{"id":684,"date":"2021-02-08T10:18:29","date_gmt":"2021-02-08T09:18:29","guid":{"rendered":"https:\/\/www.dr-miskulin.com\/blog\/?p=684"},"modified":"2021-02-17T10:41:51","modified_gmt":"2021-02-17T09:41:51","slug":"artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika","status":"publish","type":"post","link":"https:\/\/www.dr-miskulin.com\/blog\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/","title":{"rendered":"Primjena mati\u010dnih stanica kod artroskopske rekonstrukcije tetiva ramena &#8211; prvi put u ovom dijelu Europe"},"content":{"rendered":"\n<h3 class=\"has-text-align-center\"><strong>PRVI PUT U OVOM DIJELU EUROPE<\/strong><\/h3>\n\n\n\n<p>Pacijent star 82 godine unazad 5 mjeseci navodi bolove u lijevom ramenu koji su se vremenom pogor\u0161avali. Obavljao je fizikalnu terapiju kako bi umanjio tegobe, ali bez uspjeha. Usporedno se smanjivala pokretljivost ozlije\u0111enog ramena. Prije mjesec dana je u\u010dinio magnetnu rezonancu ramena kojom mu je dijagnosticirano puknu\u0107e tetive mi\u0161i\u0107a supraspinatusa u lijevom ramenu, te istegnu\u0107e i izljev oko tetive duge glave bicepsa ruke. (slika 1 \u2013 masivna ruptura tetive m.supraspinatusa).<\/p>\n\n\n\n<p>Tijekom boravka u Specijalnoj bolnici AKSIS u\u010dinjen je operativni zahvat artroskopske rekonstrukcije tetive m.supraspinatusa, tenodeze duge glave m.bicepsa, te akromionplastike lijevog ramena. (slika 2 \u2013 zavr\u0161ena rekonstrukcija tetive)<\/p>\n\n\n\n<figure class=\"wp-block-video\"><video controls src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/uploads\/2021\/02\/Video-0.mp4\"><\/video><\/figure>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Po prvi puta u jugoisto\u010dnoj Europi<\/span><\/strong>, a vjerojatno i \u0161ire, tijekom ovog zahvata \u201epoja\u010dali\u201c smo rekonstruiranu tetivu mati\u010dnim stanicama uzetim iz tkiva sluzne vre\u0107ice koja uobi\u010dajeno pokriva zdrave tetive ramena.<\/p>\n\n\n\n<p>Sluzna vre\u0107a (slika 3) koja se nalazi u ramenu je bogata mati\u010dnim mezenhimalnim stanicama koje omogu\u0107avaju i ubrzavaju regeneraciju tkiva jer posjeduju visok kapacitet samoobnove, kao i izniman potencijal za diferencijaciju u razli\u010dite vrste tkiva. Znanstvena istra\u017eivanja ukazala su na \u010dinjenicu da mati\u010dne stanice, poradi svih svojih karakteristika, imaju esencijalnu ulogu u svim fazama razvoja ljudskog organizma pa tako i cijeljenja ozljeda. Zbog svog prakti\u010dki neograni\u010denog potencijala za proliferaciju i samoobnovu smatra ih se besmrtnima.<\/p>\n\n\n\n<p>Tjekom operacije sluzna vre\u0107ica se o\u010disti s dijela tetive,<\/p>\n\n\n\n<figure class=\"wp-block-video\"><video controls src=\"https:\/\/www.dr-miskulin.com\/blog\/razno\/Video3.mp4\"><\/video><\/figure>\n\n\n\n<p>te se provu\u010de kroz poseban filter za izvla\u010denje mezenhimalnih mati\u010dnih stanica iz sluzne vre\u0107e ramena (GraftNet) (slika 4). Tako pripremljeno tkivo pomije\u0161a se plazmom oboga\u0107enom trombocitima. (slika 5)<\/p>\n\n\n\n<p>Cijeljenje nakon ozljeda i operacija je slo\u017een proces u koji su uklju\u010deni mnogi biolo\u0161ki mehanizmi. Klju\u010dnu ulogu u hemostazi i cijeljenju tkiva imaju trombociti tj. njihova sposobnost da u fazi aktivacije otpu\u0161taju bioaktivne supstance kao \u0161to su faktori rasta, citokini i kemokini.<\/p>\n\n\n\n<p>Trombociti ili krvne plo\u010dice su malena bezbojna tjele\u0161ca u krvi koje znamo po njihovoj ulozi u zgru\u0161avanju. Kada putuju po krvotoku nisu aktivni. &nbsp;Kod ozljede oni se aktiviraju izlaskom iz krvnih \u017eila, okupljaju se na mjestu ozljede, razgranaju se preko ozlije\u0111enog tkiva i tako zapo\u010dne proces cijeljenja. U svojoj aktivnoj fazi lu\u010de aktivne faktore koji sudjeluju u cijeljenju. Utje\u010du na reparaciju tkiva, reaktivnost krvnih \u017eila i drugih krvnih stanica u angiogenezi i upali.<\/p>\n\n\n\n<p>Plazma bogata trombocitima je volumen autologne plazme u kojoj je koncentracija trombocita iznad uobi\u010dajene razine. Plazma je teku\u0107i dio krvi koji sadr\u017ei proteine, ne\u0161to malo lipida, a najve\u0107i dio je voda. ACP je terapija koja se zadnjih godina sve vi\u0161e upotrebljava u lije\u010denju ozljeda ko\u0161tano zglobnog sustava, te trenutno predstavlja jedan od naju\u010dinkovitijih na\u010dina lije\u010denja ozljeda ko\u0161tano-zglobnog sustava u medicini. Ovaj na\u010din lije\u010denja ubrzava cijeljenje i skra\u0107uje vrijeme lije\u010denja od ozljede. Svojim djelovanjem pobolj\u0161ava cijeljenje mi\u0161i\u0107a i pove\u0107ava efektivnu snagu, a posebno ubrzava proces cijeljenja nakon operacije ko\u0161tano-zglobnog sustava. U\u010dinkovito djeluje kod ozljeda hrskavice. Pomo\u0107u specijalne igle izvadi se uzorak venske krvi koja se potom pomo\u0107u posebnog sustava za centrifugu odjeljuje.