{"id":69137,"date":"2018-06-20T14:22:54","date_gmt":"2018-06-20T14:22:54","guid":{"rendered":"http:\/\/humanitasnet-new.local\/unita-operative\/ortopedie-pediatrica\/"},"modified":"2018-06-20T14:22:54","modified_gmt":"2018-06-20T14:22:54","slug":"ortopedie-pediatrica","status":"publish","type":"unit","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/units\/ortopedie-pediatrica\/","title":{"rendered":"Ortopedie pediatric\u0103"},"content":{"rendered":"

Activitatea Unit\u0103\u021bii de Ortopedie Pediatric\u0103, \u00een sfera Clinicii Ortopedice a Universit\u0103\u021bii din Milano, condus\u0103 de Prof. Nicola Portinaro, vizeaz\u0103 diagnosticarea \u0219i tratamentul tuturor patologiilor relevante ortopedice, primitive \u0219i secundare, care pot s\u0103 apar\u0103 de la na\u0219tere la al 18-lea an de via\u021b\u0103.<\/p>\n

De-a lungul traseului diagnostic-terapeutic, pacientul este urmat de o echip\u0103 format\u0103 din profesioni\u0219ti independen\u021bi – un chirurg ortoped, un fizioterapeut, un terapeut de reabilitare, un anestezist \u0219i un terapeut de durere, toate cu o specializare super \u00een pediatrie – care permite s\u0103 se confrunte \u00een comun cu problemele t\u00e2n\u0103rului pacient. Spa\u021biile \u0219i traseul diagnostic-terapeutic au fost concepute pentru a asigura cel mai mare confort pentru pacien\u021bi. Exist\u0103 spa\u021bii speciale pentru clinicile ambulatorii, benzi ultra-rapide rezervate pentru verific\u0103ri diagnostice \u00een cazul unei opera\u021bii chirurgicale \u0219i, unic \u00een Italia, un serviciu de reabilitare intensiv\u0103 \u00een perioada imediat postoperatorie \u00een aceea\u0219i sal\u0103. Un p\u0103rinte poate r\u0103m\u00e2ne, de asemenea, 24\/24 ore \u00een timpul \u0219ederii \u00een spital. Aceast\u0103 strategie managerial\u0103 permite ca aproximativ 600 de pacien\u021bi trata\u021bi chirurgical s\u0103 fie trata\u021bi \u00een fiecare an.<\/p>\n

Echipa desf\u0103\u0219oar\u0103 o activitate general\u0103 ortopedic\u0103 general\u0103 pediatric\u0103 ortopedic\u0103, cu interes specific \u00een deform\u0103rile complexe ale membrelor, at\u00e2t inferioare, c\u00e2t \u0219i superioare (deforma\u021bii varus-valgus, probleme de deformare rota\u021bional\u0103 \u0219i e\u0219ec congenital de formare a segmentelor musculo-scheletice), pentru clasificarea problemele ortopedice asociate cu sindroamele genetice, patologiile care afecteaz\u0103 picioarele copiilor (picioarele plate, goale \u0219i de col\u021b) \u0219i malforma\u021biile congenitale ale articula\u021biilor majore, precum \u0219oldul \u0219i genunchiul.<\/p>\n

