{"id":614,"date":"2026-04-14T08:56:42","date_gmt":"2026-04-14T08:56:42","guid":{"rendered":"https:\/\/ortopedie-sopon.ro\/?page_id=614"},"modified":"2026-04-14T14:36:58","modified_gmt":"2026-04-14T14:36:58","slug":"gonartroza","status":"publish","type":"page","link":"https:\/\/ortopedie-sopon.ro\/index.php\/gonartroza\/","title":{"rendered":"Gonartroza"},"content":{"rendered":"<div class=\"oxy-container-614-101 oxy-container container-traumatisme\"><div class=\"oxy-container-614-102 oxy-container div-traumatisme-hero\"><img decoding=\"async\" class=\"oxy-image-614-103 oxy-image img-title-traume\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/gonartroza-mob.png\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/gonartroza-mob.png 570w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/gonartroza-mob-300x96.png 300w\" sizes=\"(max-width: 570px) 100vw, 570px\"><\/div><div class=\"oxy-container-614-104 oxy-container container-about-component\"><div class=\"oxy-container-614-105 oxy-container container-scr-about\"><div class=\"oxy-text-614-106 oxy-text text-scr-title-about\">\nAnatomia \u0219i biomecanica genunchiului\n<\/div><div class=\"oxy-text-614-107 oxy-text text-scr-about\">\nGenunchiul este o articula\u021bie sinovial\u0103 complex\u0103, cu doua compartimente majore (femuro-tibial, femuro-patelar), stabilizat\u0103 de un sistem ligamentar puternic \u0219i meniscuri fibrocartilaginoase, este capabil\u0103 de mi\u0219c\u0103ri ample, dar din p\u0103cate e predispus\u0103 la traumatisme frecvente \u0219i modific\u0103ri degenerative. Oasele care alc\u0103tuiesc articulatia genunchiului sunt:<br>\u2022\tTibia, fibula<br>\u2022\tFemurul<br>\u2022\tRotula (os sesamoid)<br><br>Extremitatea distal\u0103 a femurului si capatul proximal al tibiei formeaza impreuna o articulatie de tip balama. Suprafe\u021bele articulare sunt acoperite cu cartilaj articular. Pentru a proteja cartilajul articular \u0219i a asigura stabiliate mi\u0219c\u0103rilor de la nivelul articula\u021biei genunchiului, \u00een interiorul genunchiului se afl\u0103 2 structuri  numite meniscuri, unul pe intern si unul extern. Impreuna cu cartilajul articular meniscurile \u0219i paratul capsular, ligamentar \u0219i musculotendinos asigur\u0103 stabilitatea, mobilitatea \u0219i cursivitatea mi\u0219c\u0103rilor de la nivelul genunchiului.<br><br>Gonartroza (osteoartrita de genunchi) este o boal\u0103 chronic degenerativ\u0103 a articula\u021biei genunchiului, caracterizat\u0103 prin degradarea progresiv\u0103 a cartilajului articular, remodelare osoas\u0103, sinovit\u0103 variabil\u0103 cu afectarea progresiv\u0103 a mobilit\u0103\u021bii articula\u021biei.<br><br>Este una dintre principalele cauze de durere la nivelul genuchiului \u0219i dizabilitate locomotorie la adul\u021bi \u0219i v\u00e2rstnici, cu frecven\u021b\u0103 crescut\u0103 odat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103. <br><br>Principalele manifest\u0103ri clinic \u00een gonartroz\u0103 sunt: <br>\u2022 Durere mecanic\u0103: la mers, urcat\/cobor\u00e2t sc\u0103ri, stat prelungit \u00een ortostatism.<br>\u2022\tRedoare matinal\u0103 scurt\u0103 (diminu\u0103 la reluarea mersului)<br>\u2022\tDimunuarea mobilit\u0103\u021bii genunchiului: \u00een special flexie \u0219i extensie<br>\u2022\tCrepita\u021bii articulare, tumefac\u021bia genunchiului, deform\u0103ri \u00een varus\/valgus<br>\u2022\tImpact func\u021bional: sc\u0103derea distan\u021bei de mers, dificult\u0103\u021bi \u00een desf\u0103\u0219urarea activit\u0103\u021bilor de zi cu zi.