{"id":1766,"date":"2020-07-20T14:18:09","date_gmt":"2020-07-20T14:18:09","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=1766"},"modified":"2021-05-22T12:01:39","modified_gmt":"2021-05-22T12:01:39","slug":"kikirdak-yaralanmalarinda-tedavi-secenekleri","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/","title":{"rendered":"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri"},"content":{"rendered":"

K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri<\/strong><\/h2>\n

Eklem k\u0131k\u0131rda\u011f\u0131, uzun y\u0131llar boyunca eklemde y\u00fck ta\u015f\u0131yacak ve a\u011fr\u0131s\u0131z hareketi sa\u011flayacak \u015fekilde tasarlanm\u0131\u015f \u00e7ok \u00f6zel bir yap\u0131d\u0131r. Eklemi olu\u015fturan kemiklerin birbirlerine bakan y\u00fczlerini kaplayarak yast\u0131k vazifesi g\u00f6r\u00fcr. Eklem k\u0131k\u0131rda\u011f\u0131 \u00e7e\u015fitli \u015fekillerde hasar g\u00f6rebilir. Y\u0131llar i\u00e7inde eskiyerek \u00f6nce yumu\u015far sonra sa\u00e7aklanarak d\u00f6k\u00fcl\u00fcr ve alt\u0131ndaki kemik ortaya \u00e7\u0131kar. Halk aras\u0131nda \u201ckire\u00e7lenme\u201d olarak bilinen bu duruma osteoartrit veya artroz ad\u0131 verilir.<\/p>\n

Ya\u015fla birlikte ortaya \u00e7\u0131kan a\u015f\u0131nma ve eskimenin sonucudur. Olu\u015fan bu yayg\u0131n a\u015f\u0131nman\u0131n geriye d\u00f6n\u00fc\u015f\u00fc yoktur ve \u00f6nce ila\u00e7 daha sonra cerrahi tedaviler gerektirir. Osteoartrit i\u00e7in g\u00fcn\u00fcm\u00fczde bilinen ve k\u0131k\u0131rda\u011f\u0131 yenileyen bir tedavi y\u00f6ntemi yoktur. Buna kar\u015f\u0131n gen\u00e7 bireylerde, \u00f6zellikle spor s\u0131ras\u0131nda ortaya \u00e7\u0131kan darbelere ba\u011fl\u0131 eklem k\u0131k\u0131rda\u011f\u0131nda b\u00f6lgesel hasarlar meydana gelebilir. Bu gibi durumlarda eklem k\u0131k\u0131rda\u011f\u0131n\u0131n sadece bir b\u00f6l\u00fcm\u00fc hasarl\u0131 oldu\u011fu ve geri kalan\u0131 sa\u011flam oldu\u011fu i\u00e7in k\u0131k\u0131rdak yenileyici tedaviler yap\u0131labilir.<\/p>\n

Bu yaz\u0131n\u0131n konusu i\u015fte bu gen\u00e7 bireylerdeki b\u00f6lgesel k\u0131k\u0131rdak yaralanmalar\u0131nda tedavi<\/a> se\u00e7enekleridir.<\/p>\n

Eri\u015fkinlerde eklem k\u0131k\u0131rda\u011f\u0131n\u0131n iyile\u015fme yetene\u011fi yok denecek kadar azd\u0131r. V\u00fccuttaki di\u011fer dokular\u0131n aksine, eklem k\u0131k\u0131rda\u011f\u0131 yaralanma sonras\u0131 kendini yenilemez. K\u0131k\u0131rdakta iyile\u015fme cevab\u0131n\u0131 olu\u015fturmak i\u00e7in mutlaka cerrahi m\u00fcdahaleler gereklidir.<\/p>\n

K\u0131k\u0131rdak yaralanmalar\u0131n\u0131n belirtileri nelerdir?<\/strong><\/h4>\n

