{"id":131,"date":"2017-06-06T05:33:08","date_gmt":"2017-06-06T05:33:08","guid":{"rendered":"http:\/\/balticimplants.eu\/lt\/?page_id=131"},"modified":"2017-08-31T13:16:43","modified_gmt":"2017-08-31T10:16:43","slug":"klubo-sanario-endoprotezai","status":"publish","type":"page","link":"https:\/\/balticimplants.eu\/lt\/personalizuoti-implantai\/klubo-sanario-endoprotezai\/","title":{"rendered":"Personalizuoti klubo s\u0105nario endoprotezai"},"content":{"rendered":"<h2>Apra\u0161ymas<\/h2>\n<p>Klubo s\u0105nario endoprotezai \u2013 tai dirbtiniai klubo s\u0105nariai, skirti pakeisti pa\u017eeist\u0105 ar prarast\u0105 klubo s\u0105nar\u012f. Endoprotezai padeda atkurti suardyt\u0105 klubo s\u0105nario anatomij\u0105 ir atstatyti \u0161io s\u0105nario funkcij\u0105.<\/p>\n<p>Klubo s\u0105nario endoprotezai sudaryti i\u0161 \u0161i\u0173 pagrindini\u0173 komponent\u0173: \u0161launikaulio stiebo, \u012fd\u0117klo ir g\u016b\u017eduob\u0117s komponento. Endoprotez\u0173 komponentai gali b\u016bti standartiniai ir personalizuoti. Esant sud\u0117tingiems atvejams (pavyzd\u017eiui, didelis kaulo defektas, sud\u0117tinga deformacija, dubenkaulio netolydumas (angl. <em>pelvic discontinuity<\/em>) ar esam\u0173 implant\u0173 komplikacijos) rekomenduojamas personalizuotas implantas.<\/p>\n<p>Personalizuoti klubo s\u0105nario implantai ir su jais komplektuojami personalizuoti chirurginiai gidai, projektuojami ant paciento dubens-\u0161launikaulio anatominio modelio, kuris atkuriamas i\u0161 kompiuterin\u0117s tomografijos tyrimo vaizd\u0173. Skirtingai nuo surenkamos konstrukcijos modulini\u0173 standartini\u0173 implant\u0173, kurie naudojami sud\u0117ting\u0173 klinikini\u0173 b\u016bkli\u0173 gydymui, personalizuoti <img loading=\"lazy\" decoding=\"async\" class=\" wp-image-541 alignright\" src=\"http:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/atr__-2-of-1-1024x683.jpg\" alt=\"\" width=\"362\" height=\"241\" srcset=\"https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/atr__-2-of-1-1024x683.jpg 1024w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/atr__-2-of-1-300x200.jpg 300w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/atr__-2-of-1-768x512.jpg 768w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/atr__-2-of-1-360x240.jpg 360w\" sizes=\"auto, (max-width: 362px) 100vw, 362px\" \/>implantai projektuojami kaip vientisas su anatomi\u0161kai adaptuotais pavir\u0161iais, kas ne tik eliminuoja nestabilumo rizik\u0105, priderina implant\u0105 prie kaulo, o ne kaul\u0105 prie implanto (operacijos metu nereikia frezuoti kaulo siekiant pritaikyti j\u012f prie implanto, ar naudoti kaulin\u012f cement\u0105 kartu su metaliniais g\u016b\u017eduob\u0117s tinkleliais ir augmentais kaulo defekto u\u017epildymui), bet ir \u012fgalina atkurti s\u0105nari\u0173 biomechanik\u0105, atsi\u017evelgiant \u012f pasikeitusias kit\u0173 s\u0105narini\u0173 jung\u010di\u0173 \u2013 kelio ir \u010diurnos \u2013 a\u0161is. Unikal\u016bs personalizuot\u0173 implant\u0173 dizaino sprendimai leid\u017eia optimaliai sumodeliuoti primin\u0117s fiksacijos sraigt\u0173 i\u0161d\u0117stym\u0105, o antrin\u0119 fiksacij\u0105 su kaulu u\u017etikrina i\u0161 trabekulinio metalo formuojami pavir\u0161iai, kuri\u0173 gylis technologi\u0161kai neribojamas. Visi kiti personalizuot\u0173 implant\u0173 privalumai, lyginant su standartiniais implantais, priklauso nuo personalizuoto implanto dizaino, konstrukcijos ir personalizavimo lygmens.