{"id":23104,"date":"2026-05-14T17:21:24","date_gmt":"2026-05-14T14:21:24","guid":{"rendered":"https:\/\/www.drfatihvolkantercan.com\/?p=23104"},"modified":"2026-05-14T17:21:24","modified_gmt":"2026-05-14T14:21:24","slug":"kalca-avaskuler-nekrozu-nedenleri-belirtileri-ve-modern-tedavi-yontemleri","status":"publish","type":"post","link":"https:\/\/tugysoft.com.tr\/fvtercan\/kalca-avaskuler-nekrozu-nedenleri-belirtileri-ve-modern-tedavi-yontemleri\/","title":{"rendered":"Kal\u00e7a Avask\u00fcler Nekrozu: Nedenleri, Belirtileri ve Modern Tedavi Y\u00f6ntemleri"},"content":{"rendered":"<p data-path-to-node=\"4\"><span style=\"color: #000000;\">Kal\u00e7a eklemi, insan v\u00fccudunun en temel a\u011f\u0131rl\u0131k ta\u015f\u0131yan ve hareket kabiliyetini sa\u011flayan yap\u0131lar\u0131ndan biridir. Ancak baz\u0131 durumlarda, bu eklemi besleyen kan ak\u0131\u015f\u0131 sekteye u\u011frayabilir. T\u0131p literat\u00fcr\u00fcnde Kal\u00e7a avask\u00fcler nekrozu olarak bilinen bu durum, uyluk kemi\u011finin (femur) ba\u015f k\u0131sm\u0131na yeterli kan gitmemesi sonucu kemik dokusunun canl\u0131l\u0131\u011f\u0131n\u0131 yitirmesi ve zamanla \u00e7\u00f6kmesi hastal\u0131\u011f\u0131d\u0131r. Erken te\u015fhisin b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131 bu rahats\u0131zl\u0131k, do\u011fru y\u00f6netilmedi\u011finde kal\u00e7a ekleminde kal\u0131c\u0131 hasarlara ve kire\u00e7lenmeye yol a\u00e7abilir.<\/span><\/p>\n<h2 data-path-to-node=\"5\"><a href=\"https:\/\/tugysoft.com.tr\/fvtercan\/kalca-avaskuler-nekrozu-nedenleri-belirtileri-ve-modern-tedavi-yontemleri\/\"><span style=\"color: #000000;\">Kal\u00e7a Avask\u00fcler Nekrozu Nedir?<\/span><\/a><\/h2>\n<p data-path-to-node=\"6\"><span style=\"color: #000000;\">Kemikler, t\u0131pk\u0131 v\u00fccudumuzdaki di\u011fer dokular gibi canl\u0131d\u0131r ve hayatta kalmak, kendini yenilemek i\u00e7in d\u00fczenli bir kan ak\u0131\u015f\u0131na ihtiya\u00e7 duyar. Kal\u00e7a Avask\u00fcler Nekrozu Nedir sorusunun en net cevab\u0131; femur ba\u015f\u0131 olarak adland\u0131r\u0131lan yuvarlak kemik yap\u0131s\u0131n\u0131n kanlanmas\u0131n\u0131n bozulmas\u0131d\u0131r. Kan dola\u015f\u0131m\u0131ndan mahrum kalan kemik h\u00fccreleri \u00f6lmeye ba\u015flar. Bu durum, kemi\u011fin yap\u0131sal b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc zay\u0131flat\u0131r ve ilerleyen evrelerde kemikte mikro k\u0131r\u0131klara, nihayetinde ise eklem y\u00fczeyinin tamamen \u00e7\u00f6kmesine neden olur.<\/span><\/p>\n<h2 data-path-to-node=\"7\"><a href=\"https:\/\/tugysoft.com.tr\/fvtercan\/kalca-avaskuler-nekrozu-nedenleri-belirtileri-ve-modern-tedavi-yontemleri\/\"><span style=\"color: #000000;\">Kal\u00e7a Avask\u00fcler Nekrozunun Sebebi Nedir?<\/span><\/a><\/h2>\n<p data-path-to-node=\"8\"><span style=\"color: #000000;\">Bu hastal\u0131\u011f\u0131n ortaya \u00e7\u0131kmas\u0131nda genellikle tek bir nedenden ziyade, kan damarlar\u0131n\u0131 daraltan veya t\u0131kayan fakt\u00f6rlerin birle\u015fimi rol oynar. Kal\u00e7a Avask\u00fcler Nekrozunun Sebebi Nedir diye inceledi\u011fimizde kar\u015f\u0131m\u0131za en s\u0131k \u00e7\u0131kan fakt\u00f6rler \u015funlard\u0131r:<\/span><\/p>\n<ul data-path-to-node=\"9\">\n<li>\n<p data-path-to-node=\"9,0,0\"><span style=\"color: #000000;\"><b data-path-to-node=\"9,0,0\" data-index-in-node=\"0\">Travmalar:<\/b> Kal\u00e7a \u00e7\u0131k\u0131klar\u0131 veya kal\u00e7a k\u0131r\u0131klar\u0131, kemi\u011fe giden kan damarlar\u0131n\u0131 zedeleyerek veya kopararak kan ak\u0131\u015f\u0131n\u0131 durdurabilir.