(slika 6) Na taj na\u010din dobiju se 3 potpuno odijeljena&nbsp; dijela krvi. Na dnu je sloj eritrocita, u sredini trombocita i na vrhu je plazma. Tako dobiven serum (plazma i eritrociti) aplicira se na mjesto boli. Cijeli postupak traje&nbsp; oko 20 minuta. ACP je autologna terapija \u0161to zna\u010di da nema negativnih reakcija jer se pripravak dobiva iz vlastite krvi. (slika 7)<\/p>\n\n\n\n<p>Specifi\u010dnost ove operacije je u tome \u0161to se na mjesto puknu\u0107a tetive, koja je atroskopski ponovno spojena, precizno aplicira mje\u0161avina mati\u010dnih mezenhimalnih stanica i plazme bogate trombocitima (slika 9), \u0161to pospje\u0161uje cijeljenje tetive s dva aspekata \u2013 kroz ubrzanje procesa cijeljenja i regeneracije tetive, kao i kroz kvalitetu tetive u podru\u010dju rupture odnosno njenog rekonstruiranog dijela. (slika 10)<\/p>\n\n\n\n<figure class=\"wp-block-video\"><video controls src=\"https:\/\/www.dr-miskulin.com\/blog\/razno\/Video%201%20(2).mp4\"><\/video><\/figure>\n\n\n\n<p>Operacija zavr\u0161ava odstranjenjem osteofita &#8211; ko\u0161tanih izraslina koje s vremenom smanjuju prostor kroz koji prolazi tetiva m.sipraspinatusa, a sve u cilju prevencije ponovne ozljede tetiva ramena. (Slika 11)<\/p>\n\n\n\n<p>Na kraju operacije je aplicirana i sama plazma bogata trombocitima (ACP) u podru\u010dje oko tetive m.supraspinatusa kako bi se bolovi nakon operacije dodatno umanjili. (slika 12)<\/p>\n\n\n\n<p>Ova tehnika omogu\u0107uje br\u017ee i kvalitetnije cijeljenje tetive, a samim time i br\u017ei oporavak na\u0161ih pacijenata.<\/p>\n\n\n\n<!-- default-view.php -->\n<div\n\tclass=\"ngg-galleryoverview default-view \"\n\tid=\"ngg-gallery-32a8163a355c298669bf12ee30adb0cd-1\">\n\n\t\t<!-- Thumbnails -->\n\t\t\t\t<div id=\"ngg-image-0\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/slika-1-operacijska-slika.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/slika-1-operacijska-slika.jpg\"\n               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data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-4-2.jpg\"\n               data-image-id=\"162\"\n               data-title=\"Slika-4-2\"\n               data-description=\"\"\n               data-image-slug=\"slika-4-2-1\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-4-2\"\n                    alt=\"Slika-4-2\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-4-2.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-9\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/slika-4-2.png\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/slika-4-2.png\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_slika-4-2.png\"\n               data-image-id=\"157\"\n               data-title=\"slika-4-2\"\n               data-description=\"\"\n               data-image-slug=\"slika-4-2\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"slika-4-2\"\n                    alt=\"slika-4-2\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_slika-4-2.png\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-10\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/slika-4.png\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/slika-4.png\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_slika-4.png\"\n               data-image-id=\"163\"\n               data-title=\"slika-4\"\n               data-description=\"\"\n               data-image-slug=\"slika-4-3\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"slika-4\"\n                    alt=\"slika-4\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_slika-4.png\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-11\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-1.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-1.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-1.jpg\"\n               data-image-id=\"164\"\n               data-title=\"Slika-5-1\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-1\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-1\"\n                    alt=\"Slika-5-1\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-1.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-12\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-10.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-10.