K\u0131k\u0131rdak yaralanmalar\u0131n\u0131n en \u00f6nemli belirtisi eklemin ilgili b\u00f6lgesine odaklanan a\u011fr\u0131d\u0131r. Eklem s\u0131v\u0131s\u0131n\u0131n art\u0131\u015f\u0131na ba\u011fl\u0131 olarak eklemde \u015fi\u015flik ortaya \u00e7\u0131kabilir. Bu \u015fi\u015flik aktivite veya sporla artrar, dinlenmekle azal\u0131r. Eklemde tak\u0131lma, s\u0131k\u0131\u015fma, kilitlenme gibi yak\u0131nmalara yol a\u00e7abilir. Kopan bir par\u00e7a varsa, eklem i\u00e7inde serbest halde gezen bir par\u00e7ay\u0131 hastalar hissedebilir. Bu par\u00e7aya eklem faresi<\/strong> ad\u0131 verilir. Belirli bir boyutun \u00fczerinde olan k\u0131k\u0131rdak yaralanmalar\u0131nda eklemin y\u00fck ta\u015f\u0131ma \u00f6zellikleri bozulaca\u011f\u0131 i\u00e7in zaman i\u00e7inde artroz geli\u015febilir.<\/p>\n

K\u0131k\u0131rdak yaralanmalar\u0131 nas\u0131l olu\u015fur?<\/strong><\/h4>\n

K\u0131k\u0131rdak yaralanmalar\u0131, en \u00e7ok ekleme gelen darbeler sonucu ortaya \u00e7\u0131kar. Bu bir spor m\u00fcsabakas\u0131 s\u0131ras\u0131nda veya trafik kazas\u0131 sonras\u0131nda do\u011frudan ekleme gelen darbelere ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilir. En s\u0131k diz ekleminde g\u00f6r\u00fcl\u00fcr. Dizde k\u0131k\u0131rdak yaralanmalar\u0131na, menisk\u00fcs<\/a> ve \u00e7apraz ba\u011f yaralanmalar\u0131 e\u015flik edebilir ve bunlara ait belirtiler de ortaya \u00e7\u0131kabilir.<\/p>\n

Bunun d\u0131\u015f\u0131nda, eklemi ilgilendiren k\u0131r\u0131klarda veya \u00e7\u0131k\u0131klarda da b\u00f6lgesel k\u0131k\u0131rdak yaralanmalar\u0131 ortaya \u00e7\u0131kabilir. Diz kapa\u011f\u0131 kemi\u011fi (patella) ve omuz \u00e7\u0131k\u0131klar\u0131 en s\u0131k g\u00f6r\u00fclen \u00f6rnekleridir. Ba\u015fka bir olu\u015f \u015fekli; eklem k\u0131k\u0131rda\u011f\u0131n\u0131n alt\u0131ndaki kemi\u011fin beslenme bozuklu\u011funa ba\u011fl\u0131 ortaya \u00e7\u0131kan ve bu beslenmeyen b\u00f6lgenin sa\u011flam kemikten ayr\u0131larak serbest hale geldi\u011fi \u201costeokondritis dissekans<\/strong>\u201d ad\u0131 verilen hastal\u0131\u011f\u0131n bir sonucu olarak ortaya \u00e7\u0131kan k\u0131k\u0131rdak hasarlar\u0131d\u0131r.<\/p>\n

K\u0131k\u0131rdak yaralanmalar\u0131nda tan\u0131 nas\u0131l konulur?<\/strong><\/h4>\n

K\u0131k\u0131rdak yaralanmalar\u0131n\u0131n tan\u0131s\u0131 i\u00e7in doktorunuz \u00f6nce olay\u0131n olu\u015f \u015fekli ve belirtilerini dinler. Daha sonra yapaca\u011f\u0131 ayr\u0131nt\u0131l\u0131 bir muayene ile k\u0131k\u0131rdak hasar\u0131 olabilece\u011fini d\u00fc\u015f\u00fcn\u00fcyorsa g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerine ba\u015fvuracakt\u0131r. \u0130lk \u00f6nce r\u00f6ntgen grafileri \u00e7ekilir. Burada eklemi olu\u015fturan kemik yap\u0131lar hakk\u0131nda fikir sahibi olunur, ge\u00e7irilmi\u015f bir k\u0131r\u0131k veya osteokondritis dissekans var ise tan\u0131 konabilir. Eklemi ilgilendiren \u00e7\u0131k\u0131klar var ise buna ait belirtiler saptanabilir.<\/p>\n