<\/span><\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"9,1,0\"><span style=\"color: #000000;\"><b data-path-to-node=\"9,1,0\" data-index-in-node=\"0\">Uzun S\u00fcreli Kortizon (Steroid) Kullan\u0131m\u0131:<\/b> Y\u00fcksek dozda ve uzun s\u00fcreli kortikosteroid kullan\u0131m\u0131, kandaki ya\u011f seviyelerini art\u0131rarak ince damarlar\u0131n t\u0131kanmas\u0131na yol a\u00e7abilir.<\/span><\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"9,2,0\"><span style=\"color: #000000;\"><b data-path-to-node=\"9,2,0\" data-index-in-node=\"0\">A\u015f\u0131r\u0131 Alkol T\u00fcketimi:<\/b> Alkol, damar i\u00e7inde ya\u011f birikimine neden olarak femur ba\u015f\u0131na giden kan ak\u0131\u015f\u0131n\u0131 k\u0131s\u0131tlar.<\/span><\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"9,3,0\"><span style=\"color: #000000;\"><b data-path-to-node=\"9,3,0\" data-index-in-node=\"0\">T\u0131bbi Durumlar:<\/b> Kan p\u0131ht\u0131la\u015fma bozukluklar\u0131, orak h\u00fccreli anemi, Gaucher hastal\u0131\u011f\u0131 ve radyoterapi \u00f6yk\u00fcs\u00fc gibi durumlar kan ak\u0131\u015f\u0131n\u0131 olumsuz etkileyebilir.<\/span><\/p>\n<\/li>\n<\/ul>\n<h3 data-path-to-node=\"10\"><a href=\"https:\/\/tugysoft.com.tr\/fvtercan\/kalca-avaskuler-nekrozu-nedenleri-belirtileri-ve-modern-tedavi-yontemleri\/\"><span style=\"color: #000000;\">Kal\u00e7a Avask\u00fcler Nekrozu i\u00e7in Kimler Risk Alt\u0131ndad\u0131r?<\/span><\/a><\/h3>\n<p data-path-to-node=\"11\"><span style=\"color: #000000;\">Hastal\u0131k her ya\u015fta g\u00f6r\u00fclebilse de belirli bir hasta profili daha dezavantajl\u0131d\u0131r. Kal\u00e7a Avask\u00fcler Nekrozu i\u00e7in Kimler Risk Alt\u0131ndad\u0131r sorusunu yan\u0131tlarken \u00f6zellikle 30 ila 50 ya\u015f aras\u0131 yeti\u015fkinleri vurgulamak gerekir. Ge\u00e7mi\u015finde ciddi kal\u00e7a travmas\u0131 ya\u015fayanlar, romatolojik hastal\u0131klar veya ast\u0131m gibi nedenlerle uzun s\u00fcre y\u00fcksek doz kortizon kullanan hastalar ve a\u015f\u0131r\u0131 alkol t\u00fcketen bireyler en b\u00fcy\u00fck risk grubunu olu\u015fturur.<\/span><\/p>\n<h3 data-path-to-node=\"12\"><a href=\"https:\/\/tugysoft.com.tr\/fvtercan\/kalca-avaskuler-nekrozu-nedenleri-belirtileri-ve-modern-tedavi-yontemleri\/\"><span style=\"color: #000000;\">Kal\u00e7a Avask\u00fcler Nekrozunun Belirtileri Nelerdir?<\/span><\/a><\/h3>\n<p data-path-to-node=\"13\"><span style=\"color: #000000;\">Hastal\u0131\u011f\u0131n en sinsi y\u00f6n\u00fc, ba\u015flang\u0131\u00e7 evresinde genellikle hi\u00e7bir belirti vermemesidir. Ancak kemik dokusu hasar g\u00f6rmeye ba\u015flad\u0131k\u00e7a \u015fikayetler kendini g\u00f6sterir. Kal\u00e7a Avask\u00fcler Nekrozunun Belirtileri Nelerdir diye merak eden hastalar\u0131n dikkat etmesi gereken ba\u015fl\u0131ca sinyaller \u015funlard\u0131r:<\/span><\/p>\n<ul data-path-to-node=\"14\">\n<li>\n<p data-path-to-node=\"14,0,0\"><span style=\"color: #000000;\">Kas\u0131k b\u00f6lgesinde ba\u015flayan ve uylu\u011fun \u00f6n k\u0131sm\u0131na veya dize do\u011fru yay\u0131lan s\u0131zlay\u0131c\u0131 a\u011fr\u0131.