FAST TRACK PROTOCOL IN HIP ARTHROPLASTY

U ljudskom tijelu, zglob kuka jedan je od najvećih zglobova. Sastoji se od acetabuluma i glave femura. Zglob kuka spada u grupu kuglastih, troosovinskih zglobova. U samom zglobu moguće je izvoditi pokrete u sve tri ravnine, odnosno oko sve tri osi, a to su fleksija, ekstenzija, abdukcija, adukcija, vanjska i unutarnja rotacija. Osteoartritis je kronična, degenerativna, progresivna bolest zglobova koja u zadnjem stadiju dovodi do destrukcije zglobne hrskavice. Dijeli se na primarni i sekundarni oblik bolesti, a obilježava ga i jaka bol. Brzi protokol ugradnje totalne endoproteze definira se kao koordinirana operacija čiji je pristup usmjeren na lakšem kirurškom pristupu i olakšavanju postoperativnog oporavka. Jedan od ključnih uvjeta brze rehabilitacije nakon ugradnje totalne endoproteze je rana mobilizacija, te provođenje fizikalne terapije, kojoj je u cilju što prije vraćanje aktivnostima svakodnevnog života.In human body, hip joint is one of the biggest joints. It is composed of acetabulum and the head of the femur. Hip joint belongs to the group of ball and socket synovial joints. Movements in the hip can be performed in all three planes, that is around all three axes. Those are flexion, extension, abduction, adduction, internal and external rotation. Osteoarthritis is a chronic, degenerative, progressive joint illness that causes degenerative changes on the joint cartilage. It can be classified into primary and secondary form, characterised by strong pain. The fast track protocol of hip arthroplasty is characterized by easier surgical approach and easier postoperative recovery. One of the key terms of quick rehabilitation after the hip arthroplasty is early mobilization and conduction of the physical therapy whose goal is to return to the daily activities as soon as possible