{"id":14033,"date":"2023-11-10T10:14:33","date_gmt":"2023-11-10T10:14:33","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=14033"},"modified":"2023-11-10T10:14:37","modified_gmt":"2023-11-10T10:14:37","slug":"llr-policy-for-hip-resurfacing","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-resurfacing\/","title":{"rendered":"Polityka LLR dotycz\u0105ca nawierzchni biodrowej"},"content":{"rendered":"

Zasady dotycz\u0105ce nawierzchni biodrowej<\/strong><\/strong><\/p>\n\n\n\n

Kategoria<\/strong><\/p>\n\n\n\n

Kryteria progowe<\/p>\n\n\n\n

Podczas rekonstrukcji stawu biodrowego g\u0142owa ko\u015bci udowej nie jest usuwana, ale zamiast tego jest przycinana i zamykana g\u0142adk\u0105 metalow\u0105 os\u0142on\u0105. Uszkodzona ko\u015b\u0107 i chrz\u0105stka w obr\u0119bie panewki jest usuwana i zast\u0119powana metalow\u0105 os\u0142on\u0105, tak jak w przypadku tradycyjnej ca\u0142kowitej endoprotezoplastyki stawu biodrowego. Zabieg jest przeciwwskazany u kobiet.<\/p>\n\n\n\n

Uprawnienia<\/strong><\/p>\n\n\n\n

LLR ICB sfinansuje t\u0119 procedur\u0119 tylko wtedy, gdy zostan\u0105 spe\u0142nione nast\u0119puj\u0105ce kryteria<\/strong>
\u00a0
Pacjent zosta\u0142 zbadany przez Zak\u0142ad Mi\u0119\u015bniowo-Szkieletowy i zdiagnozowany jako schy\u0142kowy etap choroby zwyrodnieniowej staw\u00f3w kwalifikuj\u0105cy si\u0119 do skierowania w celu rozwa\u017cenia operacji,

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 I<\/strong>

Pacjent w pe\u0142ni stosowa\u0142 \u015brodki zachowawcze przez okres co najmniej sze\u015bciu miesi\u0119cy (wyra\u017anie szczeg\u00f3\u0142owo opisane w dokumentacji podstawowej opieki zdrowotnej pacjenta lub w pismach kliniki us\u0142ug uk\u0142adu mi\u0119\u015bniowo-szkieletowego), zgodnie z niniejszymi zasadami, i nie przynios\u0142o to poprawy w objawach zespo\u0142u pacjent,

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 I<\/strong>

Pacjent:
\u2013 Cierpi na intensywny lub silny, uporczywy b\u00f3l z umiarkowanymi lub ci\u0119\u017ckimi zaburzeniami czynno\u015bciowymi

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0LUB<\/strong>
\u2013 Ma znaczn\u0105 niestabilno\u015b\u0107 stawu biodrowego ze znacznymi zaburzeniami funkcjonalnymi*,<\/strong>

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 LUB<\/strong>
\u2013 Ma cechy radiologiczne ci\u0119\u017ckiej choroby z umiarkowanym upo\u015bledzeniem czynno\u015bciowym;

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 LUB<\/strong>
\u2013 Ma cechy radiologiczne umiarkowanej choroby ze znacznym upo\u015bledzeniem czynno\u015bciowym* lub niestabilno\u015bci\u0105 stawu biodrowego i na kt\u00f3r\u0105 cierpi.

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 LUB<\/strong>
\u2013 Pacjent cierpi na silny, uporczywy b\u00f3l powoduj\u0105cy powa\u017cne upo\u015bledzenie czynno\u015bciowe, kt\u00f3re upo\u015bledza jego mobilno\u015b\u0107 do tego stopnia, \u017ce grozi mu bezpo\u015brednie niebezpiecze\u0144stwo utraty niezale\u017cno\u015bci, a wymiana stawu by to z\u0142agodzi\u0142a, a leczenie zachowawcze okre\u015blone w tej polityce jest sprzeczne -wskazany.
\u00a0
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 LUB<\/strong>
\u2013 Pacjent jest nara\u017cony na ryzyko zniszczenia stawu na tyle powa\u017cne, \u017ce zwlekanie z korekcj\u0105 chirurgiczn\u0105 spowodowa\u0142oby zwi\u0119kszenie trudno\u015bci technicznych zabiegu.