Daha sonra doktorunuz gerek g\u00f6rd\u00fc\u011f\u00fc takdirde ilgili eklemin manyetik rezonans g\u00f6r\u00fcnt\u00fclemesi (MRG) yap\u0131labilir. MRG ile b\u00fcy\u00fck ve tam kat k\u0131k\u0131rdak hasarlar\u0131n\u0131n tan\u0131s\u0131 kolayca do\u011frulanabilir. Ancak tam kat olmayan k\u0131k\u0131rdak yaralanmalar\u0131n\u0131n tan\u0131s\u0131nda standart MRG her zaman ba\u015far\u0131l\u0131 olmayabilir. Baz\u0131 \u00a0durumlarda, doktorunuz damardan veya eklem i\u00e7ine kontrast madde verilerek \u00e7ekilen MR-artrografi tetkikini isteyebilir.<\/p>\n

Di\u011fer belirtiler kuvvetle k\u0131k\u0131rdak yaralanmas\u0131 d\u00fc\u015f\u00fcnd\u00fcr\u00fcyorsa doktorunuz hem tan\u0131 hem de tedavi ama\u00e7l\u0131 olarak artroskopi \u00f6nerebilir. Artroskopi ile k\u0131k\u0131rdak hasar\u0131n\u0131n tan\u0131s\u0131 kesin olarak konabilir.<\/p>\n

K\u0131k\u0131rdak yaralanmalar\u0131nda tedavi se\u00e7enekleri nelerdir?<\/strong><\/h4>\n

Eklemin y\u00fck ta\u015f\u0131mayan b\u00f6lgesinde ve 1 cm2<\/sup>\u2019den k\u00fc\u00e7\u00fck k\u0131k\u0131rdak hasarlar\u0131, e\u011fer \u015fikayetlere yol a\u00e7m\u0131yorsa sadece aral\u0131kl\u0131 izlem ile takip edilebilir. Ancak belirti veren, y\u00fck ta\u015f\u0131yan b\u00f6lgede yerle\u015fen ve 1 cm\u2019den b\u00fcy\u00fck k\u0131k\u0131rdak yaralanmalar\u0131nda tedavi gerekli olur. \u0130la\u00e7lar, glukozamin gibi destekler, fizik tedavi y\u00f6ntemleri ve eklem i\u00e7ine yap\u0131lan hyal\u00fcronik asit enjeksiyonlar\u0131 yap\u0131labilir.<\/p>\n

Ancak bunlar tedavi edici \u00f6zelli\u011fe sahip de\u011fildir ve sadece belirtileri bir s\u00fcre bask\u0131larlar.<\/p>\n

Gen\u00e7 eri\u015fkinlerde, k\u0131k\u0131rdak yaralanmalar\u0131n\u0131n tedavisi cerrahi<\/a>dir. Tedavi s\u0131kl\u0131kla artroskopi ile ba\u015flar ve eklem i\u00e7i e\u015flik eden ba\u015fka sorunlar var ise onlar da d\u00fczeltilir. Daha sonra k\u0131k\u0131rda\u011fa y\u00f6nelik i\u015flem artroskopik ya da a\u00e7\u0131k cerrahi ile yap\u0131labilir.<\/p>\n

Mikrok\u0131r\u0131k y\u00f6ntemi<\/strong><\/h4>\n

S\u0131n\u0131rl\u0131 ve 3cm2<\/sup>\u2019den k\u00fc\u00e7\u00fck k\u0131k\u0131rdak yaralanmalar\u0131nda uygulanan bir y\u00f6ntemdir. Hasarl\u0131 b\u00f6lge k\u0131k\u0131rdak art\u0131klar\u0131ndan temizlendikten sonra kemi\u011fe 5 mm aral\u0131klarla ve birka\u00e7 mm derinli\u011finde uzanan delikler a\u00e7\u0131l\u0131l\u0131r. Bu deliklerden kemik ili\u011findeki k\u00f6k h\u00fccrelerin hasarl\u0131 b\u00f6lgeye ula\u015fmas\u0131 i\u00e7in bir yol a\u00e7\u0131lm\u0131\u015f olur.<\/p>\n

Hasar b\u00f6lgesinde olu\u015fan kan p\u0131ht\u0131s\u0131n\u0131n i\u00e7ine yerele\u015fen k\u00f6k h\u00fccrelerinin, uygun ortam sa\u011fland\u0131\u011f\u0131nda k\u0131k\u0131rdak benzeri h\u00fccrelere d\u00f6n\u00fc\u015fme yetene\u011fi vard\u0131r.<\/p>\n