<br>\n<\/div><\/div><\/div><div class=\"oxy-container-614-108 oxy-container container-ce-este-component\"><div class=\"oxy-container-614-109 oxy-container div-articulatia-soldului\"><div class=\"bde-columns-614-110 bde-columns columns-articulatia-soldului\"><div class=\"bde-column-614-111 bde-column text-dic-articulatia masiv-coloana-1\">\n  \n  \n\t\n\n\n\n<h1 class=\"bde-heading-614-112 bde-heading titlu-articulatia-soldului masiv-title\">\nDiagnostic\n<\/h1><div class=\"oxy-text-614-113 oxy-text text-articulatia-soldului masiv\">\n-\tExamenul clinic<br>-\tRadiografie de genuchi fa\u021b\u0103 \u0219i profil<br>-\tRadiografie tip pangonogram\u0103 a membrelor inferioare \u00een ortostatism<br>-\t\u00cen situa\u021bii speciale RMN sau CT, la indica\u021bia medicului curant. \u00cen stadiile avansate nu sunt necesare<br>-\tAnalizele de s\u00e2nge au un rol limitat. Sunt utile pentru excluderea altor patologii: VSH, CRP \u2013 crescute \u00een artrite inflamatorii sau infec\u021bii, factor reumatoid, anti-CCP \u2013 dac\u0103 se suspecteaz\u0103 poliartrit\u0103 reumatoid\u0103, acid uric \u2013 dac\u0103 se suspecteaz\u0103 gut\u0103. \u00cen gonartroza primar\u0103, analizele sunt de obicei normale.<br>\n<\/div>\n<\/div><div class=\"bde-column-614-114 bde-column img-col-femural\">\n  \n  \n\t\n\n\n\n<img decoding=\"async\" class=\"oxy-image-614-115 oxy-image photo-col gg\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/gg.png\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/gg.png 505w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/gg-300x208.png 300w\" sizes=\"(max-width: 505px) 100vw, 505px\">\n<\/div><\/div><\/div><\/div><div class=\"oxy-container-614-116 oxy-container container-accordion-masivT\"><div class=\"bde-accordion-614-117 bde-accordion div-accordion-masiv bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-614-118 bde-accordion__content-wrapper masiv-accordion-1\">\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\" >Optiuni terapeutice<\/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-614-119 bde-text text-masiv-1\">\nObiective terapeutice: <br><br>\u2022\tAmeliorarea durerii \u0219i inflama\u021biei \t<br>\u2022\tMen\u021binerea\/cre\u0219terea mobilit\u0103\u021bii genunchiului\t <br>\u2022\t\u00cent\u00e2rzierea progresiei modific\u0103rilor degenerative \u00een stadiile precoce <br>\u2022\tRestaurarea func\u021biei genunchiului \u00een stadiile avansate.<br><br>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-614-120 bde-accordion__content-wrapper masiv-accordion-3\">\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\" >Tratament conservator<\/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-rich-text-614-121 bde-rich-text text-masiv-3 breakdance-rich-text-styles\">\n<ul>\n<li>Tratament medicamentos:\n<ul>\n<li>AINS, Analgezice, Miorelaxante<\/li>\n<li>Condroprotectoare<\/li>\n<li>Infiltra\u021bii articulare (acid hialuronic, terapii regenerative, corticosteroizi -efect pe termen scurt \u0219i po avea efecte adverse \u00een cazul corticosteroizilor, doar la indica\u021bia medicului curant)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Fizioterapie<\/li>\n<li>Kinetoterapie:\n<ul>\n<li>Mobilitate, stretching, tonifierea musculaturii coapsei \u0219i gambei.