<\/span><\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"14,1,0\"><span style=\"color: #000000;\">\u00dczerine a\u011f\u0131rl\u0131k bindi\u011finde veya y\u00fcr\u00fcy\u00fc\u015f s\u0131ras\u0131nda artan \u015fiddetli batma hissi.<\/span><\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"14,2,0\"><span style=\"color: #000000;\">\u0130lerleyen d\u00f6nemlerde dinlenirken dahi ge\u00e7meyen gece a\u011fr\u0131lar\u0131.<\/span><\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"14,3,0\"><span style=\"color: #000000;\">Kal\u00e7a ekleminde hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131, topallama ve ad\u0131m atarken zorlanma.<\/span><\/p>\n<\/li>\n<\/ul>\n<h3 data-path-to-node=\"15\"><span style=\"color: #000000;\">Kal\u00e7a Avask\u00fcler Nekrozu Evrelemesi<\/span><\/h3>\n<p data-path-to-node=\"16\"><span style=\"color: #000000;\">Tedavi protokol\u00fcn\u00fcn belirlenebilmesi i\u00e7in hastal\u0131\u011f\u0131n hangi a\u015famada oldu\u011funun tespit edilmesi kritik \u00f6nem ta\u015f\u0131r. <strong>Kal\u00e7a Avask\u00fcler Nekrozu Evrelemesi<\/strong> genellikle radyolojik g\u00f6r\u00fcnt\u00fcleme (MR ve R\u00f6ntgen) sonu\u00e7lar\u0131na g\u00f6re yap\u0131l\u0131r.<\/span><\/p>\n<ul data-path-to-node=\"17\">\n<li>\n<p data-path-to-node=\"17,0,0\"><span style=\"color: #000000;\"><b data-path-to-node=\"17,0,0\" data-index-in-node=\"0\">Evre 1 ve 2 (Erken D\u00f6nem):<\/b> Kemikteki yap\u0131sal bozulma yeni ba\u015flam\u0131\u015ft\u0131r, eklem y\u00fczeyi hen\u00fcz \u00e7\u00f6kmemi\u015ftir. A\u011fr\u0131lar hafiftir ve ameliyats\u0131z ya da minimal invaziv cerrahi y\u00f6ntemlerle kurtar\u0131lma \u015fans\u0131 en y\u00fcksek d\u00f6nemdir.<\/span><\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"17,1,0\"><span style=\"color: #000000;\"><b data-path-to-node=\"17,1,0\" data-index-in-node=\"0\">Evre 3 ve 4 (Ge\u00e7 D\u00f6nem):<\/b> Kemi\u011fin destek yap\u0131s\u0131 y\u0131k\u0131lm\u0131\u015f, femur ba\u015f\u0131 \u00e7\u00f6km\u00fc\u015ft\u00fcr. Kal\u00e7a ekleminde kire\u00e7lenme (osteoartrit) ba\u015flam\u0131\u015ft\u0131r ve genellikle kal\u00e7a protezi ameliyat\u0131 gerektirir.<\/span><\/p>\n<\/li>\n<\/ul>\n<h3 data-path-to-node=\"18\"><a href=\"https:\/\/tugysoft.com.tr\/fvtercan\/kalca-avaskuler-nekrozu-nedenleri-belirtileri-ve-modern-tedavi-yontemleri\/\"><span style=\"color: #000000;\">Kal\u00e7a Avask\u00fcler Nekrozu Tedavisi<\/span><\/a><\/h3>\n<p data-path-to-node=\"19\"><span style=\"color: #000000;\">Tedavinin temel amac\u0131 kemik y\u0131k\u0131m\u0131n\u0131 durdurmak, a\u011fr\u0131y\u0131 ortadan kald\u0131rmak ve hastan\u0131n eklem fonksiyonlar\u0131n\u0131 korumakt\u0131r. <strong>Kal\u00e7a Avask\u00fcler Nekrozu Tedavisi<\/strong>, hastal\u0131\u011f\u0131n evresine g\u00f6re planlan\u0131r. \u00c7ok erken evrelerde y\u00fck vermeyi azaltmak i\u00e7in koltuk de\u011fne\u011fi kullan\u0131m\u0131, a\u011fr\u0131 kesiciler ve kan suland\u0131r\u0131c\u0131 ila\u00e7lar \u00f6nerilebilir. Ancak bu hastal\u0131k genellikle ilerleyici bir yap\u0131ya sahip oldu\u011fu i\u00e7in, \u00e7o\u011fu vakada kal\u0131c\u0131 \u00e7\u00f6z\u00fcm cerrahi m\u00fcdahaledir.