20.500.12556/ReVIS-12271 FIZIOTERAPEVTSKA OBRAVNAVA PRI RUPTURI MENISKUSA Physiotherapy treatment for meniscus rupture Diplomsko delo obravnava zdravljenje poškodb meniskusa, pri čemer se osredotoča na primerjavo konzervativnega in operativnega pristopa pri poškodbah v vaskularizirani coni meniskusa. Meniskus ima ključno vlogo pri stabilnosti in funkcionalnosti kolenskega sklepa, zato je izbira ustreznega načina zdravljenja bistvenega pomena za dolgoročne izide pri pacientih. V preteklosti je bil meniskus pogosto odstranjen, danes pa je poudarek na njegovem ohranjanju, saj so študije pokazale, da meniscektomija povečuje tveganje za osteoartritis in druge degenerativne spremembe sklepa. Glavni problem, ki ga naloga obravnava, je potreba po boljšem razumevanju učinkovitosti posameznih terapevtskih pristopov, da bi omogočili optimalno zdravljenje glede na vrsto poškodbe. Postavljena hipoteza je, da so pri poškodbah meniskusa v vaskularizirani coni, rezultati konzervativnega zdravljenja primerljivi z operativnim zdravljenjem. Namen naloge je bil analizirati različne metode zdravljenja, njihovo uspešnost in vpliv na dolgoročno funkcionalnost sklepa. Cilji vključujejo sistematičen pregled strokovne literature, primerjavo terapevtskih učinkov obeh pristopov in identifikacijo dejavnikov, ki vplivajo na uspeh zdravljenja. V analizo je bilo vključenih enajst študij, ki so bile izbrane na podlagi relevantnosti in metodološke kakovosti. Rezultati kažejo, da konzervativno zdravljenje, še posebej pri manjših vzdolžnih rupturah, lahko doseže primerljive rezultate z operativnim zdravljenjem. Pri kompleksnejših poškodbah pa operativni posegi ostajajo boljša izbira, saj omogočajo dolgoročno ohranitev funkcionalnosti meniskusa in zmanjšujejo tveganje za degenerativne spremembe. Pomembno je poudariti, da je uspeh zdravljenja močno odvisen od kakovosti rehabilitacije, ne glede na izbrani pristop. Zaključki naloge poudarjajo potrebo po individualiziranem zdravljenju, ki temelji na specifičnih značilnostih poškodbe in bolnika. Pridobitve za stroko vključujejo boljše razumevanje mehanizmov zdravljenja meniskusa, pomen kakovostne rehabilitacije ter potrebo po razvoju enotnih kriterijev za ocenjevanje uspešnosti zdravljenja. The topic of this thesis addresses the treatment of meniscus injuries, focusing on the effectiveness comparison between the conservative and surgical approaches for injuries in the vascularized zone of the meniscus. The meniscus plays a key role in the stability and functionality of the knee joint; hence choosing an appropriate treatment method is essential for long-term patient outcomes. In the past, the meniscus was often removed, but today the emphasis is on preserving it as studies have shown that meniscectomy increases the risk of osteoarthritis and other degenerative joint changes. The main problem addressed by the thesis is the need for a better understanding of the of individual therapeutic approaches effectiveness in order to enable optimal treatment depending on the type of an injury. The hypothesis is that conservative treatment for certain meniscus injuries can offer equivalent results compared to surgery. The thesis purpose has been to analyse various treatment methods, their effectiveness and the impact on the long-term functionality of the joint. The objectives include a systematic review of the professional literature, a comparison of the therapeutic effects between the two approaches, and the identification of key factors influencing treatment success and outcomes. Eleven studies have been included in the analysis, selected based on the relevance and the methodological quality. The results indicate that the conservative treatment, particularly for smaller longitudinal tears, can achieve outcomes comparable to the surgical treatment. However, for more complex injuries, a surgical intervention remains the superior choice, as it ensures a long-term preservation of the meniscus functionality and reduces the risk of degenerative changes. It is important to emphasise that the treatment success ultimately depends on the quality of the rehabilitation, regardless of the chosen approach. The thesis concludes by emphasising the necessity of individualised treatment tailored to the specific characteristics of the injury and the patient. Contributions to the field include a better understanding of meniscus healing mechanisms, the importance of high-quality rehabilitation, and the need for developing standardized criteria for evaluating the treatment success. meniskus ruptura konzervativno zdravljenje operativno zdravljenje rehabilitacija fizioterapevtska obravnava meniscus rupture conservative treatment surgical treatment rehabilitation physiotherapy treatment true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-09-23 18:15:45 2025-09-23 18:15:46 2025-10-09 13:55:59 0000-00-00 00:00:00 2025 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 4545 252510979 2532$$lan_balazic-42300551_diplomska_naloga_2025.pdf 2532$$lan_balazic-42300551_diplomska_naloga_2025.pdf 1 95473B488BBE9027BADF13168449AC2F 91818627d363fd024a18f789b660d7427818cee5dd84057ac4ecdce576df7122 90d21609-9898-11f0-9bb7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=14355 Visokošolski zavod Fizioterapevtika 0 0 0