Son y\u0131llarda, bu p\u0131ht\u0131n\u0131n hasarl\u0131 b\u00f6lgeye daha iyi tutunup organize olabilmesi i\u00e7in matriks ad\u0131 verilen \u00e7at\u0131 implantlar\u0131 geli\u015ftirilmi\u015ftir.<\/p>\n

\u00c7o\u011fu kollajenden yap\u0131lan bu zar \u015feklinde dokular mikro-k\u0131r\u0131k yap\u0131ld\u0131ktan sonra hasarl\u0131 b\u00f6lgeye yap\u0131\u015ft\u0131r\u0131labilir. Yeni k\u0131k\u0131rdak benzeri doku olu\u015fana kadar, ameliyat sonras\u0131 alt\u0131-sekiz hafta s\u00fcreyle koltuk de\u011fne\u011fi kullanarak eklemi y\u00fcklenmeden korumak gerekir.<\/p>\n

Artroskopik mikro-k\u0131r\u0131k tekni\u011fi. <\/strong><\/h4>\n

Mikro-k\u0131r\u0131k y\u00f6nteminin avantajlar\u0131, hasta ve hekim i\u00e7in kolay ve ucuz bir teknik olmas\u0131, tek bir ameliyat gerektirmesi ve artroskopi ile yap\u0131labilmesidir. K\u00fc\u00e7\u00fck \u00e7apl\u0131 k\u0131k\u0131rdak hasarlar\u0131nda s\u0131kl\u0131kla ilk olarak tercih edilen y\u00f6ntemdir. Buna kar\u015f\u0131n, tekni\u011fin en \u00f6nemli dezavantaj\u0131 olu\u015fan tamir dokusunun \u201ck\u0131k\u0131rdak benzeri\u201d olmas\u0131d\u0131r. Bu doku normal k\u0131k\u0131rdaktan farkl\u0131d\u0131r ve uzun y\u0131llar normal k\u0131k\u0131rdak gibi i\u015flev g\u00f6rmesi beklenemez.<\/p>\n

Mozaikplasti<\/strong><\/h4>\n

Eklemin y\u00fck ta\u015f\u0131mayan b\u00f6lgesinden 6-8 mm \u00e7ap\u0131nda ve 15 mm boyunda k\u0131k\u0131rdak ve kemikten olu\u015fan silindirik par\u00e7alar\u0131n al\u0131n\u0131p, bunlar\u0131n y\u00fck ta\u015f\u0131yan b\u00f6lgedeki hasarl\u0131 b\u00f6lgeye nakledilmesidir.<\/p>\n

Bu teknik te 4cm2<\/sup>\u2019nin alt\u0131ndaki hasarlarda uygulan\u0131r. En s\u0131k diz ve ayak bile\u011fi eklemlerinde uygulan\u0131r. Artroskopik veya a\u00e7\u0131k y\u00f6ntemle yap\u0131labilir. En \u00f6nemli avantaj\u0131, normal k\u0131k\u0131rda\u011f\u0131n mimari yap\u0131s\u0131nda bir dokunun hasarl\u0131 b\u00f6lgeye nakledilmesidir.<\/p>\n

Dezavantajlar\u0131 ise s\u0131n\u0131rl\u0131 say\u0131da doku nakli yap\u0131labilmesi ve hasarl\u0131 b\u00f6lgeye nakil yap\u0131labilmesi i\u00e7in eklemin ba\u015fka bir b\u00f6lgesindeki normal k\u0131k\u0131rda\u011f\u0131n feda edilmesidir. \u00c7ok b\u00fcy\u00fck hasarlarda bazen sa\u011flam olan kar\u015f\u0131 diz ekleminden de doku al\u0131nmas\u0131 gerekebilir.<\/p>\n

Tekni\u011fin \u00f6zelli\u011fi dolay\u0131s\u0131 ile hasarl\u0131 b\u00f6lgenin ancak % 70\u2019i nakledilen k\u0131k\u0131rdak ile doldurulabilir, nakledilen silindirler aras\u0131nda kalan b\u00f6lge k\u0131k\u0131rdak benzeri bir tamir dokusu ile iyile\u015fir. Bu teknik genellikle k\u00fc\u00e7\u00fck k\u0131k\u0131rdak hasarlar\u0131nda daha ba\u015far\u0131l\u0131d\u0131r. B\u00fcy\u00fck yaralanma alanlar\u0131nda eklemin normal \u015feklinin olu\u015fturulmas\u0131 zor olabilir. Ameliyat sonras\u0131 d\u00f6nem mikro-k\u0131r\u0131k y\u00f6ntemi ile benzerdir.<\/p>\n