<\/li>\n<li>Reeducarea mersului<\/li>\n<\/ul>\n<\/li>\n<li>M\u0103suri biomecanice:\n<ul>\n<li>Mers cu suport extern<\/li>\n<li>Controlul greut\u0103\u021bii (sc\u0103dere)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-614-122 bde-accordion__content-wrapper masiv-accordion-2\">\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\" >Artroplastia totala de genunchi <\/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-rich-text-614-123 bde-rich-text text-masiv-3 breakdance-rich-text-styles\">\n<p>Artroplastia total\u0103 de genunchi (TKA) este una dintre cele mai frecvente \u0219i mai eficiente interven\u021bii ortopedice pentru pacien\u021bii cu artroz\u0103 sever\u0103 de genunchi. Procedura chirurgical\u0103 presupune pe scurt rezec\u021bia suprafe\u021belor articulare deteriorate \u0219i \u00eenlocuirea lor cu componente metalice \u0219i din polietilen\u0103, cu scopul de a reduce durerea, a \u00eembun\u0103t\u0103\u021bi func\u021bia genunchiului \u0219i a cre\u0219te gradul de libertate al pacientului.<\/p>\n<\/div><img decoding=\"async\" class=\"oxy-image-614-124 oxy-image img-dureri-articulare\" src=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/ghg.png\" loading=\"lazy\" srcset=\"https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/ghg.png 615w, https:\/\/ortopedie-sopon.ro\/wp-content\/uploads\/2026\/04\/ghg-300x217.png 300w\" sizes=\"(max-width: 615px) 100vw, 615px\"><div class=\"bde-rich-text-614-139 bde-rich-text text-masiv-3 breakdance-rich-text-styles\">\n<p><strong>Obiective:<\/strong><\/p>\n<ul>\n<li>Controlul durerii<\/li>\n<li>Ob\u021binerea unei extensii c\u00eet mai devreme postoperator<\/li>\n<li>Ob\u021binerea unei flexii finale de 110-120 grade<\/li>\n<li>Normalizarea mersului<\/li>\n<li>mobilitate func\u021bional\u0103 adecvat\u0103<\/li>\n<li>reintegrare profesional\u0103 \u0219i social\u0103 c\u00e2t mai rapid\u0103<\/li>\n<li>protejarea protezei pe termen lung postoperator<\/li>\n<\/ul>\n<p>Protocolul de recupeare este general \u0219i nu poate \u00eenlocui recomand\u0103rile medicului currant, medicului de fizioterapie \u0219i ale kinetoterapeutului.<\/p>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-614-125 bde-accordion__content-wrapper masiv-accordion-8\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-125\" aria-controls=\"accordion-panel-125\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Protocol de recuperare postoperatorie \u00een artroplastia total\u0103 de genunchi<\/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-125\" aria-labelledby=\"accordion-button-125\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-text-614-126 bde-text text-masiv-8\">\n\u2022\tMobilizare precoce, de obicei \u00een primele 24\u201348 ore<br>\u2022\tReeducarea mersului cu sprijin progresiv<br>\u2022\tProtejarea protezei (evitarea flexiei > 90\u00b0, adduc\u021biei extreme, rota\u021biei interne)<br>\u2022\tCre\u0219terea treptat\u0103 a for\u021bei musculare<br>\u2022\tAdaptarea activit\u0103\u021bilor profesionale \u00een func\u021bie de solicitare<br>\u2022\tReintegrare progresiv\u0103, nu brusc\u0103<br>\n<\/div><div class=\"bde-accordion-614-127 bde-accordion accordion-faze-recuperare bde-accordion--bordered\"><div class=\"bde-accordion__content-wrapper-614-128 bde-accordion__content-wrapper faza-1-recuperare\">\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\" >1. Faza imediat postoperatorie (0\u20137 zile)<\/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=\"oxy-rich-text-614-129 oxy-rich-text text-faza-1\">\n<p><strong>Obiective<\/strong><\/p>\n<ul>\n<li>Genunchi \u201elini\u0219tit\u201d: durere \u0219i edem minime.