<\/p>\n<style type=\"text\/css\">#wonderplugintabs-5 > .wonderplugintabs-header-wrap { \tbox-sizing: border-box; \tdisplay: block; \tposition: relative; \twidth: 100%;\t \tz-index: 1; \tmargin-top: -1px; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-inner-wrap { \tbox-sizing: border-box; \tdisplay: block; \toverflow: hidden;\t }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-ul { \tbox-sizing: border-box; \tdisplay: block; \tposition: relative; \tlist-style: none; \tmargin: 0; \tpadding: 0; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-caption { \tcursor: pointer; \tpadding: 8px; \tborder: none; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li { \tbox-sizing: border-box; \tdisplay: block; \tposition: relative; \ttext-align: left; \tmargin: 12px 0; \tpadding: 0; \tbackground-color: #f6f6f6; \tborder: 1px solid #ccc; \tborder-radius: 4px; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li .wonderplugintabs-header-caption:after { \tposition:absolute; \tcolor:#666; \ttop: 12px; \tright:8px; \tcontent: \"\\f067\"; \tfont-family: FontAwesome; \tfont-size: 16px; \tfont-weight:400; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li:hover { \tbackground-color: #fff; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li-active { \tbackground-color: #fff; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li-active .wonderplugintabs-header-caption { \tpadding-bottom: 8px; \tborder-bottom: 1px solid #ccc; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li-active .wonderplugintabs-header-caption:after { \tcontent: \"\\f068\"; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-icon-fontawesome { \tfont-family: FontAwesome; \tfont-size: 18px; \tvertical-align: middle; \tmargin: 8px; \tcolor: #294a70; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-icon-image { \tmargin: 4px; \tvertical-align: middle; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap .wonderplugintabs-header-title { \tdisplay: inline-block; \tmargin: 4px; \tfont-family: \"Open Sans\", Arial, sans-serif; \tfont-size: 14px; \tfont-weight: bold; \tvertical-align: middle; \tcolor: #294a70; }  #wonderplugintabs-5 > .wonderplugintabs-header-wrap  .wonderplugintabs-panel { \tbox-sizing: border-box; \tdisplay: block; \tvisibility: hidden; \tposition: relative; \ttop: 0; \tleft: 0; \twidth: 100%; \ttext-align: left; \tpadding: 14px; }<\/style><div id=\"wonderplugintabs-container-5\" style=\"max-width:1000px;margin:0 auto;\"><div style=\"display:none;\" class=\"wonderplugintabs\" id=\"wonderplugintabs-5\" data-tabsid=\"5\" data-width=\"1000\" data-height=\"400\" data-skin=\"accordiontabs\" data-enabletabindex=\"false\" data-keyaccess=\"false\" data-fullwidthtabs=\"true\" data-accordion=\"true\" data-accordionmultiple=\"false\" data-accordioncloseall=\"true\" data-savestatusincookie=\"false\" data-extendedheight=\"true\" data-responsive=\"true\" data-fullwidth=\"false\" data-applydisplaynonetohiddenpanel=\"true\" data-triggerresize=\"true\" data-triggerresizeonload=\"true\" data-disablewpautop=\"false\" data-hidetitleonsmallscreen=\"false\" data-donotinit=\"false\" data-addinitscript=\"false\" data-fullwidthtabsonsmallscreen=\"true\" data-accordiononsmallscreen=\"true\" data-heightmode=\"auto\" data-minheight=\"300\" data-firstid=\"0\" data-direction=\"horizontal\" data-tabposition=\"top\" data-tabiconposition=\"left\" data-horizontaltabalign=\"left\" data-hidetitleonsmallscreenwidth=\"768\" data-transition=\"\" data-responsivemode=\"menu\" data-tabarrowmode=\"slide\" data-horizontalarrowwidthsameasheight=\"pixels\" data-horizontalarrowwidth=\"32\" data-arrowprevicon=\"fa-angle-left\" data-arrownexticon=\"fa-angle-right\" data-dropdownmenutext=\"More\" data-dropdownmenuicon=\"fa-angle-down\" data-triggerresizetimeout=\"10\" data-triggerresizeonloadtimeout=\"100\" data-fullwidthtabsonsmallscreenwidth=\"480\" data-jsfolder=\"https:\/\/balticimplants.eu\/lt\/wp-content\/plugins\/wonderplugin-tabs\/engine\/\" data-skinsfoldername=\"skins\" ><div