{"id":488,"date":"2026-03-11T14:35:58","date_gmt":"2026-03-11T14:35:58","guid":{"rendered":"https:\/\/ortopedie-sopon.ro\/?page_id=488"},"modified":"2026-04-14T09:06:55","modified_gmt":"2026-04-14T09:06:55","slug":"fracturile-de-masiv-trohanterian","status":"publish","type":"page","link":"https:\/\/ortopedie-sopon.ro\/index.php\/fracturile-de-masiv-trohanterian\/","title":{"rendered":"Fracturile de masiv trohanterian"},"content":{"rendered":"<div class=\"oxy-container-628-100-628-2 oxy-container container-traumatisme oxy-container-628-100\"><div class=\"oxy-container-628-101-628-2 oxy-container div-traumatisme-hero oxy-container-628-101\"><img decoding=\"async\" class=\"oxy-image-628-102-628-2 oxy-image img-title-traume oxy-image-628-102\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-82.png\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-82.png 1164w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-82-300x59.png 300w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-82-1024x202.png 1024w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/Group-82-768x152.png 768w\" sizes=\"(max-width: 1164px) 100vw, 1164px\"><\/div><div class=\"oxy-container-628-103-628-2 oxy-container container-about-component oxy-container-628-103\"><div class=\"oxy-container-628-104-628-2 oxy-container container-scr-about oxy-container-628-104\"><div class=\"oxy-text-628-105-628-2 oxy-text text-scr-about oxy-text-628-105\">\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><div class=\"oxy-container-628-106-628-2 oxy-container container-ce-este-component oxy-container-628-106\"><div class=\"oxy-container-628-107-628-2 oxy-container div-articulatia-soldului oxy-container-628-107\"><div class=\"bde-columns-628-108-628-2 bde-columns columns-articulatia-soldului bde-columns-628-108\"><div class=\"bde-column-628-109-628-2 bde-column text-dic-articulatia masiv-coloana-1 bde-column-628-109\">\n  \n  \n\t\n\n\n\n<h1 class=\"bde-heading-628-110-628-2 bde-heading titlu-articulatia-soldului masiv-title bde-heading-628-110\">\nCe este articula\u021bia \u0219oldului?<br>\n<\/h1><div class=\"oxy-text-628-111-628-2 oxy-text text-articulatia-soldului masiv oxy-text-628-111\">\nPentru o \u00een\u021belegere mai bun\u0103 a fracturi de masiv trohanterian este important s\u0103 fie cunoscut\u0103 anatomia soldului. Sunt fracturi situate \u00een zonei proximale a femurului - micul \u0219i marele trohanter - \u00een afara capsulei articulare. De aceea, au o evolu\u021bie diferit\u0103 fa\u021b\u0103 de fracturile colului femural. Zona trohanterian\u0103 este bogat vascularizat\u0103, ceea ce favorizeaz\u0103 vindecarea, dar este supus\u0103 unor for\u021be mecanice mari, ceea ce poate duce la deplas\u0103ri importante afragmentelor osoase.\n<\/div>\n<\/div><div class=\"bde-column-628-112-628-2 bde-column img-col-femural bde-column-628-112\">\n  \n  \n\t\n\n\n\n<img decoding=\"async\" class=\"oxy-image-628-113-628-2 oxy-image photo-col oxy-image-628-113\" 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><div class=\"oxy-container-628-114-628-2 oxy-container container-accordion-masivT oxy-container-628-114\"><div class=\"bde-accordion-628-115-628-2 bde-accordion div-accordion-masiv bde-accordion-628-115 bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-628-116-628-2 bde-accordion__content-wrapper masiv-accordion-1 bde-accordion__content-wrapper-628-116\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-116\" aria-controls=\"accordion-panel-116\" 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-116\" aria-labelledby=\"accordion-button-116\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-628-117-628-2 bde-text text-masiv-1 bde-text-628-117\">\nFracturile de masiv trohanterian apar \u00een zona superioar\u0103 a femurului, \u00eentre:<br>\u2022\tTrohanterul mare (proeminen\u021ba lateral\u0103 a femurului)<br>\u2022\tTrohanterul mic (proeminen\u021ba posteromedial\u0103)<br>\u2022\tRegiunea dintre cei doi trohanteri (zona pertrohanterian\u0103)<br>Aceast\u0103 zon\u0103 este extracapsular\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>\u2022\tFor\u021bele musculare trag fragmentele osoase \u00een direc\u021bii diferite ceea ce determin\u0103 depalasarea acestora.