<\/li>\n<li>Protejarea inciziei \u0219i prevenirea infec\u021biei, pansament steril.<\/li>\n<li>Prevenirea trombozei venoase profunde.<\/li>\n<li>Tonifierea cvadricepsului.<\/li>\n<li>Mobilizare precoce sigur\u0103.<\/li>\n<\/ul>\n<p><strong>Interven\u021bii:<\/strong><\/p>\n<ul>\n<li><strong>Crioterapie<\/strong><\/li>\n<li><strong>Ridicarea <\/strong>membrului inferior peste nivelul inimii.<\/li>\n<li><strong>Compresie<\/strong> (bandaj cu fa\u0219\u0103 elastic\u0103, ciorap elastic).<\/li>\n<li><strong>Extensie<\/strong>:\n<ul>\n<li><em>heel prop<\/em> (prosop sub c\u0103lc\u00e2i, niciodat\u0103 sub genunchi).<\/li>\n<\/ul>\n<\/li>\n<li><strong>Activare muscular\u0103<\/strong>:\n<ul>\n<li>contrac\u021bii izometrice cvadriceps,<\/li>\n<li>ridicarea membrului inferior \u00eentins<\/li>\n<li>\u00eencordarea mu\u0219chilor fesieri, f\u0103r\u0103 mi\u0219care articular\u0103<\/li>\n<\/ul>\n<\/li>\n<li><strong>Antrenament func\u021bional<\/strong>:\n<ul>\n<li>ridic\u0103ri din pat,<\/li>\n<li>mers cu cadru,<\/li>\n<li>urcat\/cobor\u00e2t sc\u0103ri cu sprijin.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong><u>Mi\u0219c\u0103ri interzise:<\/u><\/strong><\/p>\n<ul>\n<li>Pern\u0103 sub genunchi (favorizeaz\u0103 genum flexum).<\/li>\n<li>Pivot\u0103ri \/ rota\u021bii pe genunchiul operat.<\/li>\n<li>For\u021barea mobiliz\u0103rii genunchiului \u00een durere intens\u0103.<\/li>\n<li>Stat prelungit \u00een picioare sau pe scaun (cre\u0219te edemul).<\/li>\n<\/ul>\n<p><strong>Criterii de progress:<\/strong><\/p>\n<ul>\n<li>Extensie aproape complet\u0103.<\/li>\n<li>Flexie &gt;70\u00b0.<\/li>\n<li>Mers sigur cu dispozitiv de sprijin.<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-614-130 bde-accordion__content-wrapper faza-2-recuperare\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-130\" aria-controls=\"accordion-panel-130\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >2. Faza timpurie (1\u20134 s\u0103pt\u0103m\u00e2ni)<\/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-130\" aria-labelledby=\"accordion-button-130\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-614-131 oxy-rich-text text-faza-2\">\n<p><strong>Obiective<\/strong><\/p>\n<ul>\n<li>Extensie complet\u0103.<\/li>\n<li>Flexie &gt;90\u00b0.<\/li>\n<li>Control bun al cvadricepsului.<\/li>\n<li>Reducerea dependen\u021bei de dispozitivul de mers.<\/li>\n<li>Gait f\u0103r\u0103 compensa\u021bii.<\/li>\n<\/ul>\n<ul>\n<li>Biciclet\u0103 sta\u021bionar\u0103 de camer\u0103 (ini\u021bial f\u0103r\u0103 rezisten\u021b\u0103).<\/li>\n<li>Mers: progresie spre baston, apoi f\u0103r\u0103 sprijin \u00een interior.<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Mi\u0219c\u0103ri interzise:<\/strong><\/p>\n<ul>\n<li>Ghemuiri profunde.<\/li>\n<li>Pivot\u0103ri \/ schimb\u0103ri bru\u0219te de direc\u021bie.<\/li>\n<li>Activit\u0103\u021bi cu impact (s\u0103rituri, alergare).<\/li>\n<\/ul>\n<p><strong>Criterii de progres<\/strong><\/p>\n<ul>\n<li>Flexie &gt;90\u2013100\u00b0.<\/li>\n<li>Mers sigur cu cel mai pu\u021bin restrictiv dispozitiv.