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-10.jpg\"\n               data-image-id=\"173\"\n               data-title=\"Slika-5-10\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-10\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-10\"\n                    alt=\"Slika-5-10\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-10.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-13\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-11.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-11.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-11.jpg\"\n               data-image-id=\"175\"\n               data-title=\"Slika-5-11\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-11-1\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-11\"\n                    alt=\"Slika-5-11\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-11.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-14\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-2.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-2.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-2.jpg\"\n               data-image-id=\"166\"\n               data-title=\"Slika-5-2\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-2\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-2\"\n                    alt=\"Slika-5-2\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-2.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-15\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-3.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-3.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-3.jpg\"\n               data-image-id=\"165\"\n               data-title=\"Slika-5-3\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-3\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-3\"\n                    alt=\"Slika-5-3\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-3.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-16\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-4.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-4.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-4.jpg\"\n               data-image-id=\"167\"\n               data-title=\"Slika-5-4\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-4\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-4\"\n                    alt=\"Slika-5-4\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-4.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-17\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-5.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-5.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-5.jpg\"\n               data-image-id=\"168\"\n               data-title=\"Slika-5-5\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-5\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-5\"\n                    alt=\"Slika-5-5\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-5.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-18\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-6.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-6.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-6.jpg\"\n               data-image-id=\"169\"\n               data-title=\"Slika-5-6\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-6\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-6\"\n                    alt=\"Slika-5-6\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-6.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-19\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-7.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-7.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-7.jpg\"\n               data-image-id=\"170\"\n               data-title=\"Slika-5-7\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-7\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-7\"\n                    alt=\"Slika-5-7\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-7.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-20\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-8.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-8.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-8.jpg\"\n               data-image-id=\"171\"\n               data-title=\"Slika-5-8\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-8\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-8\"\n                    alt=\"Slika-5-8\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-8.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-21\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-9.