Echipa desf\u0103\u0219oar\u0103 o activitate general\u0103 ortopedic\u0103 general\u0103 pediatric\u0103 ortopedic\u0103, cu interes specific \u00een deform\u0103rile complexe ale membrelor, at\u00e2t inferioare, c\u00e2t \u0219i superioare (deforma\u021bii varus-valgus, probleme de deformare rota\u021bional\u0103 \u0219i e\u0219ec congenital de formare a segmentelor musculo-scheletice), pentru clasificarea problemele ortopedice asociate cu sindroamele genetice, patologiile care afecteaz\u0103 picioarele copiilor (picioarele plate, goale \u0219i de col\u021b) \u0219i malforma\u021biile congenitale ale articula\u021biilor majore, precum \u0219oldul \u0219i genunchiul. Exist\u0103 un serviciu de ultrasunete neonatal\u0103 a \u0219oldurilor din unitate, care permite diagnosticarea oric\u0103ror patologii prin metode neinvazive, cum ar fi ultrasunetele, asociate \u00eentotdeauna cu o evaluare general\u0103 a nou-n\u0103scutului, \u00een acela\u0219i loc \u0219i \u00een acela\u0219i timp \u0219i , dac\u0103 este necesar, stabilirea imediat\u0103 a tratamentului cel mai adecvat (conservatoare sau chirurgicale) \u0219i urm\u0103rirea p\u00e2n\u0103 la revenirea micului pacient.<\/p>\n

Unitatea este, de asemenea, centrul na\u021bional de referin\u021b\u0103 pentru studiul \u0219i tratamentul problemelor ortopedice secundare tulbur\u0103rilor neuromusculare, cu referire special\u0103 la paralizia cerebral\u0103, spina bifida \u0219i distrofia muscular\u0103.<\/p>\n

Cercetarea clinic\u0103 \u0219i de baz\u0103 se desf\u0103\u0219oar\u0103 \u00een cadrul Institutului \u00een cooperare cu centrele universitare italiene \u0219i str\u0103ine. Mai multe studii de cercetare policentric\u0103 sunt \u00een curs de desf\u0103\u0219urare cu Institutul de Morfologie Omului Normal al Universit\u0103\u021bii din Milano \u0219i Politehnica din Milano, unde sunt studiate modific\u0103rile genetice ale tendoanelor bolnavilor (laboratorul de biologie molecular\u0103 \u0219i genetic\u0103 \u0219i proteomic\u0103) \u0219i impactul asupra abilit\u0103\u021bilor lor motorii este studiat prin analiza computerizat\u0103 a mersului pe jos (laboratorul bio-inginerie pentru cinetic\u0103 \u0219i cinematica etapei) pentru a g\u0103si \u0219i perfec\u021biona solu\u021bii terapeutice noi pentru copiii cu probleme ortopedice, \u00een special pentru cei afecta\u021bi de dizabilit\u0103\u021bi neuromotorii infantile, paralizie cerebral\u0103.Unitatea este implicat\u0103 \u00een studierea modific\u0103rilor la propriet\u0103\u021bile genetice, metabolice \u0219i mecanice ale tendoanelor induse de spasticitatea tipic\u0103 a bolilor neuromusculare, pentru a \u00een\u021belege unele mecanisme legate de aceste boli. Acest lucru a permis recent aplicarea unor noi protocoale de tratament medical \u0219i chirurgical care sunt puse \u00een aplicare foarte devreme, cu tehnici minim invazive \u0219i reabilitare imediat\u0103 din ziua urm\u0103toare opera\u021biei, cu rezultate foarte promi\u021b\u0103toare.Ca parte a Clinicii de Ortopedie, predarea este o parte foarte important\u0103 a unit\u0103\u021bii pediatrice de ortopedie \u0219i se adreseaz\u0103 studen\u021bilor care urmeaz\u0103 cursul de medicin\u0103, cu un curs de Ortopedie Pediatric\u0103 \u0219i un curs electiv privind bolile neuro-motor infantile. \u00cen plus, predarea principalelor patologii ortopedice pediatrice \u0219i tratamentul acestora este acordat\u0103, de asemenea, studen\u021bilor din \u0218coala de Specializare \u00een Ortopedie \u0219i Traumatologie a Universit\u0103\u021bii din Milano, gradul de obstetric\u0103, cel al \u0219tiin\u021belor Nursing, al tehnicienilor de neuro – abilit\u0103\u021bile psiho-motrice \u0219i cursul pentru tehnicienii orthopedici.<\/p>\n

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