* Znacz\u0105ce upo\u015bledzenie funkcjonalne definiuje si\u0119 jako:
<\/strong>\u2013 Objawy uniemo\u017cliwiaj\u0105ce pacjentowi wykonywanie rutynowych obowi\u0105zk\u00f3w zawodowych lub edukacyjnych
\u2013 Objawy uniemo\u017cliwiaj\u0105ce pacjentowi wykonywanie rutynowych czynno\u015bci domowych lub opieku\u0144czych<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Data przegl\u0105du ARP 55: 2026 r<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Policy for Hip Resurfacing Category Threshold Criteria In hip resurfacing, the femoral head is not removed, but is instead trimmed and capped with a smooth metal covering. The damaged bone and […]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[69,83],"class_list":["post-14033","post","type-post","status-publish","format-standard","hentry","category-policies","tag-orthopaedics","tag-threshold"],"yoast_head":"\nLLR Policy for Hip Resurfacing - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-resurfacing\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Hip Resurfacing - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Policy for Hip Resurfacing Category Threshold Criteria In hip resurfacing, the femoral head is not removed, but is instead trimmed and capped with a smooth metal covering. The damaged bone and […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-resurfacing\/\" \/>\n<meta property=\"og:site_name\" content=\"LLR ICB\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NHSLLR\" \/>\n<meta property=\"article:published_time\" content=\"2023-11-10T10:14:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-11-10T10:14:37+00:00\" \/>\n<meta name=\"author\" content=\"Tracy Jesa\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@NHS_LLR\" \/>\n<meta name=\"twitter:site\" content=\"@NHS_LLR\" \/>\n<meta name=\"twitter:label1\" content=\"Napisane przez\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tracy Jesa\" \/>\n\t<meta name=\"twitter:label2\" content=\"Szacowany czas czytania\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minuty\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/\"},\"author\":{\"name\":\"Tracy Jesa\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/person\\\/a721bf22e073f34efdc6c7f2dd8a5976\"},\"headline\":\"LLR Policy for Hip Resurfacing\",\"datePublished\":\"2023-11-10T10:14:33+00:00\",\"dateModified\":\"2023-11-10T10:14:37+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/\"},\"wordCount\":322,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\"},\"keywords\":[\"orthopaedics\",\"threshold\"],\"articleSection\":[\"Policies\"],\"inLanguage\":\"pl-PL\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/\",\"name\":\"LLR Policy for Hip Resurfacing - LLR ICB\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#website\"},\"datePublished\":\"2023-11-10T10:14:33+00:00\",\"dateModified\":\"2023-11-10T10:14:37+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/#breadcrumb\"},\"inLanguage\":\"pl-PL\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-resurfacing\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"LLR Policy for Hip Resurfacing\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#website\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\",\"name\":\"LLR ICB\",\"description\":\"LLR Integrated Care Board\",\"publisher\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pl-PL\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\",\"name\":\"LLR ICB\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pl-PL\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/i0.wp.com\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/New-Project-4.jpg?fit=452%2C93&ssl=1\",\"contentUrl\":\"https:\\\/\\\/i0.wp.com\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/New-Project-4.jpg?fit=452%2C93&ssl=1\",\"width\":452,\"height\":93,\"caption\":\"LLR ICB\"},\"image\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/NHSLLR\",\"https:\\\/\\\/x.com\\\/NHS_LLR\",\"https:\\\/\\\/www.instagram.com\\\/nhsllr\\\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/person\\\/a721bf22e073f34efdc6c7f2dd8a5976\",\"name\":\"Tracy Jesa\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/pl\\\/author\\\/tracy-jesanhs-net\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Polityka LLR dotycz\u0105ca resurfacingu stawu biodrowego - LLR ICB","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-resurfacing\/","og_locale":"pl_PL","og_type":"article","og_title":"LLR Policy for Hip Resurfacing - LLR ICB","og_description":"Policy for Hip Resurfacing Category Threshold Criteria In hip resurfacing, the femoral head is not removed, but is instead trimmed and capped with a smooth metal covering. The damaged bone and […]","og_url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-resurfacing\/","og_site_name":"LLR ICB","article_publisher":"https:\/\/www.facebook.com\/NHSLLR","article_published_time":"2023-11-10T10:14:33+00:00","article_modified_time":"2023-11-10T10:14:37+00:00","author":"Tracy Jesa","twitter_card":"summary_large_image","twitter_creator":"@NHS_LLR","twitter_site":"@NHS_LLR","twitter_misc":{"Napisane przez":"Tracy Jesa","Szacowany czas czytania":"2 minuty"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/#article","isPartOf":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/"},"author":{"name":"Tracy Jesa","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/person\/a721bf22e073f34efdc6c7f2dd8a5976"},"headline":"LLR Policy for Hip Resurfacing","datePublished":"2023-11-10T10:14:33+00:00","dateModified":"2023-11-10T10:14:37+00:00","mainEntityOfPage":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/"},"wordCount":322,"commentCount":0,"publisher":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization"},"keywords":["orthopaedics","threshold"],"articleSection":["Policies"],"inLanguage":"pl-PL","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/","name":"Polityka LLR dotycz\u0105ca resurfacingu stawu biodrowego - LLR ICB","isPartOf":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#website"},"datePublished":"2023-11-10T10:14:33+00:00","dateModified":"2023-11-10T10:14:37+00:00","breadcrumb":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/#breadcrumb"},"inLanguage":"pl-PL","potentialAction":[{"@type":"ReadAction","target":["https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-resurfacing\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/"},{"@type":"ListItem","position":2,"name":"LLR Policy for Hip Resurfacing"}]},{"@type":"WebSite","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#website","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/","name":"LLR ICB","description":"Zintegrowana Rada Opieki LLR","publisher":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pl-PL"},{"@type":"Organization","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization","name":"LLR ICB","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/","logo":{"@type":"ImageObject","inLanguage":"pl-PL","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/logo\/image\/","url":"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/New-Project-4.jpg?fit=452%2C93&ssl=1","contentUrl":"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/New-Project-4.jpg?fit=452%2C93&ssl=1","width":452,"height":93,"caption":"LLR ICB"},"image":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/NHSLLR","https:\/\/x.com\/NHS_LLR","https:\/\/www.instagram.com\/nhsllr\/"]},{"@type":"Person","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/person\/a721bf22e073f34efdc6c7f2dd8a5976","name":"Tracy Jesa","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/author\/tracy-jesanhs-net\/"}]}},"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/posts\/14033","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/users\/542"}],"replies":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/comments?post=14033"}],"version-history":[{"count":1,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/posts\/14033\/revisions"}],"predecessor-version":[{"id":14034,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/posts\/14033\/revisions\/14034"}],"wp:attachment":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/media?parent=14033"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/categories?post=14033"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/tags?post=14033"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}