class=\"wonderplugintabs-header-wrap\"><div class=\"wonderplugintabs-header-inner-wrap\"><ul class=\"wonderplugintabs-header-ul\"><li class=\"wonderplugintabs-header-li wonderplugintabs-header-li-first wonderplugintabs-header-li-last\"><div class=\"wonderplugintabs-header-caption\"><div class=\"wonderplugintabs-header-title\">Implanto personalizavimo lygmenys<\/div><\/div><\/li><\/ul><\/div><\/div><div class=\"wonderplugintabs-panel-wrap\" style=\"min-height:300px;\"><div class=\"wonderplugintabs-panel wonderplugintabs-panel-first wonderplugintabs-panel-last\"><div class=\"wonderplugintabs-panel-inner\">Klubo s\u0105nario personalizuoti implantai yra projektuojami ir gaminami skirting\u0173 personalizavimo lygmen\u0173:\n<ul>\n \t<li><strong>Pirmasis personalizavimo lygmuo<\/strong> \u2013 implanto formos ir pirminio tvirtinimo sprendim\u0173 pritaikymas atsi\u017evelgiant \u012f paciento kaul\u0173 geometrij\u0105 (kaulo defekt\u0105), bei klubo s\u0105nario g\u016b\u017eduob\u0117s anteversijos ir inklinacijos kampus. Implanto konstrukcijoje s\u0105lytyje su kaulu naudojama trabekulin\u0117 strukt\u016bra (angl. <em>lattice structure<\/em>) u\u017etikrina antrin\u012f implanto stabilum\u0105. Kartu su implantu yra projektuojamos kaulo rezekcijos linijos (jei taikoma), sraigt\u0173 gr\u0119\u017eimo a\u0161ys, bei gaminami personalizuoti chirurginiai gidai.<\/li>\n \t<li><strong>Antrasis personalizavimo lygmuo<\/strong> \u2013 implanto konstrukcijos biomechanin\u0117 adaptacija. \u017dmogaus k\u016bno biomechanika prisitaiko prie palaipsniui besiformuojan\u010di\u0173 patologini\u0173 skeleto strukt\u016br\u0173 poky\u010di\u0173, tod\u0117l siekiant i\u0161vengti komplikacij\u0173 pakeitus susid\u0117v\u0117jus\u012f klubo s\u0105nar\u012f dirbtiniu, implantas projektuojamas ne tik geometri\u0161kai priderinant j\u012f prie susiformavusios dubens ir \u0161launikaulio jungties, bet ir prie biomechanini\u0173 kaimyninio kelio s\u0105nario a\u0161i\u0173 (klubo s\u0105nario implantas pozicionuojamas atsi\u017evengiant \u012f kojos mechanin\u0119 a\u0161\u012f \u2013 klubas-kelis-\u010diurna). Tokiu atveju implanto projektavimui reikalingi papildom\u0173 radiologini\u0173 tyrim\u0173 duomenys, pavyzd\u017eiui apatin\u0117s gal\u016bn\u0117s i\u0161tisin\u0117 rentgenograma dviem profiliais, kurioje matyt\u0173si vis\u0173 apatin\u0117s gal\u016bn\u0117s s\u0105narini\u0173 jung\u010di\u0173 a\u0161i\u0173 pad\u0117tis viena kitos at\u017evilgiu; arba KT tyrimas, kuris apimt\u0173 apatines gal\u016bnes nuo klubo iki \u010diurnos s\u0105nari\u0173;<\/li>\n \t<li><strong>Tre\u010diasis personalizavimo lygmuo<\/strong> \u2013 papildomo funkcionalumo suteikimas implantui integruojant \u012f jo konstrukcij\u0105 kitas med\u017eiagas ar elementus, siekiant infekcij\u0173 prevencijos ar ankstyvosios implanto i\u0161nirimo ir i\u0161klibimo diagnostikos. Pavyzd\u017eiui, siekiant efektyvios infekcij\u0173 prevencijos, adityvin\u0117s gamybos b\u016bdu suformuoto klubo s\u0105nario implanto trabekulinius pavir\u0161ius galima padengti trikalciumfosfato ir hidroksiapatito mi\u0161iniu, prisodrintu konkre\u010diam pacientui parinktais antibiotikais, inkapsuliuotais mikro-kapsul\u0117se, ir valdyti antibiotik\u0173 atlaisvinim\u0105 laike suplanuotomis doz\u0117mis. \nKitas pavyzdys \u2013 norint reguliuoti paciento su endoprotezuotu klubo s\u0105nariu aktyvum\u0105, \u012f implanto konstrukcij\u0105 