K\u0131k\u0131rdak nakli<\/strong><\/h4>\n

Son y\u0131llarda \u00fczerinde en \u00e7ok ara\u015ft\u0131rma yap\u0131lan ve bilimsel geli\u015fmelerin \u00e7ok oldu\u011fu alan k\u0131k\u0131rdak naklidir. Bu teknikte \u00f6nce artroskopi ile k\u0131k\u0131rdak hasar saptand\u0131\u011f\u0131 s\u0131rada eklemin y\u00fck ta\u015f\u0131mayan b\u00f6lgesinden yonga \u015feklinde birka\u00e7 milimetrelik k\u0131k\u0131rdak dokusu al\u0131n\u0131r. Bu doku steril \u015fartlarda laboratuvar ortam\u0131nda i\u015flenir ve i\u00e7indeki k\u0131k\u0131rdak h\u00fccreleri \u00e7o\u011falt\u0131larak \u00fcretilir.<\/p>\n

Birka\u00e7 hafta s\u00fcren bu i\u015flem sonras\u0131nda olu\u015fan yeni k\u0131k\u0131rdak h\u00fccreleri, bu kez a\u00e7\u0131k cerrahi ile hasarl\u0131 b\u00f6lgeye nakledilir. Birinci nesil ad\u0131 verilen k\u0131k\u0131rdak nakli tekniklerinde bu h\u00fccreler, diz \u00e7evresi dokulardan al\u0131nan ve hasarl\u0131 b\u00f6lgeye dikilen zar \u015feklinde bir dokunun alt\u0131na enjekte edilmekteydi.<\/p>\n

Birinci nesil k\u0131k\u0131rdak nakli<\/strong><\/h4>\n

Doku \u00f6rne\u011fi al\u0131n\u0131r, \u00fcretilir ve hasarl\u0131 b\u00f6lgede \u00f6rt\u00fc \u015feklinde bir kapa\u011f\u0131n alt\u0131na enjekte edilir.<\/p>\n

K\u0131k\u0131rdak nakli tekniklerinin en \u00f6nemli avantaj\u0131 herhangi bir dokuya zarar vermeden hastan\u0131n kendi h\u00fccrelerinin, hasarl\u0131 b\u00f6lgeye istenen miktarda akatar\u0131labilmesidir.<\/p>\n

Boyut s\u0131n\u0131r\u0131 yoktur ve istenilen \u00e7ap ve y\u00fckseklikte doku \u00fcretilebilir. Olu\u015fan yeni k\u0131k\u0131rdak dokusu normal eklem k\u0131k\u0131rda\u011f\u0131na \u00e7ok daha yak\u0131nd\u0131r.<\/p>\n

Tekni\u011fin dezavantajlar\u0131 iki ameliyat gerektirmesi ve pahal\u0131 olmas\u0131d\u0131r. \u00c7ok yeni bir y\u00f6ntem olmas\u0131na ra\u011fmen d\u00fcnyada on y\u0131l\u0131n \u00fczerinde yap\u0131lan takiplerde hastalar\u0131n % 80-90\u2019\u0131nda ba\u015far\u0131l\u0131 sonu\u00e7lar bildirilmi\u015ftir. Ameliyat sonras\u0131 d\u00f6nem di\u011fer teknikler ile benzerdir.<\/p>\n","protected":false},"excerpt":{"rendered":"

