{"id":345,"date":"2026-03-04T10:34:51","date_gmt":"2026-03-04T10:34:51","guid":{"rendered":"https:\/\/ortopedie-sopon.ro\/?page_id=345"},"modified":"2026-03-12T10:03:15","modified_gmt":"2026-03-12T10:03:15","slug":"fracturile-de-col-femural","status":"publish","type":"page","link":"https:\/\/ortopedie-sopon.ro\/index.php\/fracturile-de-col-femural\/","title":{"rendered":"Fracturile de col femural"},"content":{"rendered":"<div class=\"oxy-container-345-101 oxy-container div-hero-fractura\"><div class=\"oxy-container-345-106 oxy-container container-49\"><img decoding=\"async\" class=\"oxy-image-345-107 oxy-image img-text-fracturi\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-81.png\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-81.png 906w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-81-300x66.png 300w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-81-768x170.png 768w\" sizes=\"(max-width: 906px) 100vw, 906px\"><\/div><div class=\"oxy-container-495-100-495-1 oxy-container container-scr-about oxy-container-495-100\"><div class=\"oxy-text-495-101-495-1 oxy-text text-scr-about oxy-text-495-101\">\nPe m\u0103sur\u0103 ce speran\u021ba de via\u021b\u0103 a popula\u021biei cre\u0219te, cre\u0219te \u0219i num\u0103rul fracturilor de \u0219old. Atunci c\u00e2nd o persoan\u0103 \u00ee\u0219i fractureaz\u0103 \u0219oldul, nu este vorba doar de o fractur\u0103 simpla de os, acesta se poate transforma \u00eentr-o afec\u021biune care poate influen\u021ba via\u021ba pacientului. Exist\u0103 poten\u021biale complica\u021bii generale care pot ap\u0103rea \u00een urma unei fracturi de \u0219old, de aceea este necesar\u0103 o munc\u0103 de echipa multidisciplinar\u0103 care s\u0103 fie inplicat\u0103 \u00een tratamentul acestei afec\u021biuni pe l\u00e2ng\u0103 medicul ortoped (medic urgentist, anestezie, cardiologie, radiologie, fizioterapie, kinetoterapie\u2026.).\n<\/div><\/div><div class=\"oxy-container-496-100-496-1 oxy-container div-articulatia-soldului oxy-container-496-100\"><div class=\"bde-columns-496-101-496-1 bde-columns columns-articulatia-soldului bde-columns-496-101\"><div class=\"bde-column-496-102-496-1 bde-column text-dic-articulatia bde-column-496-102\">\n  \n  \n\t\n\n\n\n<h1 class=\"bde-heading-496-103-496-1 bde-heading titlu-articulatia-soldului bde-heading-496-103\">\nCe este articula\u021bia \u0219oldului?<br>\n<\/h1><div class=\"oxy-text-496-104-496-1 oxy-text text-articulatia-soldului oxy-text-496-104\">\nPentru o \u00een\u021belegere mai bun\u0103 a fracturilor de col femoral este important s\u0103 fie cunoscut\u0103 anatomia soldului. Zona colului femoral este por\u021biunea de femur cuprins\u0103 \u00eentre capul femural \u0219i masivul trohanterian, in interiorul capsulei articulare, fapt care influen\u021bez\u0103 evolu\u021bia fracturii.\n<\/div>\n<\/div><div class=\"bde-column-496-105-496-1 bde-column img-col-femural bde-column-496-105\">\n  \n  \n\t\n\n\n\n<img decoding=\"async\" class=\"oxy-image-496-106-496-1 oxy-image photo-col oxy-image-496-106\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/figurina-col-femural.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/figurina-col-femural.jpg 2100w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/figurina-col-femural-300x263.jpg 300w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/figurina-col-femural-1024x897.jpg 1024w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/figurina-col-femural-768x673.jpg 768w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/figurina-col-femural-1536x1345.jpg 1536w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/figurina-col-femural-2048x1793.jpg 2048w\" sizes=\"(max-width: 2100px) 100vw, 2100px\">\n<\/div><\/div><\/div><div class=\"oxy-container-345-122 oxy-container accordion-container\"><div class=\"bde-accordion-345-134 bde-accordion div-accordion-scr bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-345-135 bde-accordion__content-wrapper accprdion-1\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-135\" aria-controls=\"accordion-panel-135\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Cauze?