implantuojami special\u016bs sensoriai, reaguojantys \u012f apkrovos \u012ftakojamus endoprotezo temperat\u016bros poky\u010dius. Sensori\u0173 duomenys perduodami tiesiogiai \u012f i\u0161man\u0173j\u012f telefon\u0105, kuris apskai\u010diuoja s\u0105nariui tenkan\u010di\u0105 fizin\u0119 apkrov\u0105 ir, jei apkrova tampa per did\u0117l\u0117, i\u0161 karto apie tai informuoja implanto ne\u0161iotoj\u0105. Arba sensoriai, kurie fiksuoja nuo kontaktuojan\u010di\u0173 endoprotezo s\u0105narini\u0173 pavir\u0161i\u0173 atitr\u016bkusi\u0173 daleli\u0173 (angl. <em>wear debris<\/em>) kiek\u012f, taip \u012fgalindami gydytojus neinvazi\u0161kai steb\u0117ti implant\u0173 nusid\u0117v\u0117jimo lyg\u012f.<\/li>\n<\/ul><\/div><\/div><\/div><div class=\"wonderplugin-engine\"><a href=\"http:\/\/www.wonderplugin.com\/wordpress-tabs\/\" title=\"Responsive WordPress Tabs\">Responsive WordPress Tabs<\/a><\/div><\/div><\/div>\n<p>&nbsp;<\/p>\n<h2>Personalizuot\u0173 klubo s\u0105nario endoprotezo komponent\u0173 derinimas su standartini\u0173 implant\u0173 komponentais<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-462\" src=\"http:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/Hip-300x216.png\" alt=\"\" width=\"300\" height=\"216\" srcset=\"https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/Hip-300x216.png 300w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/Hip-278x200.png 278w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/Hip-768x553.png 768w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/Hip-1024x737.png 1024w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/Hip-360x259.png 360w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/Hip.png 1508w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Visi klubo s\u0105nario endoprotezo komponentai \u2013 stiebas, g\u016b\u017eduob\u0117 ir \u012fd\u0117klas \u2013 gali b\u016bti gaminami personalizuoti, arba komplektuojami su standartiniais klubo s\u0105nario endoprotezo komponentais ir tvirtinimo sraigtais. Pavyzd\u017eiui, personalizuotas g\u016b\u017eduob\u0117s komponentas panaudojamas kartu su standartiniu \u012fd\u0117klu ir standartiniu \u0161launikaulio stiebu; arba personalizuotas \u0161launikaulio stiebas komplektuojamas su standartiniu \u012fd\u0117klu ir personalizuotu g\u016b\u017eduob\u0117s komponentu.<br \/>\nKlinikin\u0117je praktikoje, personalizuotas \u0161launikaulio stiebas sutinkamas gana retai (pavyzd\u017eiui, pacientams su sud\u0117tinga klubo s\u0105nario deformacija ar <img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-464 alignleft\" src=\"http:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/patient-specific-acetabular-implant-244x300.png\" alt=\"\" width=\"244\" height=\"300\" srcset=\"https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/patient-specific-acetabular-implant-244x300.png 244w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/patient-specific-acetabular-implant-163x200.png 163w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/patient-specific-acetabular-implant-220x270.png 220w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/patient-specific-acetabular-implant.png 518w\" sizes=\"auto, (max-width: 244px) 100vw, 244px\" \/>\u017eymiu proksimalin\u0117s \u0161launikaulio dalies defektu). Da\u017eniausiai, atliekant klubo s\u0105nario revizin\u012f endoprotezavim\u0105, personalizuoto implanto prireikia g\u016b\u017eduobei. Tokiu atveju personalizuotas g\u016b\u017eduob\u0117s implantas komplektuojamas su standartiniu \u012fd\u0117klu, o \u0161launikaulyje, jeigu n\u0117ra tam tikr\u0173 indikacij\u0173, paliekamas tas pats pirminio endoprotezo stiebo komponentas.