<\/span><\/p>\n<h3 data-path-to-node=\"20\"><span style=\"color: #000000;\">Kal\u00e7a Avask\u00fcler Nekroz Ameliyat\u0131: Kor Dekompresyon Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/span><\/h3>\n<p data-path-to-node=\"21\"><span style=\"color: #000000;\">Erken evre (\u00e7\u00f6kme olmam\u0131\u015f) hastalarda kal\u00e7a eklemini kendi orijinal yap\u0131s\u0131yla kurtarmak i\u00e7in en etkili cerrahi y\u00f6ntemlerden biri uygulan\u0131r. Peki, Kal\u00e7a Avask\u00fcler Nekroz Ameliyat\u0131: Kor Dekompresyon Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r? Bu i\u015flemde, uyluk kemi\u011finin \u00f6l\u00fc doku bar\u0131nd\u0131ran k\u0131sm\u0131na ince matkap u\u00e7lar\u0131yla k\u00fc\u00e7\u00fck delikler a\u00e7\u0131larak bir kanal olu\u015fturulur. Bu i\u015flemin amac\u0131 kemik i\u00e7indeki artm\u0131\u015f bas\u0131nc\u0131 d\u00fc\u015f\u00fcrmek (dekompresyon) ve b\u00f6lgede yeni kan damarlar\u0131n\u0131n olu\u015fumunu tetiklemektir. A\u00e7\u0131lan kanallar sayesinde sa\u011fl\u0131kl\u0131 dokulardan \u00f6l\u00fc b\u00f6lgeye yeni kan ak\u0131\u015f\u0131 sa\u011flan\u0131r ve kemi\u011fin kendini onarmas\u0131na zemin haz\u0131rlan\u0131r.<\/span><\/p>\n<p data-path-to-node=\"22\"><span style=\"color: #000000;\"><b data-path-to-node=\"22\" data-index-in-node=\"0\">Ameliyat Planlamas\u0131:<\/b> Cerrahi s\u00fcrecin ba\u015far\u0131s\u0131 kusursuz bir haz\u0131rl\u0131k gerektirir. Ameliyat Planlamas\u0131: Hastan\u0131n genel sa\u011fl\u0131k durumunun de\u011ferlendirilmesiyle ba\u015flar. Y\u00fcksek \u00e7\u00f6z\u00fcn\u00fcrl\u00fckl\u00fc MR g\u00f6r\u00fcnt\u00fcleri ile nekrozlu alan\u0131n (\u00f6l\u00fc dokunun) tam konumu ve b\u00fcy\u00fckl\u00fc\u011f\u00fc 3 boyutlu olarak haritaland\u0131r\u0131l\u0131r. Dr. Fatih Volkan Tercan, hastan\u0131n ya\u015f\u0131na, aktivite seviyesine ve nekrozun durumuna g\u00f6re en uygun cerrahi tekni\u011fi belirler.<\/span><\/p>\n<p data-path-to-node=\"23\"><span style=\"color: #000000;\"><b data-path-to-node=\"23\" data-index-in-node=\"0\">Ameliyat\u0131n Ba\u015far\u0131 Oran\u0131:<\/b> Hastalar\u0131n en \u00e7ok merak etti\u011fi konulardan biri budur. Ameliyat\u0131n Ba\u015far\u0131 Oran\u0131: Hastal\u0131\u011f\u0131n ne kadar erken te\u015fhis edildi\u011fi ile do\u011frudan orant\u0131l\u0131d\u0131r. \u00c7\u00f6kme meydana gelmeden \u00f6nce, Evre 1 ve Evre 2&#8217;de yap\u0131lan kor dekompresyon ameliyatlar\u0131nda ba\u015far\u0131 oran\u0131 olduk\u00e7a y\u00fcksektir. Bu operasyon, hastalar\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131nda kal\u00e7a protezi ihtiyac\u0131n\u0131 tamamen ortadan kald\u0131r\u0131r veya y\u0131llarca ertelenmesini sa\u011flar.