<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-135\" aria-labelledby=\"accordion-button-135\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-345-137 bde-text text-interior-cauze\">\nAceast\u0103 zon\u0103 este intracapsular\u0103, adic\u0103 \u00een afara capsulei articulare a \u0219oldului, ceea ce influen\u021beaz\u0103 vindecarea \u0219i tratamentul.<br><br>Din punct de vedere biomecanic:<br><br>Colul femural func\u021bioneaz\u0103 ca un fel de punte \u00eentre capul femural \u0219i diafiza femural\u0103. .<br>Colul femoral preia \u0219i transmite:<br><br>\u2022 greutatea corpului \u2192 de la bazin spre femur<br>\u2022 for\u021bele musculare \u2192 \u00een special ale gluteilor \u0219i iliopsoasului<br>Aceast\u0103 zon\u0103 este supus\u0103 unor for\u021be de compresiune, forfecare \u0219i torsiune\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div><\/div><div class=\"oxy-container-345-215 oxy-container accordion-container\"><div class=\"bde-accordion-345-216 bde-accordion div-accordion-scr bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-345-217 bde-accordion__content-wrapper accprdion-1\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-217\" aria-controls=\"accordion-panel-217\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Mecanism de producere ?<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-217\" aria-labelledby=\"accordion-button-217\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-345-218 bde-text text-interior-mecanism\">\nLa v\u00e2rstnici:<br>\u2022\tC\u0103dere de la acela\u0219i nivel pe partea lateral\u0103 a \u0219oldului (cel mai frecvent)<br>\u2022\tOase fragile din cauza osteoporozei, astfel \u00eenc\u00e2t un traumatism minim poate produce fractura<br><br>La tineri:<br>Traumatisme de energie mare:<br>\u2022\taccidente rutiere<br>\u2022\tc\u0103deri de la \u00een\u0103l\u021bime<br>traumatisme sportive severe etc\u2026\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div><\/div><div class=\"oxy-container-345-219 oxy-container accordion-container\"><div class=\"bde-accordion-345-220 bde-accordion div-accordion-scr bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-345-221 bde-accordion__content-wrapper accprdion-1\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-221\" aria-controls=\"accordion-panel-221\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Factori favorizan\u021bi?<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-221\" aria-labelledby=\"accordion-button-221\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-345-222 bde-text text-interior-factori\">\n\u2022\tOsteoporoza (cel mai important factor)<br>\u2022\tV\u00e2rsta \u00eenaintat\u0103<br>\u2022\tTulbur\u0103ri de echilibru<br>\u2022\tBoli neurologice (Parkinson, Sechele AVC, \u2026)<br>\u2022\tTuburari psihice (Demen\u021b\u0103, B. Alzheimer, \u2026)<br>\u2022\tTulbur\u0103ri de vedere<br>\u2022\tSc\u0103derea masei musculare<br>\u2022\tPolimedica\u021bie (somnifere, sedative)<br>\u2022\tMediul casnic nesigur (covora\u0219e, iluminare slab\u0103)\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div><\/div><div class=\"oxy-container-345-228 oxy-container accordion-container\"><div class=\"bde-accordion-345-229 bde-accordion div-accordion-scr bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-345-230 bde-accordion__content-wrapper accprdion-1\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-230\" aria-controls=\"accordion-panel-230\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Simptome?<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-230\" aria-labelledby=\"accordion-button-230\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-345-231 bde-text text-interior-simptome\">\n\u2022\tDurere intens\u0103 \u00een zona \u0219oldului, iradiat\u0103 spre coaps\u0103<br>\u2022\tIncapacitate de sprijin pe membrul afectat<br>\u2022\tPicior scurtat \u0219i rotat extern<br>\u2022\tSensibilitate la palpare \u00een reagiunea \u0219oldului<br>\u2022\tLimitarea sever\u0103 a mobilit\u0103\u021bii active \u0219i passive\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div><\/div><div class=\"oxy-container-345-232 oxy-container accordion-container\"><div class=\"bde-accordion-345-233 bde-accordion div-accordion-scr bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-345-234 bde-accordion__content-wrapper accprdion-1\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-234\" aria-controls=\"accordion-panel-234\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Cum se pune diagnosticul?