<br \/>\nOrtho Baltic gaminami personalizuoti klubo s\u0105nario g\u016b\u017eduob\u0117s komponentai da\u017eniausiai yra komplektuojami su standartiniais sertifikuotais, CE \u017eenklu pa\u017eym\u0117tais \u012fd\u0117klais, pagamintais i\u0161 biosuderinam\u0173 <strong>UHMWPE<\/strong> ir <strong>MP-1\u2122<\/strong> med\u017eiag\u0173. Ta\u010diau esant netipiniams atvejams, \u012fd\u0117klus i\u0161 t\u0173 pa\u010di\u0173 med\u017eiag\u0173 gaminame patys 5+1 a\u0161i\u0173 frezavimo stakl\u0117mis. MP-1\u2122 yra nauja med\u017eiaga, gaminama Izraelyje, klini\u0161kai i\u0161bandyta Naujoje Zelandijoje ir Izraelyje, registruota JAV ir ES ir pasi\u017eyminti geresn\u0117mis technin\u0117ms bei biosuderinamumo charakteristikomis nei UHMWPE. Jos technin\u0117s specifikacijos pateiktos ir klinikini\u0173 tyrim\u0173 duomenys pateikti <span style=\"color: #3366ff\"><strong><a style=\"color: #3366ff\" href=\"http:\/\/www.mma-tech.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u010dia<\/a><\/strong><\/span>. \u012ed\u0117klo fiksavimui g\u016b\u017eduob\u0117s komponente naudojamas cementavimas arba mechanin\u0117 fiksacija.<\/p>\n<style type=\"text\/css\">#wonderplugintabs-6 > .wonderplugintabs-header-wrap { \tbox-sizing: border-box; \tdisplay: block; \tposition: relative; \twidth: 100%;\t \tz-index: 1; \tmargin-top: -1px; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-inner-wrap { \tbox-sizing: border-box; \tdisplay: block; \toverflow: hidden;\t }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-ul { \tbox-sizing: border-box; \tdisplay: block; \tposition: relative; \tlist-style: none; \tmargin: 0; \tpadding: 0; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-caption { \tcursor: pointer; \tpadding: 8px; \tborder: none; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li { \tbox-sizing: border-box; \tdisplay: block; \tposition: relative; \ttext-align: left; \tmargin: 12px 0; \tpadding: 0; \tbackground-color: #f6f6f6; \tborder: 1px solid #ccc; \tborder-radius: 4px; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li .wonderplugintabs-header-caption:after { \tposition:absolute; \tcolor:#666; \ttop: 12px; \tright:8px; \tcontent: \"\\f067\"; \tfont-family: FontAwesome; \tfont-size: 16px; \tfont-weight:400; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li:hover { \tbackground-color: #fff; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li-active { \tbackground-color: #fff; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li-active .wonderplugintabs-header-caption { \tpadding-bottom: 8px; \tborder-bottom: 1px solid #ccc; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li-active .wonderplugintabs-header-caption:after { \tcontent: \"\\f068\"; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-icon-fontawesome { \tfont-family: FontAwesome; \tfont-size: 18px; \tvertical-align: middle; \tmargin: 8px; \tcolor: #294a70; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-icon-image { \tmargin: 4px; \tvertical-align: middle; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap .wonderplugintabs-header-title { \tdisplay: inline-block; \tmargin: 4px; \tfont-family: \"Open Sans\", Arial, sans-serif; \tfont-size: 14px; \tfont-weight: bold; \tvertical-align: middle; \tcolor: #294a70; }  #wonderplugintabs-6 > .wonderplugintabs-header-wrap  .wonderplugintabs-panel { \tbox-sizing: border-box; \tdisplay: block; \tvisibility: hidden; \tposition: relative; \ttop: 0; \tleft: 0; \twidth: 100%; \ttext-align: left; \tpadding: 14px; }<\/style><div id=\"wonderplugintabs-container-6\" style=\"max-width:1000px;margin:0 