<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-614-132 bde-accordion__content-wrapper faza-3-recuperare\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-132\" aria-controls=\"accordion-panel-132\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >3. Faza intermediar\u0103 (4\u20138 s\u0103pt\u0103m\u00e2ni)<\/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-132\" aria-labelledby=\"accordion-button-132\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-614-133 oxy-rich-text text-faza-3\">\n<p><strong>Obiective<\/strong><\/p>\n<ul>\n<li>Flexie &gt;110\u00b0.<\/li>\n<li>For\u021b\u0103 cvadriceps \u0219i \u0219old \u00een cre\u0219tere.<\/li>\n<li>Gait normalizat.<\/li>\n<li>Cre\u0219terea toleran\u021bei la efort.<\/li>\n<\/ul>\n<p><strong>Interven\u021bii<\/strong><\/p>\n<ul>\n<li>Stretching: gastrocnemian, ischiogambieri, flexori \u0219old.<\/li>\n<li><strong>Enduran\u021b\u0103<\/strong>:\n<ul>\n<li>mers pe band\u0103,<\/li>\n<li>biciclet\u0103 cu rezisten\u021b\u0103 moderat\u0103,<\/li>\n<li>eliptic\u0103.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Mi\u0219c\u0103ri interzise<\/strong><\/p>\n<ul>\n<li>Impact (alergare, s\u0103rituri).<\/li>\n<li>Pivot\u0103ri rapide.<\/li>\n<li>Flexie for\u021bat\u0103 peste limita tolerat\u0103.<\/li>\n<\/ul>\n<p><strong>Criterii de progres<\/strong><\/p>\n<ul>\n<li>ROM func\u021bional \u2265110\u00b0.<\/li>\n<li>Mers normal f\u0103r\u0103 dispozitiv.<\/li>\n<li>Control bun la urcat\/cobor\u00e2t trepte.<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-614-140 bde-accordion__content-wrapper faza-3-recuperare\">\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\" >4. Faza avansat\u0103 (8\u201312 s\u0103pt\u0103m\u00e2ni)<\/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=\"oxy-rich-text-614-141 oxy-rich-text text-faza-3\">\n<p><strong>Obiective<\/strong><\/p>\n<ul>\n<li>For\u021b\u0103 \u226580% fa\u021b\u0103 de membrul contralateral.<\/li>\n<li>ROM &gt;110\u00b0 (dac\u0103 proteza permite).<\/li>\n<li>Stabilitate \u0219i control \u00een activit\u0103\u021bi complexe.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>mers lateral,<\/li>\n<li>mers \u00eenapoi,<\/li>\n<li>trasee simple.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Enduran\u021b\u0103<\/strong>:\n<ul>\n<li>biciclet\u0103,<\/li>\n<li>mers \u00een pant\u0103,<\/li>\n<li>\u00eenot (dac\u0103 incizia e complet vindecat\u0103).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Mi\u0219c\u0103ri interzise<\/strong><\/p>\n<ul>\n<li>Pivot\u0103ri necontrolate<\/li>\n<li>Sporturi de contact<\/li>\n<\/ul>\n<p>(\u00een general contraindicat\u0103 pe termen lung la proteze totale)<\/p>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div><div class=\"bde-accordion__content-wrapper-614-142 bde-accordion__content-wrapper faza-3-recuperare\">\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\" >5. Faza de revenire la activit\u0103\u021bi (12 s\u0103pt\u0103m\u00e2ni \u2013 6 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-142\" aria-labelledby=\"accordion-button-142\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"oxy-rich-text-614-143 oxy-rich-text text-faza-3\">\n<p><strong>Obiective<\/strong><\/p>\n<ul>\n<li>Revenire la activit\u0103\u021bi recrea\u021bionale cu impact redus<\/li>\n<li>Stabilitate excelent\u0103 \u00een toate planurile<\/li>\n<li>For\u021b\u0103 \u0219i