<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-234\" aria-labelledby=\"accordion-button-234\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-columns-345-241 bde-columns columns-5\"><div class=\"bde-column-345-242 bde-column\">\n  \n  \n\t\n\n\n\n<div class=\"bde-text-345-235 bde-text text-interior-diagnostic\">\nPentru o diagnosticare corect\u0103 a fracturii de col femoral  este necesar transportul pacientului la camera de garda a Unit\u0103\u021bii de primire Urgen\u021b\u0103.  Cea mai frecvent\u0103 metod\u0103 de diagnosticare imagistic\u0103 pe l\u00e2ng\u0103 examenul clinic este radiografia de \u0219old. Radiografia va permite, de asemenea, medicului curant s\u0103 clasifice fractura \u0219i ce metod\u0103 de tratament s\u0103 aplice.<br><br>Exist\u0103 \u0219i sitau\u021bii \u00een care fractura nu este vizibil\u0103 pe o simpl\u0103 radiografie fa\u021b\u0103 \u0219i profil efectuat\u0103 \u00een UPU, motiv pentru care este necesar\u0103 efectuarea unui examen CT (aeast\u0103 investiga\u021bie se face doar in situa\u021bii excep\u021bionale \u0219i la indica\u021bia medicului ortoped sau medic urgentist). Pe l\u00e2ng\u0103 diagnosticarea fracturii de \u0219oldcol femural, \u00een vederea unei interven\u021bii chirurgicale este necesar\u0103 preg\u0103tirea preoperatorie a pecientului. Aceasta poate necesita efectuarea unor analize de s\u00e2nge, electrocardiograme (ECG) \u0219i a altor teste precum \u0219i consulturi interclinice.<br>\u00cen orice etap\u0103 de preg\u0103tire preoperatorie dac\u0103 ave\u021bi \u00eentreb\u0103ri este foarte important s\u0103 v\u0103 adresa\u021bi personalului medical implicat \u00een \u00eengrijirea dumneavoastr\u0103.\n<\/div>\n<\/div><div class=\"bde-column-345-243 bde-column column-10\">\n  \n  \n\t\n\n\n\n<img decoding=\"async\" class=\"oxy-image-345-240 oxy-image img-diagnostic\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-2.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-2.jpg 1216w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-2-300x171.jpg 300w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-2-1024x583.jpg 1024w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-2-768x437.jpg 768w\" sizes=\"(max-width: 1216px) 100vw, 1216px\">\n<\/div><\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div><\/div><div class=\"oxy-container-345-236 oxy-container accordion-container\"><div class=\"bde-accordion-345-237 bde-accordion div-accordion-scr bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-345-238 bde-accordion__content-wrapper accprdion-1\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-238\" aria-controls=\"accordion-panel-238\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Tratament?<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-238\" aria-labelledby=\"accordion-button-238\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-345-239 bde-text text-interior-tratament\">\nTratamentul depinde de v\u00e2rsta pacientului, tipul de fractur\u0103, gradul de deplasare, nivelul de activitate al pacientului, starea general a pacientului din punct de Vedere medical. \u00cen tratamentul chirurgical al acestei fracturi exist\u0103 dou\u0103 mari direc\u021bii:<br>\u2022 \tOsteosintez\u0103 (fixarea osului)<br>\u2022 \tArtroplastie total\u0103 sau par\u021bial\u0103 de \u0219old.<br>Clasificarea Garden are 4 grade, de la fracturi f\u0103r\u0103 deplasare stabile la fracturi cu deplasare - instabile. Acesst\u0103 clasificare este cemai utilizat\u0103 clasificare \u00een tratatemntul fracturile de col femural.<br><br>\n<\/div><div class=\"oxy-rich-text-345-244 oxy-rich-text text-tratament-html\">\n<p><strong>Garden I \u2013 Fractur\u0103 incomplet\u0103, impactat\u0103 \u00een valgus<\/strong><\/p>\n<ul>\n<li>Fractur\u0103 incomplet\u0103 sau impactat\u0103<\/li>\n<li>Stabil\u0103<\/li>\n<li>Vasculariza\u021bia capului femural este, de obicei, p\u0103strat\u0103<\/li>\n<li>Risc mic de necroz\u0103 avascular\u0103<\/li>\n<\/ul>\n<p>De obicei tratat\u0103 prin osteosintez\u0103.