<\/span><\/p>\n<p data-path-to-node=\"24\"><span style=\"color: #000000;\"><b data-path-to-node=\"24\" data-index-in-node=\"0\">Ek Destekleyici Y\u00f6ntemler:<\/b> Kor dekompresyon i\u015fleminin iyile\u015ftirici etkisini maksimuma \u00e7\u0131karmak i\u00e7in modern t\u0131bb\u0131n sundu\u011fu rejeneratif (yenileyici) tedaviler devreye girer. Ek Destekleyici Y\u00f6ntemler: K\u00f6k h\u00fccre tedavisi, PRP (Trombositten Zengin Plazma) ve kemik grefti (kemik yamas\u0131) uygulamalar\u0131d\u0131r. A\u00e7\u0131lan kanallar\u0131n i\u00e7ine hastan\u0131n kendi v\u00fccudundan al\u0131nan k\u00f6k h\u00fccrelerin veya sa\u011fl\u0131kl\u0131 kemik dokusunun yerle\u015ftirilmesi, \u00f6l\u00fc kemik b\u00f6lgesinin \u00e7ok daha h\u0131zl\u0131 ve g\u00fc\u00e7l\u00fc bir \u015fekilde canlanmas\u0131n\u0131 sa\u011flar.<\/span><\/p>\n<p data-path-to-node=\"25\"><span style=\"color: #000000;\"><b data-path-to-node=\"25\" data-index-in-node=\"0\">Kal\u00e7a A\u011fr\u0131lar\u0131n\u0131z\u0131 Ertelemeyin!<\/b> Kal\u00e7a avask\u00fcler nekrozu, zamana kar\u015f\u0131 yar\u0131\u015f\u0131lan bir hastal\u0131kt\u0131r. Erken te\u015fhis, kendi ekleminizle a\u011fr\u0131s\u0131z bir hayata devam edebilmeniz i\u00e7in en \u00f6nemli fakt\u00f6rd\u00fcr. E\u011fer kas\u0131k b\u00f6lgenizde ge\u00e7meyen a\u011fr\u0131lar ya\u015f\u0131yor veya risk grubunda oldu\u011funuzu d\u00fc\u015f\u00fcn\u00fcyorsan\u0131z, zaman kaybetmeden uzman bir de\u011ferlendirme i\u00e7in Op. Dr. Fatih Volkan Tercan&#8217;dan randevu al\u0131n.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kal\u00e7a eklemi, insan v\u00fccudunun en temel a\u011f\u0131rl\u0131k ta\u015f\u0131yan ve hareket kabiliyetini sa\u011flayan yap\u0131lar\u0131ndan biridir. Ancak baz\u0131 durumlarda, bu eklemi besleyen kan ak\u0131\u015f\u0131 sekteye u\u011frayabilir. T\u0131p literat\u00fcr\u00fcnde Kal\u00e7a avask\u00fcler nekrozu olarak bilinen bu durum, uyluk kemi\u011finin (femur) ba\u015f k\u0131sm\u0131na yeterli kan gitmemesi sonucu kemik dokusunun canl\u0131l\u0131\u011f\u0131n\u0131 yitirmesi ve zamanla \u00e7\u00f6kmesi hastal\u0131\u011f\u0131d\u0131r. Erken te\u015fhisin b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":23107,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[63],"tags":[1091,1092,1093,1094,1095,1096],"class_list":["post-23104","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-avaskuler-nekroza-ne-iyi-gelir","tag-avaskuler-nekrozu-neden-olur","tag-avaskuler-nekrozun-belirtileri-nelerdir","tag-kalca-avaskuler-nekrozu-belirtileri","tag-kalca-avaskuler-nekrozu-neden-olur","tag-kalca-avaskuler-nekrozu-tedavisi"],"_links":{"self":[{"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/posts\/23104","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/comments?post=23104"}],"version-history":[{"count":0,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/posts\/23104\/revisions"}],"wp:attachment":[{"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/media?parent=23104"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/categories?post=23104"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tugysoft.com.tr\/fvtercan\/wp-json\/wp\/v2\/tags?post=23104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}