rezisten\u021b\u0103 apropiate de normal<\/li>\n<\/ul>\n<p><strong>Activit\u0103\u021bi permise<\/strong><\/p>\n<ul>\n<li>Mers rapid<\/li>\n<li>Biciclet\u0103<\/li>\n<li>\u00cenot<\/li>\n<li>Drume\u021bii u\u0219oare<\/li>\n<\/ul>\n<p><strong>Activit\u0103\u021bi interzise sau nerecomandate pe termen lung<\/strong><\/p>\n<ul>\n<li>Alergare<\/li>\n<li>S\u0103rituri<\/li>\n<li>Sporturi de pivotare: fotbal, baschet, tenis agresiv<\/li>\n<li>Sporturi de contact<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Mi\u0219c\u0103ri interzise \u00een toate fazele:<\/strong><\/p>\n<ul>\n<li><strong>Pivot\u0103ri \/ rota\u021bii pe genunchiul operat<\/strong>.<\/li>\n<li><strong>Ghemuiri profunde (&gt;90\u2013100\u00b0)<\/strong> \u00een primele 3 luni.<\/li>\n<li><strong>Alergare \/ s\u0103rituri<\/strong> (\u00een general contraindicate).<\/li>\n<li><strong>Pern\u0103 sub genunchi<\/strong> (favorizeaz\u0103 flexum).<\/li>\n<li><strong>Ridicarea greut\u0103\u021bilor mari \u00een lan\u021b kinetic \u00eenchis<\/strong> \u00een primele 8\u201312 s\u0103pt\u0103m\u00e2ni.<\/li>\n<\/ul>\n<p><strong>Torsionarea genunchiului \u00een timpul mersului<\/strong><\/p>\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-614-136 bde-accordion__content-wrapper masiv-accordion-2\">\n<h3 class=\"bde-accordion__title-tag\">\n  <button type=\"button\" class=\"bde-accordion__button\" id=\"accordion-button-136\" aria-controls=\"accordion-panel-136\" aria-expanded=\"false\">\n     <span class=\"bde-accordion__title\" >Controale periodice postoperator<\/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-136\" aria-labelledby=\"accordion-button-136\">\n    <div class=\"bde-accordion__panel-content\">\n        <div class=\"bde-rich-text-614-137 bde-rich-text text-masiv-3 breakdance-rich-text-styles\">\n<ul>\n<li><strong>3<\/strong> s\u0103pt\u0103m\u00e2ni, <strong>6<\/strong> s\u0103pt\u0103m\u00e2ni, <strong>3<\/strong> luni, <strong>6<\/strong> luni, <strong>12<\/strong> luni \u0219i anual.<\/li>\n<li>Aceste perioade pot varia \u00een func\u021bie de particularit\u0103\u021bile pacientului.<\/li>\n<\/ul>\n<\/div>\n    <\/div>\n<\/div>\n\n\n\n<\/div>\n\n<\/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><\/div>","protected":false},"excerpt":{"rendered":"<p>Anatomia \u0219i biomecanica genunchiului Genunchiul este o articula\u021bie sinovial\u0103 complex\u0103, cu doua compartimente majore (femuro-tibial, femuro-patelar), stabilizat\u0103 de un sistem ligamentar puternic \u0219i meniscuri fibrocartilaginoase, este capabil\u0103 de mi\u0219c\u0103ri ample, dar din p\u0103cate e predispus\u0103 la traumatisme frecvente \u0219i modific\u0103ri degenerative. Oasele care alc\u0103tuiesc articulatia genunchiului sunt:\u2022 Tibia, fibula\u2022 Femurul\u2022 Rotula (os sesamoid)Extremitatea distal\u0103 a [&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-614","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/614","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=614"}],"version-history":[{"count":10,"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/614\/revisions"}],"predecessor-version":[{"id":666,"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/pages\/614\/revisions\/666"}],"wp:attachment":[{"href":"https:\/\/ortopedie-sopon.ro\/index.php\/wp-json\/wp\/v2\/media?parent=614"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}