<\/p>\n<p><strong>Garden II \u2013 Fractur\u0103 complet\u0103, f\u0103r\u0103 deplasare<\/strong><\/p>\n<ul>\n<li>Linia de fractur\u0103 a colului femoral este <strong>complet\u0103<\/strong>, dar fragmentele ososase nu sunt deplasate<\/li>\n<li><strong>Stabil\u0103<\/strong><\/li>\n<li>Vasculariza\u021bia este \u00eenc\u0103 bun\u0103<\/li>\n<li>Risc moderat de necroz\u0103<\/li>\n<\/ul>\n<p>Se trateaz\u0103 tot prin osteosintez\u0103, pentru a preveni deplasarea ulterioar\u0103.<\/p>\n<p><strong>Garden III \u2013 Fractur\u0103 complet\u0103, cu deplasare par\u021bial\u0103<\/strong><\/p>\n<ul>\n<li>Fragmentele sunt deplasate, dar contactul \u00eentre ele \u00eenc\u0103 exist\u0103<\/li>\n<li>Instabil\u0103<\/li>\n<li>Vasculariza\u021bia capului femural este afectat\u0103 semnificativ<\/li>\n<li>Risc mare de necroz\u0103 avascular\u0103<\/li>\n<\/ul>\n<p>La tineri: <strong><em>reducera<\/em><\/strong> focarului de fractur\u0103 + osteosintez\u0103<br \/>La v\u00e2rstnici: <em><strong>artroplastie<\/strong><\/em> (proteza de \u0219old)<\/p>\n<p><strong>Garden IV \u2013 Fractur\u0103 complet\u0103, cu deplasare total\u0103<\/strong><\/p>\n<ul>\n<li>Fragmentele sunt complet separate<\/li>\n<li><strong>Foarte instabil\u0103<\/strong><\/li>\n<li>Vasculariza\u021bia capului femural este \u00a0compromis\u0103<\/li>\n<li>Risc foarte mare de necroz\u0103 avascular\u0103 \u0219i pseudartroz\u0103<\/li>\n<\/ul>\n<p>La tineri: se \u00eencearc\u0103 <strong>reducere urgent\u0103<br \/><\/strong>La v\u00e2rstnici: <strong>artroplastie<\/strong> (hemiartroplastie sau protez\u0103 total\u0103)<\/p>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div><\/div><\/div><div class=\"oxy-container-345-247 oxy-container container-tartament-1\"><div class=\"oxy-container-345-248 oxy-container div-tratament-1\"><div class=\"bde-columns-345-268 bde-columns coloane-tratament\"><div class=\"bde-column-345-269 bde-column coloana-1-tratament\">\n  \n  \n\t\n\n\n\n<div class=\"oxy-text-345-249 oxy-text titlu-tratament-1\">\n1. Tratamentul conservator<br>(f\u0103r\u0103 opera\u021bie)\n<\/div>\n<\/div><div class=\"bde-column-345-270 bde-column coloana-2-tratament\">\n  \n  \n\t\n\n\n\n<div class=\"oxy-text-345-250 oxy-text text-trataent-1\">\nAceast\u0103 metod\u0103 terapeutic\u0103 este folosit\u0103 doar \u00een situa\u021bii excep\u021bionale<br><br>\u2022\tpacien\u021bi cu afec\u021biuni medicale asociate care reprezint\u0103 un risc operator crescut pentru pacient, pacien\u021bi cu care nu pot respecta indica\u021biile postoperartorii<br>De obicei implic\u0103:<br>\u2022\timobilizare la pat<br>\u2022\tmobilizare precoce \u00een limita pragului dureros al pacientului, f\u0103r\u0103 sprijin pe piciorul operat<br><br>Aceast\u0103 metod\u0103 terapeutic\u0103 este de evitat datorit\u0103 riscului mare de complica\u021bii (escare de decubit, peneumonii, infec\u021bii urinare, tromboze venoase etc) <br>\n<\/div>\n<\/div><\/div><\/div><\/div><div class=\"oxy-container-345-258 oxy-container container-osteosinteza\"><div class=\"oxy-container-345-259 oxy-container div-osteositeza\"><div class=\"bde-columns-345-271 bde-columns coloane-osteo\"><div class=\"bde-column-345-272 bde-column coloana-1-osteo\">\n  \n  \n\t\n\n\n\n<div class=\"oxy-text-345-260 oxy-text text-osteo-1\">\n2. Osteosinteza de col femural\n<\/div>\n<\/div><div class=\"bde-column-345-273 bde-column coloana-2-osteo\">\n  \n  \n\t\n\n\n\n<div class=\"oxy-text-345-261 oxy-text text-osteo-2\">\nObiectivele osteosintezei<br>\u2022\tP\u0103strarea capului femural<br>\u2022\tStabilitate suficient\u0103 pentru vindecare<br>\u2022\tPrevenirea necrozei avasculare<br>\u2022\tMobilizare precoce<br><br>\n<\/div>\n<\/div><\/div><div class=\"bde-accordion-345-274 bde-accordion accordion-osteo bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-345-279 bde-accordion__content-wrapper accordion-1-osteo\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-279\" aria-controls=\"accordion-panel-279\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Suruburi canulate<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-279\" aria-labelledby=\"accordion-button-279\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-container-345-289 oxy-container container-accordion-1\"><div class=\"oxy-text-345-285 oxy-text text-suruburi\">\n\u2022\tCea mai folosit\u0103 metod\u0103 \u00een fracturile stabile.