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5-9.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-9.jpg\"\n               data-image-id=\"172\"\n               data-title=\"Slika-5-9\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-9\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5-9\"\n                    alt=\"Slika-5-9\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5-9.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-22\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t        <div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-5.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5.jpg\"\n               data-image-id=\"174\"\n               data-title=\"Slika-5\"\n               data-description=\"\"\n               data-image-slug=\"slika-5-11\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-5\"\n                    alt=\"Slika-5\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-5.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\t\t\t<div id=\"ngg-image-23\" class=\"ngg-gallery-thumbnail-box \" >\n\t\t\t\t     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<div class=\"ngg-gallery-thumbnail\">\n            <a href=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-9.jpg\"\n               title=\"\"\n               data-src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/Slika-9.jpg\"\n               data-thumbnail=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-9.jpg\"\n               data-image-id=\"181\"\n               data-title=\"Slika-9\"\n               data-description=\"\"\n               data-image-slug=\"slika-9\"\n               class=\"ngg-simplelightbox\" rel=\"32a8163a355c298669bf12ee30adb0cd\">\n                <img\n                    title=\"Slika-9\"\n                    alt=\"Slika-9\"\n                    src=\"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/gallery\/artroskopska-rekonstrukcija-tetive-ramena-tenodeza-i-akromionplastika\/thumbs\/thumbs_Slika-9.jpg\"\n                    width=\"240\"\n                    height=\"160\"\n                    style=\"max-width:100%;\"\n                \/>\n            <\/a>\n        <\/div>\n\t\t\t\t\t\t\t<\/div> \n\t\t\t\n\t\n\t<br style=\"clear: both\" \/>\n\n\t\n\t\t<!-- Pagination -->\n\t<div class='ngg-clear'><\/div>\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>PRVI PUT U OVOM DIJELU EUROPE Pacijent star 82 godine unazad 5 mjeseci navodi bolove u lijevom ramenu koji su se vremenom pogor\u0161avali. Obavljao je fizikalnu terapiju kako bi umanjio tegobe, ali bez uspjeha. Usporedno se smanjivala pokretljivost ozlije\u0111enog ramena. Prije mjesec dana je u\u010dinio magnetnu rezonancu ramena kojom mu je dijagnosticirano puknu\u0107e tetive mi\u0161i\u0107a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":718,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","ngg_post_thumbnail":0},"categories":[1],"tags":[],"author_meta":{"display_name":"dr. Mladen Mi\u0161kulin","author_link":"https:\/\/www.dr-miskulin.com\/blog\/author\/keano16\/"},"featured_img":"https:\/\/www.dr-miskulin.com\/blog\/wp-content\/uploads\/2021\/02\/naslov-300x204.jpg","coauthors":[],"tax_additional":{"categories":{"linked":["<a href=\"https:\/\/www.dr-miskulin.com\/blog\/category\/novosti\/\" class=\"advgb-post-tax-term\">Novosti<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">Novosti<\/span>"]}},"comment_count":"0","relative_dates":{"created":"Posted 5 godina ago","modified":"Updated 5 godina ago"},"absolute_dates":{"created":"Posted on 08\/02\/2021","modified":"Updated on 17\/02\/2021"},"absolute_dates_time":{"created":"Posted on 08\/02\/2021 10:18","modified":"Updated on 17\/02\/2021 10:41"},"featured_img_caption":"","series_order":"","_links":{"self":[{"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/posts\/684"}],"collection":[{"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/comments?post=684"}],"version-history":[{"count":19,"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/posts\/684\/revisions"}],"predecessor-version":[{"id":741,"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/posts\/684\/revisions\/741"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/media\/718"}],"wp:attachment":[{"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/media?parent=684"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/categories?post=684"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dr-miskulin.com\/blog\/wp-json\/wp\/v2\/tags?post=684"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}