaciju Instituta za zdravstvenu zaštitu dece i omladine Vojvodine, Novi Sad
Hajduk Veljkova 3, Novi Sad, Srbija
Tel: +381 21 4880-444, lok 516
e-mail: rastislava.krasnik@mf.uns.ac.rs

 

 

Sažetak

 

 

Uvod: Prelomi distalnog okrajka tibije i fibule su česte povrede kod adolescenata, najčešće nastaju kao posledica saobraćajnog traumatizma. Ortopedsko zbrinjavanje ovih povreda primenom intramedularnih klinova obezbeđuje dobar ishod, dok rehabilitacija igra ključnu ulogu za povratak adolescenata u svakodnevno funkcionisanje. Prikaz slučaja: 16-godišnji ispitanik, koji aktivno trenira boks, zadobio je dislokovani prelom tibije i fibule kao posledicu saobraćajnog traumatizma. Nakon ortopedskog zbrinjavanja povrede, započeo je šestonedeljnu rehabilitaciju u tri faze, sa postepenim povećanjem opterećenja i vežbama za povećanje obima pokreta, mišićne snage i korekciju šeme hoda. Rezultati su pokazali poboljšanje kada se radi o obimu pokreta, mišićnoj snazi i povratku svakodnevnim aktivnostima. Zaključak: Rehabilitacija treba biti individualno prilagođena, uz postepeno povećanje opterećenja. Potrebno je usmeriti dalja istraživanja na razvoj standardizovanih protokola za brži povratak  adolescenata svakodnevnim aktivnostima.

 

Ključne reči:

tibija, fibula, prelom, rehabilitacija, adolescenti

 

 

 

Abstract

 

Introduction: Distal tibia and fibula fractures are common injuries in adolescents, often resulting from road traffic accidents. Orthopedic treatment with intramedullary nails ensures a good outcome, while rehabilitation plays a crucial role in the return of adolescents to daily functioning. Case Presentation: A 16-year-old male boxer sustained a displaced tibia and fibula fracture due to a road traffic accident. After orthopedic treatment, he began a six-week rehabilitation program in three phases, with gradual load increase and exercises for mobility, strength, and gait correction. The results showed improvement in range of motion, muscle strength, and return to daily activities. Conclusion: Rehabilitation should be individualized, with gradual load increase. Further research should focus on developing standardized protocols for a quicker return to daily activities in adolescents.

 


Key words:

tibia, fibula, fracture, rehabilitation, adolescents

 

 

 

 

References:

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  7. Khan R, Jameel J, Kumar S, Aslam A, Chahal G, Shishir R. Rush Nail in the Management of Distal One-third Fibular Fracture in Both Bone Fractured Legs: A Clinical Study. Journal of Bone and Joint Diseases. 2017;32(1):32–6.
  8. Kim RG, An VVG, Petchell JF. Fibular fixation in mid and distal extra-articular tibia fractures – A systematic review and meta-analysis. Foot and Ankle Surgery. 2022;28(7):809–16.
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  10. Shermetaro J, Sosnoski D, Ramalingam W, Tamai J. Management of pediatric supination-inversion ankle injuries involving distal tibia and intraepiphyseal distal fibula fractures. JAAOS Glob Res Rev. 2024;8(5): e23.00284.
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  12. Canton G, Sborgia A, Maritan G, Fattori R, Roman F, Tomic M, et al. Fibula fractures management. World J Orthop. 2021;12(5):254-69.
  13. Patel NK, Horstman J, Kuester V, Sambandam S, Mounasamy V. Pediatric tibial shaft fractures. IJOO. 2018;52(5):522–8.

PDF: 08-Stanić M. et al MD-Medical Data 2025;17(2) 131-135.pdf

 

 

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