<br>\u2022\tMinim invaziv<br>\u2022\tCompresie interfragmentar\u0103<br>\u2022\tP\u0103streaz\u0103 vasculariza\u021bia<br>\n<\/div><img decoding=\"async\" class=\"oxy-image-345-288 oxy-image img-suruburi\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-3.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-3.jpg 394w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-3-188x300.jpg 188w\" sizes=\"(max-width: 394px) 100vw, 394px\"><\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-345-281 bde-accordion__content-wrapper Accordion-sold\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-281\" aria-controls=\"accordion-panel-281\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Hemiartroplastia de \u0219old<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-281\" aria-labelledby=\"accordion-button-281\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-container-345-292 oxy-container container-sold\"><div class=\"oxy-text-345-290 oxy-text text-suruburi\">\nHemiartroplastia este o interven\u021bie chirurgical\u0103 prin care se \u00eenlocuie\u0219te doar capul femural, nu \u0219i acetabulul. Practic este o component protetic\u0103 care se articuleaz\u0103 acesta articuleaz\u0103 cu cavitatea acetabular\u0103.<br><br>Scop:<br>\u2022\tmobilizare rapid\u0103<br>\u2022\tReduce riscul de complica\u021bii ale imobiliz\u0103rii (tromboze, pneumonii, escare)<br>\u2022\tEvit\u0103 riscul de necroz\u0103 avascular\u0103<br>\u2022\tDurere postoperatorie mai mic\u0103 dec\u00e2t la osteosintez\u0103 \u00een fracturi instabile<br>\u2022\tTimp operator mai scurt dec\u00e2t artroplastia total\u0103 de \u0219old<br>Fixarea stemului femural: cimentat\u0103 vs. necimentat\u0103<br><br>Cimentat\u0103:<br>\u2022\tFixat\u0103 cu ciment acrilic<br>\u2022\tStabilitate imediat\u0103<br>\u2022\tIdeal\u0103 pentru os osteoporotic<br>\u2022\tFoarte folosit\u0103 la v\u00e2rstnici<br><br>Necimentat\u0103:<br>\u2022\tAre suprafa\u021b\u0103 poroas\u0103 pentru osteointegrare<br>\u2022\tNecesit\u0103 os de calitate bun\u0103<br>\u2022\tFolosit\u0103 mai rar la v\u00e2rstnici<br><br>\n<\/div><img decoding=\"async\" class=\"oxy-image-345-291 oxy-image img-sold\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-4.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-4.jpg 502w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-4-240x300.jpg 240w\" sizes=\"(max-width: 502px) 100vw, 502px\"><\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-345-283 bde-accordion__content-wrapper Accordion-artoplastia\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-283\" aria-controls=\"accordion-panel-283\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Artroplastia total\u0103 de \u0219old<\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--default\"><\/span>\n     <span class=\"bde-accordion__icon bde-accordion__icon--active\"><\/span>\n  <\/button>\n<\/h3>\n\n<div role=\"region\" class=\"bde-accordion__panel\" id=\"accordion-panel-283\" aria-labelledby=\"accordion-button-283\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-container-345-295 oxy-container container-artoplastia\"><div class=\"oxy-text-345-293 oxy-text text-artoplastia\">\nArtroplastia total\u0103 de \u0219old (THA \u2013 Total Hip Arthroplasty) este una dintre cele mai importante \u0219i mai frecvente interven\u021bii chirurgicale din ortopedie, iar \u00een contextul fracturilor de col femural reprezint\u0103 o solu\u021bie bun\u0103 pe termen lung la pacien\u021bii activi. <br><br>Componenta femural\u0103 (stem femoral)<br>\u2022\tTij\u0103 introdus\u0103 \u00een canalul femural<br>\u2022\tCap protetic (metal sau ceramic)<br>Componenta acetabular\u0103<br>\u2022\tCup\u0103 metalic\u0103 fixat\u0103 \u00een acetabul<br>\u2022\tInser\u021bie (liner) din: polietilen\u0103, ceramic, metal (mai rar \u00een prezent)<br><br>Cimentat\u0103:<br>\u2022\tFixat\u0103 cu ciment acrilic<br>\u2022\tStabilitate imediat\u0103<br>\u2022\tIdeal\u0103 pentru os osteoporotic<br>\u2022\tFoarte folosit\u0103 la v\u00e2rstnici<br><br>Necimentat\u0103:<br>\u2022\tAre suprafa\u021b\u0103 poroas\u0103 pentru osteointegrare<br>\u2022\tNecesit\u0103 os de calitate bun\u0103<br>\u2022\tFolosit\u0103 mai rar la v\u00e2rstnici<br>Proteze hibride<br>\u2022\tFemur cimentat + cup\u0103 necimentat\u0103 sau invers<br>\u2022\tCombina\u021bie foarte rar folosit\u0103<br>\n<\/div><img decoding=\"async\" class=\"oxy-image-345-294 oxy-image img-artoplastia\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-5.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-5.jpg 1044w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-5-300x158.jpg 300w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-5-1024x539.jpg 1024w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-5-768x405.jpg 768w\" sizes=\"(max-width: 1044px) 100vw, 1044px\"><\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div><\/div><div class=\"oxy-container-483-100-483-1 oxy-container container-44 oxy-container-483-100\"><div class=\"oxy-container-483-101-483-1 oxy-container container-43 oxy-container-483-101\"><div class=\"bde-columns-483-102-483-1 bde-columns columns-3 bde-columns-483-102\"><div class=\"bde-column-483-103-483-1 bde-column column-4 bde-column-483-103\">\n  \n  \n\t\n\n\n\n<div class=\"oxy-text-483-104-483-1 oxy-text text-servicii-cta oxy-text-483-104\" data-entrance=\"slideRight\">\nContacteaz\u0103-ne pentru o consulta\u021bie de specialitate\n<\/div><div class=\"bde-button-483-105-483-1 bde-button buton-speccial bde-button-483-105\">\n    \n                        \n                        \n    \n    \n    \n    \n            \n                    \n            \n            \n\n    \n    \n    \n    \n    \n    <a class=\"breakdance-link button-atom button-atom--custom bde-button__button\" href=\"\/index.php\/contact\/\" target=\"_self\" data-type=\"url\"  >\n\n    \n        <span class=\"button-atom__text\">Contacteaz\u0103-m\u0103<\/span>\n\n        \n        \n                <\/a>\n\n    \n\n\n<\/div>\n<\/div><div class=\"bde-column-483-106-483-1 bde-column column-3 bde-column-483-106\" data-entrance=\"slideRight\">\n  \n  \n\t\n\n\n\n<img decoding=\"async\" class=\"oxy-image-483-107-483-1 oxy-image img-portret oxy-image-483-107\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/02\/Frame-175.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/02\/Frame-175.jpg 1596w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/02\/Frame-175-300x300.jpg 300w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/02\/Frame-175-1024x1024.jpg 1024w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/02\/Frame-175-150x150.jpg 150w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/02\/Frame-175-768x768.jpg 768w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/02\/Frame-175-1536x1536.jpg 1536w\" sizes=\"(max-width: 1596px) 100vw, 1596px\">\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Pe m\u0103sur\u0103 ce speran\u021ba de via\u021b\u0103 a popula\u021biei cre\u0219te, cre\u0219te \u0219i num\u0103rul fracturilor de \u0219old. Atunci c\u00e2nd o persoan\u0103 \u00ee\u0219i fractureaz\u0103 \u0219oldul, nu este vorba doar de o fractur\u0103 simpla de os, acesta se poate transforma \u00eentr-o afec\u021biune care poate influen\u021ba via\u021ba pacientului. Exist\u0103 poten\u021biale complica\u021bii generale care pot ap\u0103rea \u00een urma unei fracturi de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_oxygen_hide_in_design_set":false,"_oxygen_tags":"","footnotes":""},"class_list":["post-345","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/comments?post=345"}],"version-history":[{"count":108,"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/345\/revisions"}],"predecessor-version":[{"id":558,"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/345\/revisions\/558"}],"wp:attachment":[{"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/media?parent=345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}