<br>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-118-628-2 bde-accordion__content-wrapper masiv-accordion-3 bde-accordion__content-wrapper-628-118\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-118\" aria-controls=\"accordion-panel-118\" 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-118\" aria-labelledby=\"accordion-button-118\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-628-119-628-2 bde-text text-masiv-3 bde-text-628-119\">\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<br>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-120-628-2 bde-accordion__content-wrapper masiv-accordion-2 bde-accordion__content-wrapper-628-120\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-120\" aria-controls=\"accordion-panel-120\" 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-120\" aria-labelledby=\"accordion-button-120\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-628-121-628-2 bde-text text-masiv-2 bde-text-628-121\">\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)<br>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-122-628-2 bde-accordion__content-wrapper masiv-accordion-4 bde-accordion__content-wrapper-628-122\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-122\" aria-controls=\"accordion-panel-122\" 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-122\" aria-labelledby=\"accordion-button-122\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-628-123-628-2 bde-text text-masiv-4 bde-text-628-123\">\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<br>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-124-628-2 bde-accordion__content-wrapper masiv-accordion-5 bde-accordion__content-wrapper-628-124\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-124\" aria-controls=\"accordion-panel-124\" 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-124\" aria-labelledby=\"accordion-button-124\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-628-125-628-2 bde-text text-masiv-5 bde-text-628-125\">\nPentru o diagnosticare corect\u0103 a fracturii de \u0219old este necesar transportull 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. Radiografia va permite, de asemenea, medicului curant s\u0103 determine ce tip de fractur\u0103 este \u0219i ce metod\u0103 de tratament s\u0103 aplice. \n<\/div><img decoding=\"async\" class=\"oxy-image-628-126-628-2 oxy-image img-masiv-diagnostic oxy-image-628-126\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-6.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-6.jpg 666w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-6-300x163.jpg 300w\" sizes=\"(max-width: 666px) 100vw, 666px\"><div class=\"bde-text-628-127-628-2 bde-text text-masiv-5 bde-text-628-127\">\nExist\u0103 \u0219i sitau\u021bii \u00een care fractura nu este vizibil\u0103 prin radiografie, 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 \u0219old, \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. <br>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-128-628-2 bde-accordion__content-wrapper masiv-accordion-6 bde-accordion__content-wrapper-628-128\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-128\" aria-controls=\"accordion-panel-128\" 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-128\" aria-labelledby=\"accordion-button-128\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-628-129-628-2 bde-text text-masiv-6 bde-text-628-129\">\nTratamentul este aproape \u00eentotdeauna chirurgical, deoarece zona trohanterian\u0103 este supus\u0103 unor for\u021be mari care determin\u0103 instabilitatea fracturii.