K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri Eklem k\u0131k\u0131rda\u011f\u0131, uzun y\u0131llar boyunca eklemde y\u00fck ta\u015f\u0131yacak ve a\u011fr\u0131s\u0131z hareketi sa\u011flayacak \u015fekilde tasarlanm\u0131\u015f \u00e7ok \u00f6zel bir yap\u0131d\u0131r. Eklemi olu\u015fturan kemiklerin birbirlerine bakan y\u00fczlerini kaplayarak yast\u0131k vazifesi g\u00f6r\u00fcr. Eklem k\u0131k\u0131rda\u011f\u0131 \u00e7e\u015fitli \u015fekillerde hasar g\u00f6rebilir. Y\u0131llar i\u00e7inde eskiyerek \u00f6nce yumu\u015far sonra sa\u00e7aklanarak d\u00f6k\u00fcl\u00fcr ve alt\u0131ndaki kemik ortaya \u00e7\u0131kar. Halk aras\u0131nda \u201ckire\u00e7lenme\u201d olarak […]<\/p>\n","protected":false},"author":3,"featured_media":1467,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[750],"tags":[807],"yoast_head":"\nK\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Eklem k\u0131k\u0131rda\u011f\u0131, uzun y\u0131llar boyunca eklemde y\u00fck ta\u015f\u0131yacak ve a\u011fr\u0131s\u0131z hareketi sa\u011flayacak \u015fekilde tasarlanm\u0131\u015f \u00e7ok \u00f6zel bir yap\u0131d\u0131r. Eklemi\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri\" \/>\n<meta property=\"og:description\" content=\"Eklem k\u0131k\u0131rda\u011f\u0131, uzun y\u0131llar boyunca eklemde y\u00fck ta\u015f\u0131yacak ve a\u011fr\u0131s\u0131z hareketi sa\u011flayacak \u015fekilde tasarlanm\u0131\u015f \u00e7ok \u00f6zel bir yap\u0131d\u0131r. Eklemi\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2020-07-20T14:18:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-22T12:01:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"250\" \/>\n\t<meta property=\"og:image:height\" content=\"236\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Turkey Istanbul Medical\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\",\"name\":\"Turkey Istanbul Medical\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"sameAs\":[],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"width\":394,\"height\":324,\"caption\":\"Turkey Istanbul Medical\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"name\":\"Turkey Istanbul Medical\",\"description\":\"Healthcare consulting - Best Doctors and Hospital Istanbul\",\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/turkeyistanbulmedical.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"tr-TR\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg\",\"width\":250,\"height\":236,\"caption\":\"Cartilage-treatment\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/\",\"name\":\"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri - Turkey Istanbul Medical\",\"isPartOf\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#primaryimage\"},\"datePublished\":\"2020-07-20T14:18:09+00:00\",\"dateModified\":\"2021-05-22T12:01:39+00:00\",\"description\":\"Eklem k\u0131k\u0131rda\u011f\u0131, uzun y\u0131llar boyunca eklemde y\u00fck ta\u015f\u0131yacak ve a\u011fr\u0131s\u0131z hareketi sa\u011flayacak \u015fekilde tasarlanm\u0131\u015f \u00e7ok \u00f6zel bir yap\u0131d\u0131r. Eklemi\",\"breadcrumb\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#breadcrumb\"},\"inLanguage\":\"tr-TR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/turkeyistanbulmedical.com\/tr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri\"}]},{\"@type\":\"Article\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#webpage\"},\"author\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc\"},\"headline\":\"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri\",\"datePublished\":\"2020-07-20T14:18:09+00:00\",\"dateModified\":\"2021-05-22T12:01:39+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#webpage\"},\"wordCount\":1669,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg\",\"keywords\":[\"K\u0131k\u0131rdak\"],\"articleSection\":[\"Kemikler\"],\"inLanguage\":\"tr-TR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#respond\"]}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc\",\"name\":\"Turkey Istanbul Medical\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#personlogo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/73777217e21bf71b3a3405be6e3ab19a?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/73777217e21bf71b3a3405be6e3ab19a?s=96&d=mm&r=g\",\"caption\":\"Turkey Istanbul Medical\"},\"sameAs\":[\"https:\/\/turkeyistanbulmedical.com\"],\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/author\/admin\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri - Turkey Istanbul Medical","description":"Eklem k\u0131k\u0131rda\u011f\u0131, uzun y\u0131llar boyunca eklemde y\u00fck ta\u015f\u0131yacak ve a\u011fr\u0131s\u0131z hareketi sa\u011flayacak \u015fekilde tasarlanm\u0131\u015f \u00e7ok \u00f6zel bir yap\u0131d\u0131r. Eklemi","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:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/","og_locale":"tr_TR","og_type":"article","og_title":"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri","og_description":"Eklem k\u0131k\u0131rda\u011f\u0131, uzun y\u0131llar boyunca eklemde y\u00fck ta\u015f\u0131yacak ve a\u011fr\u0131s\u0131z hareketi sa\u011flayacak \u015fekilde