auto;\"><div style=\"display:none;\" class=\"wonderplugintabs\" id=\"wonderplugintabs-6\" data-tabsid=\"6\" data-width=\"1000\" data-height=\"400\" data-skin=\"accordiontabs\" data-enabletabindex=\"false\" data-keyaccess=\"false\" data-fullwidthtabs=\"true\" data-accordion=\"true\" data-accordionmultiple=\"false\" data-accordioncloseall=\"true\" data-savestatusincookie=\"false\" data-extendedheight=\"true\" data-responsive=\"true\" data-fullwidth=\"false\" data-applydisplaynonetohiddenpanel=\"true\" data-triggerresize=\"true\" data-triggerresizeonload=\"true\" data-disablewpautop=\"false\" data-hidetitleonsmallscreen=\"false\" data-donotinit=\"false\" data-addinitscript=\"false\" data-fullwidthtabsonsmallscreen=\"true\" data-accordiononsmallscreen=\"true\" data-heightmode=\"auto\" data-minheight=\"300\" data-firstid=\"0\" data-direction=\"horizontal\" data-tabposition=\"top\" data-tabiconposition=\"left\" data-horizontaltabalign=\"left\" data-hidetitleonsmallscreenwidth=\"768\" data-transition=\"\" data-responsivemode=\"menu\" data-tabarrowmode=\"slide\" data-horizontalarrowwidthsameasheight=\"pixels\" data-horizontalarrowwidth=\"32\" data-arrowprevicon=\"fa-angle-left\" data-arrownexticon=\"fa-angle-right\" data-dropdownmenutext=\"More\" data-dropdownmenuicon=\"fa-angle-down\" data-triggerresizetimeout=\"10\" data-triggerresizeonloadtimeout=\"100\" data-fullwidthtabsonsmallscreenwidth=\"480\" data-jsfolder=\"https:\/\/balticimplants.eu\/lt\/wp-content\/plugins\/wonderplugin-tabs\/engine\/\" data-skinsfoldername=\"skins\" ><div class=\"wonderplugintabs-header-wrap\"><div class=\"wonderplugintabs-header-inner-wrap\"><ul class=\"wonderplugintabs-header-ul\"><li class=\"wonderplugintabs-header-li wonderplugintabs-header-li-first wonderplugintabs-header-li-last\"><div class=\"wonderplugintabs-header-caption\"><div class=\"wonderplugintabs-header-title\">Ortho Baltic personalizuot\u0173 klubo s\u0105nario endoprotez\u0173 klinikin\u0117s indikacijos<\/div><\/div><\/li><\/ul><\/div><\/div><div class=\"wonderplugintabs-panel-wrap\" style=\"min-height:300px;\"><div class=\"wonderplugintabs-panel wonderplugintabs-panel-first wonderplugintabs-panel-last\"><div class=\"wonderplugintabs-panel-inner\">Ortho Baltic gamina personalizuotus klubo s\u0105nario implantus sekan\u010di\u0173 klinikini\u0173 b\u016bkli\u0173 ir j\u0173 kombinacij\u0173 gydymui:\n<ul>\n \t<li>\u012egimta klubo s\u0105nario deformacija;<\/li>\n \t<li>Pseudoartroz\u0117;<\/li>\n \t<li>Patologinis l\u016b\u017eimas, neklasifikuojamas kitur<\/li>\n \t<li>Ortopedini\u0173 endoprotez\u0173, implant\u0173 ir transplantat\u0173 komplikacijos;<\/li>\n \t<li>Degeneracin\u0117s s\u0105nari\u0173 ligos kai kiti gydymo metodai neveiksmingi:\n<ul>\n \t<li>seropozityvus reumatoidinis artritas;<\/li>\n \t<li>kitas reumatoidinis artritas;<\/li>\n \t<li>psoriazin\u0117s ir enteropatin\u0117s artropatijos;<\/li>\n \t<li>kitos specifin\u0117s artropatijos;<\/li>\n \t<li>poliartroz\u0117;<\/li>\n \t<li>koksartroz\u0117;<\/li>\n \t<li>kita artroz\u0117;<\/li>\n<\/ul>\n<\/li>\n \t<li>Onkologiniai dubenkaulio ir \/ ar klubo s\u0105nario pa\u017eeidimai;<\/li>\n \t<li>Kiti strukt\u016briniai pakitimai, kai kaulinio audinio b\u016bkl\u0117 tinkama implanto tvirtinimui.