\n<\/div><div class=\"bde-accordion-628-130-628-2 bde-accordion accordion-tratamente bde-accordion-628-130 bde-accordion--bordered-bottom\"><div class=\"bde-accordion__content-wrapper-628-131-628-2 bde-accordion__content-wrapper tratament-A bde-accordion__content-wrapper-628-131\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-131\" aria-controls=\"accordion-panel-131\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Osteosintez\u0103 cu DHS (Dynamic Hip Screw)<\/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-131\" aria-labelledby=\"accordion-button-131\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-container-628-132-628-2 oxy-container container-tratament-A oxy-container-628-132\"><div class=\"bde-text-628-133-628-2 bde-text text-tratament-A bde-text-628-133\">\n\u2022\tIndicat \u00een fracturile stabile <br>\u2022\tPermite stabilizarea \u0219i vindecarea rapid\u0103, urmat\u0103 de mobilizarea pacientului\n<\/div><img decoding=\"async\" class=\"oxy-image-628-134-628-2 oxy-image img-tratament-A oxy-image-628-134\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-7.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-7.jpg 266w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-7-170x300.jpg 170w\" sizes=\"(max-width: 266px) 100vw, 266px\"><\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-135-628-2 bde-accordion__content-wrapper tratament-B bde-accordion__content-wrapper-628-135\">\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\" >Tije centromedulare (intramedulare) \u2013 PFN,  Tija Gamma <\/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=\"oxy-text-628-136-628-2 oxy-text text-tratament-B oxy-text-628-136\">\n\u2022\tCu indica\u021bie \u00een fracturile instabile ale masivului trohanterian<br>\u2022\tPermite stabilizarea \u0219i vindecarea rapid\u0103, urmat\u0103 de mobilizarea pacientului\n<\/div><img decoding=\"async\" class=\"oxy-image-628-137-628-2 oxy-image img-tratament-B oxy-image-628-137\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-8.jpg\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-8.jpg 692w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/03\/image-8-300x209.jpg 300w\" sizes=\"(max-width: 692px) 100vw, 692px\">\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-138-628-2 bde-accordion__content-wrapper tratament-C bde-accordion__content-wrapper-628-138\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-138\" aria-controls=\"accordion-panel-138\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Tratament non-chirurgical<\/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-138\" aria-labelledby=\"accordion-button-138\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-text-628-139-628-2 oxy-text text-tratament-C oxy-text-628-139\">\nFoarte rar, doar dac\u0103:<br>\u2022\tpacientul este \u00een stare general\u0103 extrem de grav\u0103<br>\u2022\triscul anestezic \u0219i chirurgical este mare, cu \u0219anse mici de supravie\u021buire postoperatorie pentru pacient<br><br>Include:<br>\u2022\timobilizare la pat<br>\u2022\tanalgezie, tratament anticoagulant <br>\u2022\tmobilizare progresiv\u0103 \u00een limita pragului dureros cu suport extern. <br>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-140-628-2 bde-accordion__content-wrapper masiv-accordion-7 bde-accordion__content-wrapper-628-140\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-140\" aria-controls=\"accordion-panel-140\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Complica\u021bii?