tasarlanm\u0131\u015f \u00e7ok \u00f6zel bir yap\u0131d\u0131r. Eklemi","og_url":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/","og_site_name":"Turkey Istanbul Medical","article_published_time":"2020-07-20T14:18:09+00:00","article_modified_time":"2021-05-22T12:01:39+00:00","og_image":[{"width":250,"height":236,"url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Written by":"Turkey Istanbul Medical","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Organization","@id":"https:\/\/turkeyistanbulmedical.com\/#organization","name":"Turkey Istanbul Medical","url":"https:\/\/turkeyistanbulmedical.com\/","sameAs":[],"logo":{"@type":"ImageObject","@id":"https:\/\/turkeyistanbulmedical.com\/#logo","inLanguage":"tr-TR","url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png","contentUrl":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png","width":394,"height":324,"caption":"Turkey Istanbul Medical"},"image":{"@id":"https:\/\/turkeyistanbulmedical.com\/#logo"}},{"@type":"WebSite","@id":"https:\/\/turkeyistanbulmedical.com\/#website","url":"https:\/\/turkeyistanbulmedical.com\/","name":"Turkey Istanbul Medical","description":"Healthcare consulting - Best Doctors and Hospital Istanbul","publisher":{"@id":"https:\/\/turkeyistanbulmedical.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/turkeyistanbulmedical.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"tr-TR"},{"@type":"ImageObject","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#primaryimage","inLanguage":"tr-TR","url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg","contentUrl":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg","width":250,"height":236,"caption":"Cartilage-treatment"},{"@type":"WebPage","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#webpage","url":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/","name":"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri - Turkey Istanbul Medical","isPartOf":{"@id":"https:\/\/turkeyistanbulmedical.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#primaryimage"},"datePublished":"2020-07-20T14:18:09+00:00","dateModified":"2021-05-22T12:01:39+00:00","description":"Eklem k\u0131k\u0131rda\u011f\u0131, uzun y\u0131llar boyunca eklemde y\u00fck ta\u015f\u0131yacak ve a\u011fr\u0131s\u0131z hareketi sa\u011flayacak \u015fekilde tasarlanm\u0131\u015f \u00e7ok \u00f6zel bir yap\u0131d\u0131r. Eklemi","breadcrumb":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#breadcrumb"},"inLanguage":"tr-TR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/turkeyistanbulmedical.com\/tr\/"},{"@type":"ListItem","position":2,"name":"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri"}]},{"@type":"Article","@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#article","isPartOf":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#webpage"},"author":{"@id":"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc"},"headline":"K\u0131k\u0131rdak Yaralanmalar\u0131nda Tedavi Se\u00e7enekleri","datePublished":"2020-07-20T14:18:09+00:00","dateModified":"2021-05-22T12:01:39+00:00","mainEntityOfPage":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#webpage"},"wordCount":1669,"commentCount":0,"publisher":{"@id":"https:\/\/turkeyistanbulmedical.com\/#organization"},"image":{"@id":"https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#primaryimage"},"thumbnailUrl":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg","keywords":["K\u0131k\u0131rdak"],"articleSection":["Kemikler"],"inLanguage":"tr-TR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/turkeyistanbulmedical.com\/tr\/kikirdak-yaralanmalarinda-tedavi-secenekleri\/#respond"]}]},{"@type":"Person","@id":"https:\/\/turkeyistanbulmedical.com\/#\/schema\/person\/00086cb50936bc11058a287837928bbc","name":"Turkey Istanbul Medical","image":{"@type":"ImageObject","@id":"https:\/\/turkeyistanbulmedical.com\/#personlogo","inLanguage":"tr-TR","url":"https:\/\/secure.gravatar.com\/avatar\/73777217e21bf71b3a3405be6e3ab19a?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/73777217e21bf71b3a3405be6e3ab19a?s=96&d=mm&r=g","caption":"Turkey Istanbul Medical"},"sameAs":["https:\/\/turkeyistanbulmedical.com"],"url":"https:\/\/turkeyistanbulmedical.com\/tr\/author\/admin\/"}]}},"jetpack_featured_media_url":"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/Cartilage-treatment.jpg","amp_enabled":true,"_links":{"self":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/1766"}],"collection":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/comments?post=1766"}],"version-history":[{"count":2,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/1766\/revisions"}],"predecessor-version":[{"id":5094,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/posts\/1766\/revisions\/5094"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/media\/1467"}],"wp:attachment":[{"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/media?parent=1766"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/categories?post=1766"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turkeyistanbulmedical.com\/tr\/wp-json\/wp\/v2\/tags?post=1766"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}