<\/li>\n<\/ul><\/div><\/div><\/div><div class=\"wonderplugin-engine\"><a href=\"http:\/\/www.wonderplugin.com\/wordpress-tabs\/\" title=\"Responsive WordPress Tabs\">Responsive WordPress Tabs<\/a><\/div><\/div><\/div>\n<p>&nbsp;<\/p>\n<h2>Ortho Baltic personalizuot\u0173 klubo s\u0105nario endoprotez\u0173 gamyba ir med\u017eiagos<\/h2>\n<p><span style=\"color: #003366\"><em>Ortho Baltic<\/em> <\/span>personalizuoti klubo s\u0105nario endoprotezai yra medicinos prietaisai, registruoti Lietuvos Respublikos Valstybin\u0117je akreditavimo sveikatos prie\u017ei\u016bros veiklai tarnyboje prie Sveikatos apsaugos ministerijos. Visos personalizuot\u0173 implant\u0173 ir chirurgini\u0173 gid\u0173 gamyboje naudojamos med\u017eiagos ir programin\u0117 bei technin\u0117 \u012franga yra sertifikuoti.<br \/>\nOrtho Baltic personalizuot\u0173 klubo s\u0105nario implant\u0173 gamybai naudoja \u0161ias med\u017eiagas ir gamybos technologijas:<\/p>\n<ul>\n<li>metaliniai komponentai gaminami i\u0161 medicininio titano lydinio <strong>Ti6Al4V<\/strong>, naudojant <strong>DMLS<\/strong> adityvin\u0117s gamybos technologij\u0105;<\/li>\n<li>vienkartinio naudojimo personalizuoti chirurginiai gidai, taip pat ir personalizuoti anatominiai bei implanto modeliai, naudojami prie\u0161-operaciniame planavime, o taip pat planavimo ir mokymo tikslais pa\u010di\u0173 operacij\u0173 metu, yra spausdinami i\u0161 biosuderinamo polimero (PA 2200, dar \u017einomo kaip <strong>Nylon-12<\/strong>), naudojant <strong>SLS<\/strong> adityvin\u0117s gamybos technologij\u0105;<\/li>\n<li>g\u016b\u017eduob\u0117s \u012fd\u0117klams gaminti (jeigu yra poreikis personalizuotiems \u012fd\u0117klams) naudojame <strong>UHMWPE<\/strong> arba <strong>MP-1\u2122<\/strong> polietilen\u0105 ir 5+1 a\u0161i\u0173 frezavimo technologij\u0105.<\/li>\n<\/ul>\n<p>Atspausdinus arba i\u0161frezavus personalizuot\u0105 implant\u0105 (ar chirurgin\u012f gid\u0105), atliekama eil\u0117 pavir\u0161iaus apdirbimo ir kokyb\u0117s kontrol\u0117s operacij\u0173, kol \u012fsitikinama, kad medicinos prietaiso kokyb\u0117 atitinka harmonizuotuose produkto standartuose nustatytus reikalavimus. Detalesn\u0119 informacij\u0105 apie personalizuot\u0173 implant\u0173 projektavimo, gamybos ir validavimo eig\u0105 rasite <a href=\"http:\/\/balticimplants.eu\/lt\/personalizuoti-implantai\/gamybos-grandine\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff\"><strong>\u010dia<\/strong><\/span><\/a>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-473 aligncenter\" src=\"http:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/hip_process_LT.png\" alt=\"\" width=\"919\" height=\"313\" srcset=\"https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/hip_process_LT.png 1358w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/hip_process_LT-300x102.png 300w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/hip_process_LT-768x261.png 768w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/hip_process_LT-1024x348.png 1024w, https:\/\/balticimplants.eu\/lt\/wp-content\/uploads\/sites\/2\/2017\/06\/hip_process_LT-360x122.png 360w\" sizes=\"auto, (max-width: 919px) 100vw, 919px\" \/><\/p>\n<h2>Ortho Baltic personalizuot\u0173 klubo s\u0105nario endoprotez\u0173 komplektacija<\/h2>\n<p><span style=\"color: #003366\"><em>Ortho Baltic<\/em><\/span> personalizuot\u0173 klubo s\u0105nari\u0173 endoprotez\u0173 komplektacij\u0105 sudaro:<\/p>\n<ul>\n<li>Personalizuotas implantas;<\/li>\n<li>Personalizuoto implanto bandinys (pasirinktinai);<\/li>\n<li>Personalizuotas(-i) chirurginis(-iai) gidas(-i) (pasirinktinai);<\/li>\n<li>Personalizuoti anatominiai ir implanto modeliai, skirti prie\u0161-operaciniam planavimui (virtual\u016bs arba materializuoti);<\/li>\n<li>Standartiniai implanto tvirtinimo sraigtai (jeigu u\u017esakomas personalizuotas g\u016b\u017eduob\u0117s komponentas);<\/li>\n<li>Polietileninis (UHMWPE arba MP-1\u2122) g\u016b\u017eduob\u0117s \u012fd\u0117klas (pasirinktinai);<\/li>\n<li>Dokumentacija (implanto pasas, naudojimo instrukcija ir kt.)