<\/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-140\" aria-labelledby=\"accordion-button-140\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-628-141-628-2 bde-text text-masiv-7 bde-text-628-141\">\nImediate<br>\u2022\tHematom local<br>\u2022\tAnemie posttraumatic\u0103<br>\u2022\tTromboz\u0103 venoas\u0103 profund\u0103<br>\u2022\tEmbolie pulmonar\u0103<br><br>Postoperatorii<br>\u2022\tInfec\u021bie<br>\u2022\tDeplasarea materialului de osteosintez\u0103<br>\u2022\tE\u0219ecul implantului (cut-out al \u0219urubului)<br>\u2022\tPseudartroz\u0103 (rar, datorit\u0103 vasculariza\u021biei bune)<br>\u2022\tDiferen\u021b\u0103 de lungime a membrelor<br><br>Tardive<br>\u2022\tPierderea mobilit\u0103\u021bii<br>\u2022\tRisc crescut de mortalitate la v\u00e2rstnici dac\u0103 mobilizarea este \u00eent\u00e2rziat\u0103<br>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-142-628-2 bde-accordion__content-wrapper masiv-accordion-8 bde-accordion__content-wrapper-628-142\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-142\" aria-controls=\"accordion-panel-142\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Recuperare?<\/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-142\" aria-labelledby=\"accordion-button-142\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-628-143-628-2 bde-text text-masiv-8 bde-text-628-143\">\nRecuperarea este esen\u021bial\u0103 pentru prognostic favorabil al pacientului.<br><br>Imediat postoperator<br>\u2022\tMobilizare precoce (\u00een primele 24\u201348 h)<br>\u2022\tExerci\u021bii pentru prevenirea trombozei<br>\u2022\tControlul durerii<br><br>Kinetoterapie -sub coordonarea personalului medical, kinetoterapeut<br>\u2022\tExerci\u021bii pentru tonusul cvadricepsului<br>\u2022\tReluarea mersului cu cadru sau c\u00e2rje<br>\u2022\tCre\u0219terea progresiv\u0103 a sprijinului pe membru operat \u00een func\u021bie de durere<br>\u2022\tExerci\u021bii pentru echilibru \u0219i coordonare<br><br>Durata recuper\u0103rii<br>\u2022\t3\u20136 luni pentru revenirea la mers independent<br>\u2022\tLa v\u00e2rstnici, recuperarea poate fi mai lent\u0103<br>\n<\/div><div class=\"bde-accordion-628-144-628-2 bde-accordion accordion-faze-recuperare bde-accordion-628-144 bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-628-145-628-2 bde-accordion__content-wrapper faza-1-recuperare bde-accordion__content-wrapper-628-145\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-145\" aria-controls=\"accordion-panel-145\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >FAZA 1 \u2013 S\u0103pt\u0103m\u00e2nile 0\u20132<\/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-145\" aria-labelledby=\"accordion-button-145\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-628-146-628-2 oxy-rich-text text-faza-1 oxy-rich-text-628-146\">\n<p><strong><em>Obiective<\/em><\/strong><\/p>\n<ul>\n<li>Controlul durerii<\/li>\n<li>Prevenirea complica\u021biilor imedeate postoperator<\/li>\n<li>Tonifierea musculaturii<\/li>\n<li>\u00cenceperea mersului cu sprijin par\u021bial cu ajutorul suportului extern (cadru, c\u00e2rje)<\/li>\n<\/ul>\n<p><strong><em>Exerci\u021bii<\/em><\/strong><\/p>\n<ul>\n<li>Contrac\u021bii izometrice:\n<ul>\n<li>cvadriceps (\u00eempinge genunchiul \u00een saltea)<\/li>\n<li>fesieri<\/li>\n<li>ischiogambieri<\/li>\n<\/ul>\n<\/li>\n<li>Mobilizare pasiv\u0103\/activ\u0103 u\u0219oar\u0103:\n<ul>\n<li>flexia \u0219oldului p\u00e2n\u0103 la 60\u201370\u00b0<\/li>\n<li>abduc\u021bie u\u0219oar\u0103 a coapsei<\/li>\n<\/ul>\n<\/li>\n<li>Ridicare \u00een \u0219ezut, apoi \u00een picioare cu ajutor la \u00eenceput<\/li>\n<li>Mers cu cadru sau c\u00e2rje, \u00een func\u021bie de indica\u021bia chirurgului sau de preferin\u021bele pacientului<\/li>\n<\/ul>\n<ul>\n<li>fracturi stabile \u2192 sprijin par\u021bial sau chiar total<\/li>\n<li>fracturi instabile \u2192 sprijin limitat<\/li>\n<\/ul>\n<p><strong>Ce se evit\u0103<\/strong><\/p>\n<ul>\n<li>Flexia \u0219oldului peste 90\u00b0<\/li>\n<li>Rota\u021bii bru\u0219te<\/li>\n<li>Sprijin complet dac\u0103 nu este permis<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-147-628-2 bde-accordion__content-wrapper faza-2-recuperare bde-accordion__content-wrapper-628-147\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-147\" aria-controls=\"accordion-panel-147\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >FAZA 2 \u2013 S\u0103pt\u0103m\u00e2nile 2\u20134<\/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-147\" aria-labelledby=\"accordion-button-147\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-628-148-628-2 oxy-rich-text text-faza-2 oxy-rich-text-628-148\">\n<p><strong><em>Obiective<\/em><\/strong><\/p>\n<ul>\n<li>Cre\u0219terea mobilit\u0103\u021bii<\/li>\n<li>Tonifierea musculaturii<\/li>\n<li>Mers mai sigur<\/li>\n<\/ul>\n<p><strong><em>Exerci\u021bii<\/em><\/strong><\/p>\n<ul>\n<li>Las\u0103 piciorul pe p\u0103m\u00e2nt doar prin propria greutate a piciorului<\/li>\n<li>Flexia \u0219oldului p\u00e2n\u0103 la 90\u00b0<\/li>\n<li>Abduc\u021bie activ\u0103 (ridicarea piciorului \u00een lateral)<\/li>\n<li>Extensie \u0219old (\u00een decubit ventral sau \u00een picioare)<\/li>\n<li>Ridic\u0103ri ale membrului inferior \u00een extensie<\/li>\n<li>Exerci\u021bii de echilibru cu sprijin par\u021bial pe cadru sau c\u00eerje<\/li>\n<\/ul>\n<p><em><strong>Mers progresiv:<\/strong><\/em>\u00a0 distan\u021be mai mari, ritm lent \u0219i supravegheat<\/p>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-149-628-2 bde-accordion__content-wrapper faza-3-recuperare bde-accordion__content-wrapper-628-149\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-149\" aria-controls=\"accordion-panel-149\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >FAZA 3 \u2013 S\u0103pt\u0103m\u00e2nile 4\u20136<\/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-149\" aria-labelledby=\"accordion-button-149\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-628-150-628-2 oxy-rich-text text-faza-3 oxy-rich-text-628-150\">\n<p><strong><em>Obiective<\/em><\/strong><\/p>\n<ul>\n<li>Cre\u0219terea for\u021bei musculare<\/li>\n<li>Stabilitate mai bun\u0103 la mers<\/li>\n<li>\u00cembun\u0103t\u0103\u021birea coordon\u0103rii<\/li>\n<\/ul>\n<p><strong><em>Exerci\u021bii<\/em><\/strong><\/p>\n<ul>\n<li>Biciclet\u0103 ergonomic\u0103 (f\u0103r\u0103 rezisten\u021b\u0103), dac\u0103 este posibil<\/li>\n<li>Ridic\u0103ri pe v\u00e2rfuri cu suport extern<\/li>\n<li>Mers pe suprafe\u021be diferite<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-151-628-2 bde-accordion__content-wrapper faza-4-recuperare bde-accordion__content-wrapper-628-151\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-151\" aria-controls=\"accordion-panel-151\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >FAZA 4 \u2013 S\u0103pt\u0103m\u00e2nile 6\u20138<\/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-151\" aria-labelledby=\"accordion-button-151\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-628-152-628-2 oxy-rich-text text-faza-4 oxy-rich-text-628-152\">\n<p><strong>Obiective<\/strong><\/p>\n<ul>\n<li>Mers mai natural<\/li>\n<li>Cre\u0219terea rezisten\u021bei<\/li>\n<li>Stabilitate bun\u0103 a \u0219oldului<\/li>\n<\/ul>\n<p><strong><em>Exerci\u021bii<\/em><\/strong><\/p>\n<ul>\n<li>Urcat \u0219i cobor\u00e2t trepte<\/li>\n<li>Genuflexiuni par\u021biale<\/li>\n<li>Exerci\u021bii de for\u021b\u0103 cu greut\u0103\u021bi mici (0.5\u20131 kg)<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-153-628-2 bde-accordion__content-wrapper faza-5-recuperare bde-accordion__content-wrapper-628-153\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-153\" aria-controls=\"accordion-panel-153\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >FAZA 