<\/li>\n<\/ul>\n<p>Implant\u0173 tvirtinimui prie kaulo yra naudojama standartin\u0117 klubo s\u0105nario pirminio\/revizinio endoprotezavimo operacijoms skirta chirurgin\u0117 instrumentuot\u0117. <span style=\"color: #003366\"><em>Ortho Baltic<\/em><\/span> u\u017etikrina implanto tvirtinimo sprendimo suderinamum\u0105 su chirurgo (gydymo \u012fstaigos) turima instrumentuote.<\/p>\n<p>Nor\u0117dami u\u017esakyti personalizuoto klubo s\u0105nario endoprotez\u0105, taip pat jeigu turite klausim\u0173 ar pageidaujate netipin\u0117s personalizuoto implanto komplektacijos, pra\u0161ome susisiekti su m\u016bs\u0173 komanda u\u017epildydami \u017eemiau esan\u010di\u0105 <strong>u\u017eklausos form\u0105<\/strong>:<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f111-o1\" lang=\"lt-LT\" dir=\"ltr\" data-wpcf7-id=\"111\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/lt\/wp-json\/wp\/v2\/pages\/131#wpcf7-f111-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontakt\u0173 forma\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"111\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.4.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"lt_LT\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f111-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"forma\">\n\t<div class=\"left\">\n\t\t<p><label> Vardas (privaloma)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n\t\t<\/p>\n\t\t<p><label> El. pa\u0161tas (privaloma)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n\t\t<\/p>\n\t\t<p><label>Priedas<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-473\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".gif,.png,.jpg,.jpeg,.stl,.zip,.rar,.7z,.obj,.wrl,.igs,.stp,.doc,.docx\" aria-invalid=\"false\" type=\"file\" name=\"file-473\" \/><\/span> <\/label><br \/>\n\t\t<div class=\"wpcf7-turnstile cf-turnstile\" data-sitekey=\"0x4AAAAAAFma_O8N2WZsxh8T\" data-response-field-name=\"_wpcf7_turnstile_response\"><\/div>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"right\">\n\t\t<p><label>\u017dinut\u0117<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span><\/label>\n\t\t<\/p>\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Si\u0173sti\" \/>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"clear\">\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Apra\u0161ymas Klubo s\u0105nario endoprotezai \u2013 tai dirbtiniai klubo s\u0105nariai, skirti pakeisti pa\u017eeist\u0105 ar prarast\u0105 klubo s\u0105nar\u012f. Endoprotezai padeda atkurti suardyt\u0105 klubo s\u0105nario anatomij\u0105 ir atstatyti \u0161io s\u0105nario funkcij\u0105. Klubo s\u0105nario endoprotezai sudaryti i\u0161 \u0161i\u0173 pagrindini\u0173 komponent\u0173: \u0161launikaulio stiebo, \u012fd\u0117klo ir g\u016b\u017eduob\u0117s komponento. Endoprotez\u0173 komponentai gali b\u016bti standartiniai ir personalizuoti. Esant sud\u0117tingiems atvejams (pavyzd\u017eiui, didelis kaulo defektas, sud\u0117tinga deformacija, dubenkaulio netolydumas <a href=\"https:\/\/balticimplants.eu\/lt\/personalizuoti-implantai\/klubo-sanario-endoprotezai\/\" class=\"read-more\">Skaityti toliau &#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":146,"parent":33,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-131","page","type-page","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.4 - aioseo.com -->\n\t<meta name=\"description\" content=\"Klubo s\u0105nario endoprotezai padeda atkurti suardyt\u0105 klubo s\u0105nario anatomij\u0105 ir atstatyti \u0161io s\u0105nario funkcij\u0105. 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