5 \u2013 S\u0103pt\u0103m\u00e2nile 8\u201312<\/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-153\" aria-labelledby=\"accordion-button-153\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-628-154-628-2 oxy-rich-text text-faza-5 oxy-rich-text-628-154\">\n<p><strong><em>Obiective<\/em><\/strong><\/p>\n<ul>\n<li>Revenirea la activit\u0103\u021bile zilnice<\/li>\n<li>For\u021b\u0103 muscular\u0103 aproape normal\u0103<\/li>\n<li>Mers mai sigur cu o carje sau dou\u0103 \u00een func\u021bie de posibilit\u0103\u021bile pacientului<\/li>\n<\/ul>\n<ul>\n<li>Mers cu sprijin progresiv - total<\/li>\n<li>Biciclet\u0103 cu rezisten\u021b\u0103 mic\u0103<\/li>\n<li>Exerci\u021bii de for\u021b\u0103 pentru:\n<ul>\n<li>cvadriceps<\/li>\n<li>fesieri<\/li>\n<li>ischiogambieri<\/li>\n<\/ul>\n<\/li>\n<li>Exerci\u021bii de stabilitate avansat\u0103<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-628-155-628-2 bde-accordion__content-wrapper faza-6-recuperare bde-accordion__content-wrapper-628-155\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-155\" aria-controls=\"accordion-panel-155\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >FAZA 6 \u2013 Dup\u0103 12 s\u0103pt\u0103m\u00e2ni (3\u20136 luni)<\/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-155\" aria-labelledby=\"accordion-button-155\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-628-156-628-2 oxy-rich-text text-faza-6 oxy-rich-text-628-156\">\n<p><strong>Obiective<\/strong><\/p>\n<ul>\n<li>Revenirea la nivelul func\u021bional anterior traumatismului<\/li>\n<li>Cre\u0219terea rezisten\u021bei fizice<\/li>\n<\/ul>\n<p><strong>Activit\u0103\u021bi recomandate<\/strong><\/p>\n<ul>\n<li>Mers normal, distan\u021be mai mari<\/li>\n<li>Exerci\u021bii de for\u021b\u0103 moderate<\/li>\n<li>Exerci\u021bii de echilibru<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><strong>Semne c\u0103 recuperarea merge bine<\/strong><\/p>\n<ul>\n<li>Durerea scade treptat<\/li>\n<li>Mersul devine mai sigur<\/li>\n<li>Mobilitatea cre\u0219te constant<\/li>\n<li>For\u021ba muscular\u0103 se \u00eembun\u0103t\u0103\u021be\u0219te<\/li>\n<\/ul>\n<p><strong>Semne de alarm\u0103<\/strong><\/p>\n<ul>\n<li>Durere care cre\u0219te \u00een loc s\u0103 scad\u0103<\/li>\n<li>Blocaj la nivelul \u0219oldului<\/li>\n<li>Dificultate brusc\u0103 la mers<\/li>\n<li>Durere acut\u0103 dup\u0103 un pas gre\u0219it<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/div><div class=\"oxy-container-483-100-628-2-483-1 oxy-container container-44 oxy-container-483-100\"><div class=\"oxy-container-483-101-628-2-483-1 oxy-container container-43 oxy-container-483-101\"><div class=\"bde-columns-483-102-628-2-483-1 bde-columns columns-3 bde-columns-483-102\"><div class=\"bde-column-483-103-628-2-483-1 bde-column column-4 bde-column-483-103\">\n  \n  \n\t\n\n\n\n<div class=\"oxy-text-483-104-628-2-483-1 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-483-105-628-2-483-1 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-483-106-628-2-483-1 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-483-107-628-2-483-1 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><\/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-488","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/488","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=488"}],"version-history":[{"count":64,"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/488\/revisions"}],"predecessor-version":[{"id":629,"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/488\/revisions\/629"}],"wp:attachment":[{"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/media?parent=488"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}